鼻咽癌同步放化疗病人述情障碍的影响因素分析

Analysis of influencing factors about alexithymia in patients with nasopharyngeal carcinoma undergoing concurrent chemoradiotherapy

[目的]探讨鼻咽癌同步放化疗病人述情障碍状况及其与病耻感的相关性,并分析其影响因素。[方法]采用病人一般资料调查表、社会影响量表、多伦多述情障碍量表对204例鼻咽癌同步放化疗病人进行问卷调查。[结果]鼻咽癌同步放化疗病人述情障碍总分为(58.43±11.50)分,病耻感总分为(58.29±11.86)分,且不同年龄、文化程度、经济收入及疾病分期的鼻咽癌同步放化疗病人述情障碍得分比较差异有统计学意义(P<0.05);鼻咽癌同步放化疗病人述情障碍总分与病耻感总分呈正相关(r=0.354,P<0.05)。[结论]鼻咽癌同步放化疗病人述情障碍水平与病耻感密切相关,医护人员应密切关注病人的心理状态,降低其病耻感,帮助病人积极面对病情,从而减轻病人的述情障碍水平。

Objective:To explore the correlation between alexithymia and stigma in patients with nasopharyngeal carcinoma undergoing concurrent chemoradiotherapy,and to analyze the influencing factors.Methods:The total of 204 patients with nasopharyngeal carcinoma treated with concurrent chemoradiotherapy were investigated with general information questionnaire,Social Impact Scale and Toronto Alexithymia Scale.Results:the total score of alexithymia was(58.43±11.50)and the total score of stigma was(58.29±11.86).The total score of alexithymia in patients with nasopharyngeal carcinoma undergoing concurrent chemoradiotherapy was significantly different in different ages,educational levels,income and disease stages(P<0.05).Conclusions:The alexithymia level in nasopharyngeal carcinoma patients with concurrent chemoradiotherapy was closely related to their stigma.Medical staff should pay close attention to the psychological state of patients,reduce their stigma,help patients to face the disease positively,so as to reduce the alexithymia level of patients.