中晚期非小细胞肺癌患者的心理特征及临床意义

目的探讨中晚期非小细胞肺癌患者的心理特征及临床意义。方法选取110例新确诊的中晚期非小细胞肺癌患者,分别采用Connor-Davidson心理韧性量表(CD-RISC)、Zung抑郁自评量表、一般自我效能感量表(GSES)、社会支持评定量表(SSRS)、医学应对问卷(MCMQ)和世界卫生组织生存质量(WHOQOL-100)测定量表对患者的心理弹性、抑郁程度、自我效能水平、社会支持、应对方式和生活质量进行评分,分析患者心理弹性评分与各量表评分的相关性。结果新确诊中晚期非小细胞肺癌患者的心理弹性总分为(58.5±12.6)分,抑郁评分为(59.2±8.7)分,自我效能水平评分为(31.5±7.7)分,社会支持评分为(36.9±7.5)分,生活质量评分为(59.7±13.2)分。应对方式评分中,面对应对、回避应对及屈服应对评分分别为(18.7±5.5)、(15.2±3.9)和(9.4±3.5)分。新确诊中晚期非小细胞肺癌患者的心理弹性评分与自我效能水平、社会支持、面对应对及生活质量评分均呈正相关(P﹤0.01),与屈服应对、抑郁评分均呈负相关(P﹤0.01)。结论新确诊中晚期非小细胞肺癌患者的心理弹性评分较低,且与自我效能、社会支持、面对应对和生活质量评分均呈正相关,与屈服应对、抑郁评分均呈负相关。

Psychological characteristics of patients with intermediate or advanced-stage nonsmall cell lung cancer and the clinical significance

Objective To analyze the psychological characteristics of patients with intermediate or advanced-stage non-small cell lung cancer(NSCLC)and to explore the clinical significance.Method Totally,110 newly diagnosed patients with intermediate or advanced-stage NSCLC were included in the analysis;Connor-Davidson resilience scale(CDRISC),Zung self-rating depression scale(SDS),general self-efficacy scale(GSES),social support rating scale(SSRS),medical coping modes questionnaire(MCMQ)and World Health Organization quality of life-100(WHOQOL-100)scale were employed to determine the scores of psychological resilience,depression,self-efficacy,social support,coping style and quality of life,so as to investigate the correlation of psychological resilience score and other scale scores.Result Among those with newly diagnosed intermediate-stage or advanced NSCLC,the total score of psychological resilience was(58.5±12.6),the depression score was(59.2±8.7),the self-efficacy score was(31.5±7.7),and the social support score was(36.9±7.5).The quality of life score was(59.7±13.2).In the coping modes scores,the subscores of confrontation,avoidance and acceptance-resignation were(18.7±5.5),(15.2±3.9)and(9.4±3.5),respectively.There was a significant positive correlation between psychological resilience and other scores including self-efficacy,social support,confrontation coping mode and quality of life,and a significant negative correlation with acceptance-resignation coping mode and depression in patients with newly diagnosed intermediate-stage and advanced NSCLC(P<0.01).Conclusion The psychological resilience score is relatively low among patients with newly diagnosed NSCLC,and is positively correlated with self-efficacy,social support,confrontation coping mode and quality of life scores,while negatively relates to acceptance-resignation and depression score.