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不同应激反应类型与老年肺癌患者生活质量的关系

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目的 探讨不同应激反应类型与老年肺癌患者生活质量的关系.方法 选取112例行微创手术治疗的老年肺癌患者,采用癌症患者生命质量测定量表(FACT-G)评估生活质量,创伤后应激障碍量表平民版(PCL-C)评估创伤后应激障碍情况,创伤后成长评定量表(PTGI)评估创伤后成长情况.应激反应类型与老年肺癌患者生活质量的相关性采用Pearson相关分析.结果 112例老年肺癌患者PCL-C量表总分为(40.83±5.35)分,PTGI量表总分为(63.74±8.97)分,FACT-G量表总分为(78.08±7.66)分.Pearson相关分析结果显示,PTGI评分与老年肺癌患者FACT-G评分呈负相关(r=-0.995,P﹤0.01),PCL-C评分与FACT-G评分呈正相关(r=0.981,P﹤0.01).结论 创伤后成长与老年肺癌患者生活质量呈正相关,创伤后应激障碍与生活质量呈负相关,临床可据此制订心理调节措施,以提高患者的生活质量.
Relationship between different types of stress responses and the quality of life of elderly lung cancer patients
Objective To evaluate the relationship between different types of stress responses and the quality of life of elderly lung cancer patients.Method A total of 112 elderly lung cancer patients who underwent minimally invasive surgical treatment were selected,and their quality of life was evaluated by the functional assessment of cancer therapy-general(FACT-G),the posttraumatic stress disorder was assessed by posttraumatic stress checklist-civilian version(PCL-C),and the posttraumatic growth was evaluated by posttraumatic growth inventory(PTGI).The correlation be-tween stress response types and the quality of life of elderly lung cancer patients was analyzed by Pearson correlation analysis.Result The total score of PCL-C scale in 112 elderly lung cancer patients was(40.83±5.35)points,the total score of PTGI scale was(63.74±8.97)points,and the total score of FACT-G scale was(78.08±7.66)points.Pearson corre-lation analysis showed that PTGI score was negatively correlated with FACT-G score in elderly lung cancer patients(r=-0.995,P<0.01),while PCL-C score was positively correlated with FACT-G score(r=0.981,P<0.01).Conclusion Post-traumatic growth is positively correlated with the quality of life of elderly lung cancer patients,while posttraumatic stress disorder is negatively correlated with quality of life.Clinical interventions can be developed based on this to improve quali-ty of life.

elderly lung cancerquality of lifeposttraumatic growthposttraumatic stress disorder

徐敏、马莹莹、徐亚楠

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河南大学第一附属医院手术室,河南 开封 475000

老年肺癌 生活质量 创伤后成长 创伤后应激障碍

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(23)