胶质瘤术后患者心理安全感的影响因素与生活质量的相关性

Influencing factors of psychological security in patients with glioma after operation and study on correlation between psychological security and quality of life

目的:分析胶质瘤术后患者心理安全感的影响因素及与生活质量的相关性,为构建个体化胶质瘤术后患者心理安全感重建策略提供参考依据。方法:收集462例胶质瘤术后患者作为研究对象。采用安全感问卷(SQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS)和SF-36生活质量量表评估患者心理安全感、焦虑、抑郁、社会支持水平和生活质量。采用Spearman相关分析心理安全感和生活质量的相关性,采用多元线性回归分析胶质瘤术后患者心理安全感的影响因素。结果:胶质瘤术后患者心理安全感总分为(41.36±9.96)分。Spearman相关分析显示,心理安全感问卷中的人际安全感、确定控制感评分及总分与SF-36生活质量量表中的生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康维度评分均呈正相关(P均<0.05)。多元线性回归分析显示,年龄(B=-4.265)、婚姻状况(B=-3.906)、家庭月收入(B=-2.421)、焦虑(B=-5.039)、抑郁(B=-2.159)和社会支持水平(B=5.478、10.489)是胶质瘤术后患者心理安全感的影响因素(P<0.05)。结论:胶质瘤术后患者的心理安全感水平不高,与生活质量呈正相关。年龄、婚姻状况、家庭月收入、焦虑、抑郁和社会支持水平是胶质瘤术后患者心理安全感的影响因素。

Objective:To analyze the influencing factors of psychological security in patients with glioma after operation and study on correlation between psychological security and quality of life with the purpose of providing reference basis for constructing the individualized reconstruction strategy of psychological security in postoperative patients with glioma.Methods:A total of 462 postoperative patients with glioma were collected as research objects.The level of psychological security, anxiety, depression, social support, and quality of life were assessed by Security Questionnaire(SQ),self-rating anxiety Scale(SAS),self-rating depression Scale(SDS),Social Support Rate Scale(SSRS)and SF-36 quality of life scale.Spearman correlation was used to analyze the correlation between psychological security and quality of life, and multiple linear regression was used to analyze the influencing factors of psychological security in patients with glioma after operation.Results:The total score of psychological security was(41.36 ± 9.96)points in postoperative patients with glioma.Spearman correlation analysis showed that scores of interpersonal security, definite control and total score in the psychological security questionnaire were positively correlated with the scores of physiological function, role-physical, physical pain, general health status, energy, social function, emotional function and mental health in SF-36 quality of life scale(all P<0.05).Multiple linear regression analysis showed that age(B=-4.265),marital status(B=-3.906),family monthly income(B=-2.421),anxiety(B=-5.039),depression(B=-2.159)and social support level(B=5.478,10.489)were influencing factors of psychological security in postoperative patients with glioma(P<0.05).Conclusion:The level of psychological security in patients with glioma after operation is not high, which is positively correlated with the quality of life.Age, marital status, monthly family income, anxiety, depression, and social support are influencing factors of psychological security in patients with glioma after operation.Clinically, we should formulate individualized psychological security reconstruction strategies according to specific conditions.