肺癌患者预感性悲伤水平的影响因素及与心理健康的关系

Influencing factors of anticipatory sadness level and its relationship with psychological health in cancer patients

目的分析肺癌患者术后化疗期间预感性悲伤水平的影响因素及与心理健康的关系。方法选取240例肺癌术后化疗患者,采用预感性悲伤量表、心理健康量表对所有患者化疗期间预感性悲伤和心理健康进行评价。分析肺癌患者术后化疗期间预感性悲伤的影响因素及与心理健康的关系。结果多因素logistic回归分析显示:家庭经济收入、婚姻情况、疼痛情况、肿瘤转移情况、文化程度及不同程度预感性悲伤水平均与肺癌患者术后化疗期间预感性悲伤有关。即不同程度预感性悲伤水平、年龄、家庭经济收入、家庭结构、疼痛评分、肿瘤转移、文化程度是肺癌患者术后化疗期间预感性悲伤水平的影响因素。预感性悲伤高、低水平组的躯体化、强迫、人际关系、抑郁、焦虑、敌对性等项目评分差异有统计学意义(P<0.05),恐怖、偏执、精神病性等项目评分差异无统计学意义(P>0.05)。即预感性悲伤低水平患者,其调节自己情绪、理性思考问题的能力也越强,内心越强大,心理健康水平越高。结论提高肺癌患者预感性悲伤水平,可以提高心理健康。

Objective To analyze the influencing factors of anticipatory sadness level during chemotherapy in the patients with lung cancer and its relationship with psychological health.Methods A total of 240 patients with chemotherapy after cancer operation were selected.The anticipatory grief scale and psychological health scale were adopted to evaluate the anticipatory sadness and sychological health duing postoperative chemotherapeutical period in the patients with lung cancer.The relationship between the influencing factors of anticipatory sadness during postoperative chmetherapeutical period with the psycological health was analyzed.Results The multivariate logistic regression analysis showed that the anticipatory sadness marital condition,pain condition,tumor metastases,educational background and different levels of cancers′anticipatory sadness were related with the anticipatory sadness during postoperative chemotherapeutical period in the patients with lung cancer.The different levels of anticipatory sadness,age,family economic income,family structure,tumor metastasis and cultural degree the influencing factors of anticipatory sadness level during postoperative chemotherpeutic period.The scores of the items such as somatization,obsession,interpersonal relationship,depression,anxiety and hostility had statistical differences between the anticipatory sadness high level group and low level group(P<0.05);the scores in the items such as terror,stubborn and psychosis had no statistical difference(P>0.05).The patients with low anticipatory sadness level had the strong ability to regulate self emotion and rational thinking problems.The stronger the heart,the higher the level of mental health.Conclusion Improving the anticipatory sadness level of the patient with lung cancer could increase their psychological health.