^(125)I放射性粒子植入治疗肿瘤病人心理弹性、家庭亲密度与适应性和孤独感的相关性研究

Relationship between psychological resilience,family cohesion,adaptability and loneliness in radioactive ^(125) I seed implanted cancer patients

目的:探讨^(125)I放射性粒子植入治疗肿瘤病人的心理弹性、家庭亲密度与适应性和孤独感的相关性。方法:采取便利抽样法,选取106例行^(125)I放射性粒子植入治疗的肿瘤病人作为研究对象,调查病人的一般资料,采用心理弹性量表中文版(CD-RISC)评价病人的心理弹性水平,并使用家庭亲密度与适应性量表中文版(FACESIICV)及孤独感自评量表(UCLA)进行调查问卷。结果:^(125)I放射性粒子植入治疗肿瘤病人孤独感量表得分为(40.01±8.63)分,心理弹性量表得分为(61.79±14.54)分,家庭亲密度与适应性量表得分为(116.32±18.80)分;不同性别、职业、文化程度、家庭人均月收入的孤独感得分差异均有统计学意义(P<0.01),不同性别、家庭人均月收入心理弹性得分和家庭亲密度与适应性得分差异有统计学意义(P<0.01)。106例^(125)I放射性粒子植入治疗的肿瘤病人的孤独感量表得分和心理弹性量表得分呈显著负相关(r=-0.912,P<0.01),心理弹性量表得分和家庭亲密度与适应性量表得分呈显著正相关关系(r=0.884,P<0.01),孤独感量表得分和家庭亲密度与适应性量表得分呈显著负相关关系(r=-0.907,P<0.01);纳入性别、职业、文化程度、家庭人均月收入、心理弹性得分、家庭亲密度与适应性得分进行孤独感影响因素多元线性逐步回归分析,家庭亲密度与适应性得分和家庭人均月收入均有统计学意义(P<0.01)。结论:不同性别、职业、文化程度、家庭人均月收入是^(125)I放射性粒子植入治疗的肿瘤病人孤独感的影响因素,及早对孤独感程度进行评估并提前进行有效干预,改善病人家庭亲密度与适应性情况,对于降低其孤独感程度具有显著效果,对促进病人早日回归家庭与社会具有重大的意义。

Objective:To investigate the relationship between psychological resilience,family cohesion,adaptability and loneliness in radioactive ^(125)I seed implanted cancer patients.Methods:A total of 106 cancer patients who received radioactive ^(125)I seed implantation were selected according to the convenience sampling method.The general data of the patients were collected and the psychological resilience level were evaluated by Connor Davidson resilience scale(CD-RISC).Based on he family adaptability and cohesion scaleⅡchinese version(FACESIICV)and loneliness scale of university of california at los angeles(UCLA).Results:The score of loneliness scale,psychological resilience scale and family adaptability and cohesion scale of the radioactive ^(125)I seed implanted cancer patients were(40.01±8.63),(61.79±14.54)and(116.32±18.80)points,respectively.There were statistically significant differences in loneliness scores among different genders,occupations,education level and per capita monthly income of family(P<0.01),statistically significant differences were observed in psychological resilience scores and family adaptability and cohesion scale scores among different genders and per capita monthly income of family(P<0.01).There was a significant negative correlation between loneliness scale score and psychological resilience scale score(r=-0.912,P<0.01)and a significant positive correlation between psychological resilience scale score and family adaptability and cohesion scale score(r=0.884,P<0.01).Additionally,a significant negative correlation between the scores of loneliness scale and those of family adaptability and cohesion scale(r=-0.907,P<0.01)were found in the study.Gender,occupation,education level,family per capita monthly income,psychological resilience score,family adaptability and cohesion scores were included in the multiple linear stepby-step regression analysis of the influencing factors of loneliness.The scores of family cohesion,adaptability and per capita monthly income of family were statistically significant(P<0.01).Conclusions:Different gender,occupation,education level and per capita monthly income of family were the influencing factors of loneliness among the radioactive ^(125)I seed implanted cancer patients,as soon as possible to evaluate the degree of loneliness and effective intervention ahead of time,improve the patients′family adaptability and cohesion,it has a significant effect on reducing the degree of loneliness and is of great significance to promote the patients′early return to family and society.