口腔癌放疗患者心理韧性及影响因素分析

Psychological resilience and its influencing factors in patients with oral cancer undergoing radiotherapy

目的探讨口腔癌放疗患者心理韧性状况及影响因素,为临床防治提供依据。方法对100例口腔癌放疗患者采用心理弹性量表评定心理韧性,并进行单因素分析及多因素Logistic回归分析探讨其影响因素。结果本组82.0%的患者心理韧性良好,18.0%的患者心理韧性较差;患者心理弹性量表的坚韧性维度分为(35.23±2.61)分,力量性维度分为(18.34±1.69)分,乐观性维度分为(5.99±2.19)分。Logistic回归分析显示,年龄≥60岁、女性、家庭月收入≤5000元、口腔癌知识了解程度较差、主要照顾者为子女、无医疗保险、家庭功能较差、放疗时间>3个周期为口腔癌放疗患者心理韧性较差的危险因素(P<0.01)。结论部分口腔癌放疗患者心理韧性较差,其影响因素众多,应对其予以有针对性的干预提高心理韧性水平。

Objective To investigate the psychological resilience status and its influencing factors in patients with oral cancer undergoing radiotherapy,and to provide basis for clinical prevention and treatment.Methods A total of 100 patients with oral cancer treated with radiotherapy were evaluated by connor-davidson resilience scale(CD-RISC),and the influencing factors were analyzed by univariate analysis and multivariate Logistic regression analysis.Results In this group,82.0%of the patients had good psychological resilience,and 18.0%had poor psychological resilience.The dimension scores of resilience,strength and optimism of CD-RISC were 35.23±2.61,18.34±1.69 and 5.99±2.19 respectively.Logistic regression analysis showed that age 60 and above years old,female,family monthly income less than 5000 yuan,poor understanding of oral cancer knowledge,main caregivers were children,no medical insurance,poor family function,radiotherapy time more than 3 cycles were the risk factors of poor psychological resilience of patients with oral cancer undergoing radiotherapy(P<0.01).Conclusions Some oral cancer patients with radiotherapy have poor psychological resilience,which is influenced by many factors.Targeted intervention should be given to improve the level of psychological resilience.