卵巢癌患者可修饰性心理困扰影响因素及其与生存质量的相关性分析

目的分析卵巢癌患者可修饰性心理困扰影响因素及其与生存质量相关性。方法采用便利抽样法,选取2017年9月~2019年3月我院收治的卵巢癌患者262例,分析患者可修饰性心理困扰率、困扰程度、生存质量及心理困扰与生存质量的相关性。采用多因素Logistic回归分析可修饰性心理困扰影响因素。结果262例卵巢癌患者中,可修饰性心理困扰低状态126例(48.09%)、中等状态108例(41.22%)、高等状态28例(10.69%),生存质量良好118例(45.04%)、不佳144例(54.96%)。单因素分析结果显示,文化程度、独居、家庭月收入、肿瘤分期、社会支持度、疾病认知度、自我效能感、应对方式、生存质量比较,差异有统计学意义(P<0.05)。多因素Logistic分析结果显示,社会支持度、疾病认知度、自我效能感、应对方式、生存质量是卵巢癌患者可修饰性心理困扰处于中高状态的风险因素(P<0.05)。且可修饰性心理困扰状态与生存质量互为负相关关系(P<0.05)。结论卵巢癌患者可修饰性心理困扰影响因素多样,而弱化或消除影响因素利于减轻心理困扰,有助于改善生存质量,生存质量的改善又可缓解可修饰性心理困扰,促进良性循环形成。

Analysis of Influencing Factors of Modifiable Psychological Distress in Patients with Ovarian Cancer and its Correlation with Quality of Life

Objective To analyze the influencing factors of modifiable psychological distress and its correlation with quality of life in patients with ovarian cancer.Methods A total of 262 patients with ovarian cancer in the hospital from September 2017 to March 2019 were selected by the sampling convenience method.The modifiable psychological distress rate,distress degree,quality of life,and correlation between psychological distress and quality of life were analyzed.The logistic regression model was used to analyze the influencing factors of modifiable psychological distress.Results There were 126 cases(48.09%)in low state,108 cases(41.22%)in medium state,28 cases(10.69%)in high state,118 cases(45.04%)in good quality of life,and 144 cases(54.96%)in poor state.There were significant differences in single factor among education,living alone,monthly household income,tumor stage,social support,disease cognition,self-efficacy,coping style and quality of Life(P<0.05).Multivariate logistic analysis confirmed that social support,disease awareness,self-efficacy,coping style,and quality of life were risk factors that caused modifiable psychological distress in patients with ovarian cancer at a moderate to high level(P<0.05).The relationship between modifiable psychological distress and quality of life was negatively correlated(P<0.05).Conclusion There are various influential factors of modifiable psychological distress in patients with ovarian cancer,and weakening or eliminating the influential factors is helpful to alleviate the psychological distress and help improve the quality of life.The improvement of the quality of life can relieve the modifiable psychological distress and promote the formation of virtuous circle.