晚期卵巢癌患者预期性悲伤现状及其影响因素的研究

Study on Current Status and Influencing Factors of Anticipatory Grief in Patients with Advanced Ovarian Cancer

目的:分析晚期卵巢癌患者预期性悲伤(AG)现状及其影响因素,为临床干预提供一定的理论参考。方法:选取2020年1月—2023年6月常州市第一人民医院收治的192例晚期卵巢癌患者作为研究对象,采用一般资料调查表、癌症患者AG问卷、焦虑自评量表、抑郁自评量表、癌症疼痛评估和生活质量测定量表对其进行调查。结果:所有患者的AG总分为(54.25±18.82)分,处于较高水平。不同年龄、学历、家庭人均月收入、婚姻状态、职业状态、有无子女、恶性肿瘤家族史、感觉女性特征减弱、疼痛反应和生活质量评分晚期卵巢癌患者AG得分比较,差异有统计学意义(P<0.05)。不同严重程度焦虑、抑郁晚期卵巢癌患者AG得分比较,差异有统计学意义(P<0.05)。Spearman相关系数分析显示,焦虑、抑郁程度与AG得分呈正相关(rs=0.99、0.96,P=0.036、0.042)。家庭人均月收入、疼痛反应、感觉女性特征减弱、焦虑程度、抑郁程度和生活质量评分均为晚期卵巢癌患者AG的影响因素(P<0.001)。结论:晚期卵巢癌患者的AG处于较高水平,临床需要关注相关影响因素,缓解患者的不良心理应激,改善其生活质量。

Objective:To analyze the current situation and influencing factors of anticipatory grief in advanced ovarian cancer patients,and to provide some theoretical reference for clinical intervention.Method:A total of 192 patients with advanced ovarian cancer admitted to the First People's Hospital of Changzhou from January 2020 to June 2023 were selected as the study objects.General data questionnaire,cancer patient AG questionnaire,self-rating anxiety scale,self-rating depression scale,cancer pain assessment scale and quality of life scale were used to investigate them.Result:The total AG score of all patients was(54.25±18.82)points,which was at a high level.There were statistically significant differences in AG scores of patients with advanced ovarian cancer in different age,education,family per capita monthly income,marital status,occupational status,with or without children,family history of malignant tumors,weakened female characteristics,pain response and quality of life scores(P<0.05).There were statistically significant differences in AG scores of patients with advanced ovarian cancer with different severity of anxiety and depression(P<0.05).Spearman correlation coefficient analysis showed that the degree of anxiety and depression were positively correlated with AG score(r=0.99,0.96,P=0.036,0.042).Family per capita monthly income,pain response,weakened female characteristics,anxiety degree,depression degree and quality of life score were all influencing factors for AG in advanced ovarian cancer patients(P<0.001).Conclusion:AG in patients with advanced ovarian cancer is at a high level,and clinical attention should be paid to related influencing factors,alleviate the adverse psychological stress of patients and improve their quality of life.