摘要
目的 分析低级别胶质瘤患者心理状况及其影响因素,为该群体的下一步干预提供实证依据.方法 采用便利抽样法选取2022年1月-2023年12月在我科治疗的神经胶质瘤患者130例作为研究对象.采用自制的一般资料调查表、蒙特利尔认知评估量表(MoCA)、心理弹性量表(CD-RISC)、慢性疾病病耻感量表-8条目(SSCI-8)、患者感知支持自我评价问卷、心理伤痛量表(DT)对患者进行调查.采用多重线性回归分析进行多因素分析,采用皮尔逊相关分析确定SSCI-8、患者感知支持自我评价、DT、MoCA与CD-RISC之间的相关性.结果 38%的患者表现出低水平的心理弹性.皮尔逊相关性结果显示,CD-RISC与MoCA、SSCI-8、DT以及职业状态显著相关.多重线性回归分析结果显示:疾病病耻感、社会支持、年龄以及职业状态是影响患者心理状况的因素.结论 护理人员在临床日常护理中应将胶质瘤患者的心理状况评价作为常规评估内容,以便及时识别低心理弹性的患者,个性化地为患者提供支持服务.
Abstract
Objective To analyze the psychological status and influencing factors of glioma patients,and provide empirical evidence for subsequent interventions in this group.Methods The convenience sampling method was adopted to select 130 glioma patients as the subjects who had been treated in our department between 2022 and 2023.Using a self-made general information questionnaire,Montreal Cognitive Assessment Scale(MOCA),Psychological Resilience Scale(CD-RISC),Stigma Scale for Chronic Illnesses(SSCI-8),Physical Status Score(ECOG),Visual Analogue Scale(VAS),and Distress Thermometer(DT),a survey was conducted among these patients.Multiple linear regression analysis was used for multivariate analysis,and Pearson correlation analysis was used to determine the correlation between SSCI-8,ECOG,patient perceived support self-evaluation,DT,MOCA,VAS,andCD-RISC.Results 38%of the patients showed low levels of psychological resilience.The Pearson correlation results showed that CD-RISC was significantly correlated with MOCA(p=0.003,r=0.342),ECOG(p<0.001,r=-0.602),SSCI-8(p<0.001,r=-0.558),VAS(p<0.001,r=-0.524),and occupational status(p=0.007,r=0.329).The results of multiple linear regression analysis showed that physical status(p=0.020,β=-0.383),disease shame(p=0.008),β=-0.350)and occupational status(p=0.088,β=-0.254)could make a difference to the psychological state of patients.Conclusion Nursing staffshould take the evaluation of the psychological status of glioma patients as a routine in daily clinical care in order to identify patients with low psychological resilience and provide personalized services quickly.
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