胃癌患者自我效能感、心理弹性与术后康复的相关性

Correlation between self-efficacy,psychological resilience and postoperative rehabilitation in patients with gastric cancer

目的:分析胃癌患者自我效能感、心理弹性与术后康复的相关性。方法:选取某院162例胃癌患者(观察组),均行胃癌根治术,并取同期100例体检健康者为对照组,以一般自我效能量表(GSES)评估其自我效能感,以心理弹性量表(CD-RISC)评估其心理弹性,并采用世界卫生组织生存质量量表(WHOQOL-BREF)调查术后康复情况,分析GSES评分、CD-RISC评分与QLQ-C30评分相关性。结果:观察组GSES评分与CD-RISC中坚韧性评分、力量性评分以及乐观性评分(t=17.905,15.907,12.788,13.138;P<0.001)均显著低于对照组;观察组术后WHOQOL-BREF中生理评分、心理评分、环境评分及社会关系评分(t=12.282,12.081,3.198,5.182;P<0.01)明显低于对照组;相关性分析显示,GSES评分、CD-RISC评分中坚韧性评分、乐观性评分、力量性评分均与WHOQOL-BREF中生理评分(r=0.723,0.671,0.691,0.704;P<0.001)、心理评分(r=0.713,0.729,0.692,0.633;P<0.001)、环境评分(r=0.469,0.531,0.555,0.533;P<0.001)、社会关系评分(r=0.527,0.541,0.499,0.538;P<0.001)呈正相关。结论:胃癌患者自我效能与心理弹性较低,且术后生存质量较差,二者与其术后生存质量均具有显著相关性,临床可通过这两方面的干预改善患者术后康复情况。

Objective:To analyze the correlation between self-efficacy,psychological resilience and postoperative rehabilitation in patients with gastric cancer.Methods:A total of 162 patients with gastric cancer(observation group)in the hospital were enrolled and underwent radical surgery of gastric cancer.Another 100 healthy controls who underwent physical examinations during the same period were enrolled as control group.Their self-efficacy was evaluated by general self-efficacy scale(GSES).Their psychological resilience was evaluated by Connor-Davidson resilience scale(CD-RISC).The postoperative rehabilitation was investigated by The World Health Organization’s Quality of Life Questionnaire-Brief Version(WHOQOL-BREF).The correlation between GSES,CD-RISC scores and QLQ-C30 score was analyzed.Results:GSES score,scores of toughness,strength and optimism(t=17.905,15.907,13.138,12.788;P<0.001)in CD-RISC of the observation group were significantly lower than those of control group.After surgery,scores of physiology,psychology,environment and social relationship(t=12.282,12.081,3.198,5.182;P<0.01)in WHOQOL-BREF of observation group were significantly lower than those of control group.Correlation analysis showed that GSES score,scores of toughness,optimism and strength in CD-RISC were all positively correlated with scores of physiology(r=0.723,0.671,0.691,0.704;P<0.001),psychology(r=0.713,0.729,0.692,0.633;P<0.001),environment(r=0.469,0.531,0.555,0.533;P<0.001)and social relationship(r=0.527,0.541,0.499,0.538;P<0.001)in WHOQOL-BREF.Conclusion:The levels of self-efficacy and psychological resilience are relatively lower in patients with gastric cancer,and their postoperative quality of life is relatively worse.The two indexes are significantly correlated with postoperative quality of life.Clinically,intervention for the two indexes can improve the postoperative recovery of patients.