胃癌患者不同阶段心理弹性与生活质量的相关性研究

Correlation between mental resilience and quality of life with gastric cancer patients in different stages

目的分析胃癌患者不同时段心理弹性的差异性,探讨心理弹性与生活质量的相关性。方法选择行手术治疗并行化疗的胃癌患者152例为研究对象,分别于术前、术后1个月及6个月采用《一般资料调查表》(包括患者的基线资料和疾病相关资料等)、《心理弹性量表》(CD-RISC)、中文版《癌症患者生命质量核心问卷》(EORTC QLQ-C30)及《胃癌患者生命质量特异性问卷》(QLQ-ST22)进行调查。结果胃癌患者在术前、术后1个月及6个月时心理弹性中的坚韧维度得分分别为(29.62±6.16)分、(25.82±4.73)分和(29.12±5.87)分,不同时段得分比较差异有统计学意义(P<0.05)。不同人口学特征的胃癌患者在不同时段的CD-RISC得分不同,其中受教育程度和人均月收入对CD-RISC得分的影响最大。胃癌患者在手术前后的不同阶段生存质量的变化显示:采用重复测量的方差分析,术前、术后1个月及术后6个月胃癌患者的饮食受限、胃部疼痛及焦虑得分的比较差异有统计学意义(P<0.05)。患者的总体健康状况得分与术前、术后1个月及6个月的CD-RISC各项得分均呈正相关(P<0.05),与胃部疼痛、呃逆、饮食受限及焦虑呈负相关(P<0.05)。结论胃癌患者在不同阶段的生活质量与心理弹性有密切的关系,通过提高胃癌患者的心理健康水平可以明显改善患者的生活质量。

Objective To analyze the different mental resilience of patients with gastric cancer in different periods,and to explore the correlation between mental resilience and quality of life.Methods 152 patients with gastric cancer were selected from Sep.2017 to Dec.2018 in two.third-grade class-A hospital in Ningxia for surgical and chemotherapy treatment.General data questionnaire(including baseline data and disease-related data),mental resilience scale(CD-RISC),Chinese version of core quality of life questionnaire for cancer patients(EORTC QLQ-C30)and quality of life questionnaire for gastric cancer patients(QLQ-STO22)were evaluated.Those evaluations were finished before,I months after treatment.Results The scores of mental resilience of patients with gastric cancer were(29.62±6.16),(25.82±4.73)and(29.12±5.87)before,1 month and 6 months after surgery,respectively.The differences in scores between different periods were statistically significant(P<0.05).Gastric cancer patients with different demographic characteristics had different on CD-SISC scores in different periods.Among them,education level and per capita monthly income had the greatest influence on CD-SISC scores.Different stages of patients with gastric cancer before and after the change of quality of life showed that using repetitive measure analysis of variance before treatment.I month and 6 months after treatment with stomach pain,restricted diet,and anxiety scores of comparative differences statistically significant(P<0.05).The overall health status score of the patients were positively correlated with the scores of CD-RISC before surgery,1 month and 6 months after surgery(P<0.05),and negatively correlated with gastric pain,hiccup,dietary restriction and anxiety(P<0.05).Conclusion There is a close relationship between the quality of life and psycho-elasticity in patients with gastric cancer at different stages.The quality of life of s gastric cancer patient can be significantly improved by improving the mental health level.