肺癌患者心理弹性的影响因素及与社会支持和生活质量的关系研究

Influencing Factors of Mental Resilience and Its Relationship with Social Support and Quality of Life in Patients with Lung Cancer

目的:探讨肺癌患者心理弹性的影响因素,分析肺癌患者心理弹性与社会支持和生活质量的关系。方法:选取2018年6月至2019年12月期间我院收治的173例肺癌患者(肺癌组)和同期于我院进行体检的116例健康者(对照组),分别采用心理弹性量表(CD-RISC)、社会支持评定量表(SSRS)、健康状况调查简表(SF-36)评估所有受试者心理弹性、社会支持、生活质量。收集患者临床资料,分析肺癌患者心理弹性的影响因素。相关性分析采用Pearson检验。结果:肺癌组CD-RISC、SSRS、SF-36评分均低于对照组(P<0.05)。不同年龄、性别、教育程度、性格特征、SSRS评分、治疗阶段、复发情况、转移情况患者之间CD-RISC评分比较差异显著(P<0.05)。多重线性回归分析结果显示性别、教育程度、性格特征、SSRS评分、治疗阶段、复发、转移均为肺癌患者心理弹性的影响因素(P<0.05)。Pearson相关分析结果显示肺癌患者CD-RISC评分与SSRS、SF-36评分均呈正相关(r=0.567、0.617,P=0.047、0.346)。结论:肺癌患者心理弹性较正常人降低,性别、教育程度、性格特征、SSRS评分、治疗阶段、复发、转移是影响肺癌患者心理弹性的主要因素。肺癌患者心理弹性与社会支持、生活质量均有关。

Objective: To explore the influencing factors of mental resilience in patients with lung cancer, and to analyze the relationship between mental resilience, social support and quality of life in patients with lung cancer. Methods: A total of 173 patients with lung cancer(lung cancer group) admitted to our hospital from June 2018 to December 2019 and 116 healthy patients(control group)who underwent physical examination in our hospital during the same period were selected. Connor-Davidson resilience scale(CD-RISC), Social Support Rating Scale(SSRS) and Health Status Survey Brief Form(SF-36) were used to assess mental resilience,social support, and quality of life of all subjects. The clinical data of patients were collected, the factors affecting mental resilience of patients with lung cancer were analyzed. Pearson test was used for correlation analysis. Results: THE CD-RISC, SSRS and SF-36 scores in the lung cancer group were lower than those in the control group(P<0.05). There were significant differences in CD-RISC scores among patients with different age, gender, education level, character characteristics, SSRS score, treatment stage, recurrence or metastasis(P<0.05). Multiple linear regression analysis showed that gender, education level, character characteristics, SSRS score, treatment stage,recurrence and metastasis were all influencing factors of mental resilience of patients with lung cancer(P<0.05). Pearson correlation analysis showed that CD-RISC scores were positively correlated with SSRS and SF-36 scores in patients with lung cancer(r=0.567,0.617;P=0.047, 0.346). Conclusion: Mental resilience of patients with lung cancer is lower than that of normal people. Gender, education level, character characteristics, SSRS scores, treatment stage, recurrence and metastasis are the main factors affecting mental resilience of patients with lung cancer. Mental resilience of patients with lung cancer is related to social support and quality of life.