卵巢癌患者术后压力知觉状况及影响因素

Status of Postoperative Stress Perception and Influencing Factors in Ovarian Cancer Patients

目的探讨卵巢癌患者术后压力知觉状况,并分析其影响因素。方法抽取郑州大学第一附属医院2021年10月至2022年9月收治的接受手术治疗的91例卵巢癌患者进行单中心横断面调查,通过中文版压力知觉量表(CPSS)测评所有患者术后压力知觉;通过社会支持评定量表(SSRS)测评患者术后所获得的社会支持;通过Mishel疾病不确定感量表(MUIS)测评患者对疾病的不确定感;同时收集所有患者年龄、疾病分期等一般临床资料与人口社会学信息,通过logistic回归分析探讨卵巢癌患者术后压力知觉状况的影响因素。结果经调查,91例卵巢癌术后患者中,CPSS评分18~51分,平均(28.34±6.95)分,其中CPSS<26分49例,占比53.85%;CPSS≥26分42例,占比46.67%。CPSS<26分组SSRS评分高于CPSS≥26分组,MUIS评分、Ⅱ期和Ⅲ期占比低于CPSS≥26分组,差异有统计学意义(P<0.05);组间年龄、费用缴纳方式等对比,差异无统计学意义(P>0.05)。经logistic回归分析结果显示,SSRS评分、MUIS评分、疾病分期是卵巢癌术后患者压力知觉的影响因素(P<0.05)。结论卵巢癌患者术后普遍压力知觉水平较高,社会支持度低、对疾病不确定感高和疾病分期高是卵巢癌患者术后压力知觉升高的影响因素。

Objective To explore the postoperative stress perception status of ovarian cancer patients and analyze its influencing factors.Methods A single center cross-sectional survey was conducted on 91 ovarian cancer patients who underwent surgical treatment at the First Affiliated Hospital of Zhengzhou University from October 2021 to September 2022.The Chinese version of the stress perception scale(CPSS)was used to assess postoperative stress perception in all patients.The social support rating scale(SSRS)was used to evaluate the social support obtained by patients after surgery.The Mishel’s uncertainty in illness scale(MUIS)was used to evaluate the patients’uncertainty in illness.At the same time,general clinical data such as age,residential area,disease stage and demographic sociological information were collected from all patients.Logistic regression analysis was used to explore the influencing factors of postoperative stress perception in ovarian cancer patients.Results After investigation,among 91 postoperative ovarian cancer patients,the CPSS score was 18-51 points,with an average of(28.34±6.95)points.Among them,there were 49 cases with CPSS<26 points,accounting for 53.85%.There were 42 cases with CPSS≥26 points,accounting for 46.67%.The SSRS score of the CPSS<26 group was higher than that of the CPSS≥26 group,the MUIS score and the proportion of stagesⅡandⅢwere lower than those of the CPSS≥26 group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in age and payment method between groups(P>0.05).The results of logistic regression analysis showed that SSRS score,MUIS score,and disease stage were the influencing factors of postoperative stress perception in ovarian cancer patients(P<0.05).Conclusion Ovarian cancer patients generally have a high level of postoperative stress perception,low social support,high uncertainty about the disease,and high disease stage,which are the influencing factors for the increase in postoperative stress perception in ovarian cancer patients.