肺癌患者心理韧性现状及影响因素分析

Current Status of Resilience in Lung Cancer Patients and Its Influence Factors

目的调查肺癌患者的心理韧性现状,探究其影响因素,为开展肺癌患者心理韧性干预措施提供参考。方法采用便利抽样法,选取四川省成都市某三级甲等医院2020年10月—2021年8月入院治疗的192例肺癌患者作为调查对象,使用一般资料调查表、一般自我效能感量表、领悟社会支持量表及压力知觉量表进行问卷调查,采用多元线性回归模型分析其影响因素。结果肺癌患者心理韧性总分均分为(62.60±16.77)分。多元线性回归分析显示,文化程度、自我效能感、领悟社会支持感及压力知觉共解释肺癌患者心理韧性变异度的48.1%。结论本研究发现,肺癌患者心理韧性水平处于中等偏下水平,受文化程度、自我效能感、领悟社会支持感及压力知觉因素的影响。医护人员应对压力感知明显的肺癌患者采取针对性心理干预,同时引导其增加自我效能感与领悟社会支持感,从而有效提高心理韧性。

Objective To explore the current status of resilience in lung cancer patients and its influence factors,and to provide reference for ameliorate resilience in lung cancer patients.Methods A total of 192 lung cancer patients hospitalized in a tertiary Grade-A hospital in Chengdu were selected from October 2020 to August 2021.The patients were surveyed by using the general information questionnaire,Connor-Davison Resilience Scale,Perceived Stress Scale,Perceived Social Support Scale and General Self-efficacy Scale and multiple linear regression analysis was used to analyze the influence factors.Results The total score of resilience of lung cancer patients was 62.60±16.77.Multiple linear regression analysis showed that education background,self-efficacy,perceived social support,and stress perception were the main influence factors of resilience,accounting for 48.1%of the total variance.Conclusion The resilience of lung cancer patients is below the average,which is affected by education background,self-efficacy,perceived social support,and stress perception.Medical staff should evaluate the stress perception of lung cancer patients timely,guide them to improve their self-efficacy and social support accordingly,so as to elevate their resilience effectively.