大肠癌患者经验性回避现状及其影响因素分析

Analysis of the current status and infl uencing factors of experiential avoidance in colorectal cancer patients

目的调查并分析大肠癌患者经验性回避现状及其影响因素。方法选取2021年4月—2023年2月广州市某三级甲等医院收治的328例大肠癌患者作为调查对象,采用一般资料问卷、接纳与行动问卷第2版、心理弹性量表和社会支持评定量表进行调查。采用多因素分析大肠癌患者经验性回避的影响因素。结果本研究共发放问卷328份,回收有效问卷297份,有效率为90.55%。大肠癌患者经验性回避得分为30.63±5.67分。单因素分析显示,性别、受教育程度、家庭人均月收入、是否造口、病理分期5个项目经验性回避得分比较差异具有统计学意义(P<0.05);相关性分析显示,心理弹性、社会支持与经验性回避呈负相关(P<0.05)。多因素分析显示,性别、受教育程度、是否造口、心理弹性总分、社会支持总分是经验性回避的影响因素(P<0.05)。结论大肠癌患者经验性回避现状有待改善,性别、受教育程度、是否造口、心理弹性总分、社会支持总分是经验性回避的影响因素,医护人员应加强大肠癌患者经验性回避水平的评估,重点关注女性、受教育程度低、造口的患者,提高患者心理弹性和社会支持水平,从而降低其经验性回避水平。

Objective To investigate and analyze the current status of experiential avoidance in colorectal cancer patients and its influencing factors.Methods A total of 328 colorectal cancer patients treated at a tertiary grade A hospital in Guangzhou from April 2021 to February 2023 were selected as the survey subjects.The general information questionnaire,the Acceptance and Action Questionnaire-II,Psychological Resilience Scale,and Social Support Rating Scale were used for investigation.Multivariate analysis was performed to analyze the influencing factors of experiential avoidance in colorectal cancer patients.Results In total,328 questionnaires were distributed,and 297 valid responses were collected,with an effective rate of 90.55%.The experiential avoidance score among colorectal cancer patients was 30.63±5.67 points.Univariate analysis showed that there were statistically significant differences in experiential avoidance scores acrossfive items:gender,education level,average monthly household income,stoma status,and pathological stage(P<0.05).Correlation analysis showed that the psychological resilience and social support were negatively correlated with experiential avoidance(P<0.05).Multivariate analysis showed that the gender,education level,whether there was a stoma,the total score of psychological resilience,and the total score of social support were influencing factors of experiential avoidance(P<0.05).Conclusion The current status of experiential avoidance among colorectal cancer patients needs improvements.Gender,education level,whether there was a stoma,the total score of psychological resilience,and the total score of social support were influencing factors of experiential avoidance.Medical personnel should strengthen assessments of experiential avoidance levels in colorectal cancer patients,focus particularly on female patients,those with low education levels,and patients with stomas,and improve patients'psychological resilience and social support levels,thereby reducing their experiential avoidance levels.