乳腺癌化疗患者生命意义感现状及其影响因素分析

目的了解化疗期乳腺癌患者生命意义感现状,并分析其影响因素。方法采用便利抽样方法,选取在本院住院治疗的185例乳腺癌化疗患者为调查对象,采用一般资料调查表、生命意义感量表(得分范围9~36分)、家庭功能指数评分问卷(得分范围0~100分)及创伤后成长评定量表(得分范围0~100分)对患者进行横断面调查。采用多重线性回归分析探讨影响乳腺癌化疗患者生命意义感的影响因素。结果化疗期乳腺癌患者生命意义感总分为(40.77±8.85)分;家庭功能指数总分为(8.93±2.15)分;创伤后成长总分为(70.58±15.56)分,生命意义感水平分别与家庭功能、创伤后成长水平呈正相关性(均P<0.01)。不同文化程度、就业状态、家庭人均月收入、医疗支付形式及子女数量情况的化疗期乳腺癌患者,其生命意义感水平存在差异(均P<0.01)。多重线性回归分析结果显示,创伤后成长水平及文化程度是影响化疗期乳腺癌患者生命意义感水平的主要因素,两者可解释生命意义感水平的50.40%的变异。结论化疗期乳腺癌患者生命意义感处于中等偏上水平,创伤后成长水平较高及文化程度高的化疗期乳腺癌患者生命意义感水平较高。需综合评估乳腺癌化疗患者文化程度、就业状态等情况,制定个体化的心理干预方案,帮助患者建立积极正面的心理,并根据个体的情况不断调整干预方案,以提升患者生命意义感水平。

Status quo and the influencing factors of life meaning perception in breast cancer patients undergoing chemotherapy

Objective To investigate the life meaning perception in breast cancer patients who are undergoing chemotherapy as well as the influencing factors to the life meaning perception.Methods A total of 185 hospitalised breast cancer patients in our hospital were surveyed with the convenience sampling method.The questionnaires for patient general information,life meaning perception(LMP),family APGAR Index(APGAR)and post-traumatic growth inventory(PTGI)were completed to investigate the life meaning perception of the patients.Results The total score of life meaning perception in breast cancer patients undergoing chemotherapy was(40.77±8.85).The total score of family function APGAR index was(8.93±2.15).The total score of post-traumatic growth was(70.58±13.74).The level of LMP was positively correlated with family function and post-traumatic growth,respectively(P<0.01).There were differences in LMP among the patients with different educational level,employment,income,source of medical bill payment and number of child(P<0.01).The multiple linear regression analysis showed that the post-traumatic growth and education were the main factors affecting the LMP,and a 50.4%of the variation of life meaning perception was influenced by the two factors.Conclusions The level of LMP in breast cancer patients who had undergone chemotherapy is above average.It appears that higher education and post-traumatic growth would result in a higher LMP.In the intervention procedure of LMP,it is necessary to comprehensively evaluate the education level,employment status,etc.of the patients,and therefore to work out individualised psychological intervention plan in order to assist the patients establishing a positive psychological state during the cause of chemotherapy.It is necessary to constantly adjust the intervention plan according to the individual situation so as to enhance the LMP of the patients.