肺癌患者的心理可塑性及其影响因素 // Psychological plasticity of lung cancer patients and influencing factors

Journal Publication ResearchOnline@JCU
Yuan, Xiaoyu;Huang, Xuewei;Li, Wendy;Wu, Lanlan;Wang, Xicheng;Xu, Meng
Abstract

[Chinese] 目的探讨肺癌患者的心理可塑性及其影响因素的相关性研究。方法采用癌症心身状态问卷中"心理行为可塑性"维度、癌症应对问卷、豁达进取问卷及医院焦虑抑郁量表对150例肺癌患者进行测评比较及相关性分析。结果 (1)心理行为可塑性维度:肺癌患者在"心理行为可塑性"得分高于良性肿瘤患者;人口统计学中,男性患者得分低于女性患者;文化程度越高得分越低;国家机关/党群单位组在"心理行为可塑性"维度得分最低,差异有统计学意义(P<0.05)。(2)相关性:"心理行为可塑性"与癌症应对中"面对"呈负相关,与"回避与压抑"、"屈服"呈正相关(P<0.01),与豁达进取特征以及"积极进取"维度呈负相关(P<0.01);与焦虑抑郁特征及"焦虑"和"抑郁"维度分别呈正相关(P<0.01)。结论肺癌患者的心理可塑性比良性肿瘤患者低,积极进取、乐观、采用面对的应对方式、情绪较好的肺癌患者的心理可塑性较好,相对较容易接受心理治疗 [English] Objective: To investigate the psychological plasticity of lung cancer patients and related factors. Methods: A survey was carried out on 150 patients with lung cancer so as to compare and analyze data using the "psychological behavior plasticity" dimension of the Cancer Psychosomatic Status questionnaire,the Cancer Coping Modes Questionnaire,the Enterprising and Magnanimous Questionnaire and the Hospital Anxiety and Depression Questionnaires. T-tests,analysis of variance and Pearson correlation analysis were adopted for statistical analsis. Results: ( 1) Psychological behavior plasticity dimension: Lung cancer patients scored higher than patients with benign tumors. Demographic studies showed lower scores in male population than in female population. Higher status in academic background was correlated with lower scores in the dimension of "psychological behavior plasticity" . The group of patients with the occupation of state officials or government employees had the lowest score in this dimension. ( 2) Correlation analysis: the dimensions of "psychological behavior plasticity" and "confrontation" were negatively correlated,so as with enterprising and magnanimous psychological characteristics and the dimension of "enterprising" . There were positive correlations of the dimensionof "psychological behavior plasticity" with dimensions of "avoidance and suppression" and "resignation" ( P < 0. 01). Conclusion: Lung cancer patients have worse psychological plasticity than patients with benign tumors. Lung cancer patients with higher enterprising and magnanimous mental levels,positive,using confrontation as the coping mode and able to keep better moods have better psychological plasticity and therefore more likely to receive psychological treatment.

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36

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1001-9448

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17

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4

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Guangdong Provincial Institute of Medical Information

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DOI

10.13820/j.cnki.gdyx.20150915.005