不同时期口腔癌患者心理状况及生命质量现状研究
Quantitative evaluation of psychological characteristics and quality of life of patients with oral cancer during perioperative period
冯荣梅 1林丽婷 2尹亚雄 3黄秋雨 4刘习强4
作者信息
- 1. 510060广州,中山大学附属口腔医院牙周科
- 2. 510060广州,中山大学附属口腔医院护理部
- 3. 510060广州,中山大学附属口腔医院修复科制作中心
- 4. 510060广州,中山大学附属口腔医院颌面外科病房
- 折叠
摘要
目的 研究口腔癌患者不同时期心理状况及生命质量水平的变化,并探讨患者心理状况对其生命质量的影响.方法 应用便利抽样法选取2015年9月至2016年6月进行治疗的50例口腔癌患者为研究对象,研究采用医院焦虑抑郁量表(HADS,日本版),癌症患者生命质量测定量表(FACT-G)及肿瘤治疗的功能性评估—头颈问卷(FACT-H&N)对指标进行测评,并对结果进行分析.结果 对患者手术前后及出院后HADS评分进行比较,同术前比较,术后患者心理状况改善不明显.但出院后患者HADS评分较术前显著下降(t=-2.809、-3.828,P=0.01、0.003);不同时期患者HADS焦虑、抑郁相关因子得分差异有统计学意义(F=7.644、6.442,P=0.001、0.002);术前焦虑和抑郁低分组患者在情绪维度和身体功能维度上得分均较高,且不同得分组别比较差异有统计学意义(t=7.882、5.847、6.870、7.262,P<0.01或0.01);术后2组在整个生命质量维度上得分均较高,且2组得分比较差异有统计学意义(t=3.640~7.931,P<0.05或0.01).不同时期患者身体功能、心理功能维度评分比较差异有统计学意义(F=8.569、10.250,P<0.01).结论 口腔癌患者手术前后焦虑抑郁水平较高,且心理状况对患者生命质量有一定影响,故应针对患者个体特征采取针对性护理措施,改善患者心理状况,进而提高患者生命质量.
Abstract
Objective To investigatethe quality of life of patients with oral cancer in different period in a hospital, and to explore the impact of patients' psychological status on their quality of life. Methods 50 cases of oral cancer patients in our hospital were investigated in this study by Convenience sampling method. The scale of the hospital anxiety and Depression Scale (HADS, the Japanese version), the quality of life of cancer patients were measured by the scale (FACT-G); the functional evaluation of tumor therapy- head and neck questionnaire (FACT-H&N). Results The comparison of HADS score between patients before and after surgery showed that the improvement of mental status was not obvious in the postoperative patients.The scores of HADS between patients before surgery and after hospital showed that the improvement of mental status was obvious (t=-2.809, P=0.01; t=-3.828, P=0.003). There were significant differences in HADS anxiety and depression-related factors between different periods (F=7.644,P=0.001;F=6.442,P=0.002);Before surgery,patients with low anxiety and depression had higher scores in both emotional and physical functional dimensions, and the difference between the two groups was statistically significant (t=7.882,5.847,6.870,7.262, P<0.05 or 0.01). The scores of the two groups were higher in the whole life quality dimension after surgery,and the difference between the two groups was statistically significant(t=3.640-7.931,P<0.01 or 0.01).There were significant differences in body function and psychological function scores between different periods(F=8.569, P=0.000; F=10.250, P=0.003). Conclusions Oral cancer patients have a higher level of anxiety and depression before and after surgery, and psychological status of patients with a certain impact on quality of life, it should be targeted for individual characteristics of patients with targeted care measures to improve the psychological status of patients,thereby improving the quality of life of patients.
关键词
口腔肿瘤/生活质量/心理状况Key words
Mouth neoplasms/Quality of life/Psychological status引用本文复制引用
基金项目
2016年产学研协同创新重大专项项目(2060404)
出版年
2017
NETL
NSTL
维普
万方数据