河北医科大学学报

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晚期肿瘤患者心理健康状态与生活质量的相关性研究

  

  1. 1.云南师范大学教育科学与管理学院心理学系，云南 昆明 650500；2. 云南师范大学民族教育信息化教育部重点实验室，
    云南 昆明 650500；3.湖北省肿瘤医院头颈外科，湖北 武汉 430070
  • 出版日期:2018-03-25 发布日期:2018-03-27
  • 作者简介:黄芹（1991-），女，湖北宜昌人，云南师范大学教育科学与管理学院硕士研究生，从事临床心理学研究。
  • 基金资助:
    国家自然科学基金项目（31660282）；云南师范大学研究生科研创新基金项目（2017019）

Study of the correlation of mental health and quality of life for patients with advanced tumors

  1. 1.Department of Psychology, School of Education Science and Management, Yunnan Normal University,
    Kunming 650500, China； 2.Key Laboratory of Educational Informatization for Nationalities, Ministry of
    Education, Yunnan Normal University，Kunming 650500, China； 3.Department of  Head  and 
    Neck  Surgery,  Hubei  Cancer Hospital, Wuhan 430070, China
  • Online:2018-03-25 Published:2018-03-27

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摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨晚期肿瘤患者心理健康状态、生活质量以及两者之间的关系，为早期干预提供科学依据。
〖HTH〗方法〖HTSS〗〖KG*2〗分别采用症状自评量表（Symptom Check List90，SCL90）和生活质量核心调查问卷（Quality of Life QuestionnaireCore 30，QLQC30）评估188例晚期肿瘤患者的心理健康状态和生活质量，并进行相关性分析。
〖HTH〗结果〖HTSS〗〖KG*2〗晚期肿瘤患者SCL90得分显著高于国内常模；QLQC30结果显示晚期肿瘤患者整体生活质量处于中等偏下水平，其中疼痛症状与躯体功能表现最明显；SCL90中强迫、焦虑、精神病性和总均分与QLQC30中躯体功能、恶心呕吐症状及整体生活质量存在显著相关。
〖HTH〗结论〖HTSS〗〖KG*2〗晚期肿瘤患者心理健康状态普遍不佳、生活质量不高，且两者之间具有相关性。临床医务工作者应有针对性地加强晚期肿瘤患者的心理护理，改善其心理健康状态，提高其生活质量。

关键词: 肿瘤, 心理学, 生活质量

Abstract: ［Abstract］ Objective〖HTSS〗〓To explore the mental health status, quality of life and also the correlation between them in patients with advanced tumors, and then to provide scientific basis for the early intervention.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓We evaluate the mental health status and quality of life for 188 cases of patients with advanced tumors using the Symptom Check List90(SCL90) and the Quality of Life QuestionnaireCore 30(QLQC30), respectively; and then analyze the correlation of them.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The scores of SCL90 are significantly higher than the national norms, and the QLQC30 results show that the overall quality of life of patients with advanced tumors is at a lower level with the pain symptom and somatic function most obviously. The coercion, anxiety, psychosis and overall mean score in SCL90 are significantly associated with somatic function, nausea and vomiting symptoms and overall quality of life in QLQC30.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The patients with advanced tumors generally have poor mental health status and quality of life, and the correlation between them is significant. Clinical medical workers should strengthen the psychological care, improve mental health status, and thereby enhance the quality of life of patients with advanced tumors.

Key words: tumor, psychology, quality of life

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