原发性肝癌患者希望水平与人格特征、负性情绪的关系研究

目的 探讨原发性肝癌患者希望水平与人格特征、负性情绪的关系.方法 2015年1-12月应用Herth希望量表、艾森克人格问卷(EPQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)对128例原发性肝癌患者希望水平、人格特征及焦虑、抑郁情绪进行调查,应用Pearson单因素分析肝癌患者希望水平与人格特质及抑郁、焦虑的关系.根据EPQ中E-N维度评分将患者分为内向-情绪稳定型(n=34)、内向-情绪不稳定(n=38)、外向-情绪稳定型(n=30)及外向-情绪不稳定(n=26).结果 内向不稳定型、内向稳定型患者Herth希望水平总分低于外向稳定型及外向不稳定型,而SAS评分、SDS评分高于外向稳定型及外向不稳定型患者,差异有统计学意义(P<0.05).Pearson单因素分析可知,原发性肝癌患者Herth希望水平总分与EPQ中P维度、N维度、SAS、SDS评分呈负相关,差异有统计学意义(P<0.05).结论 肝癌患者希望水平与人格特征及患者焦虑、抑郁情绪有密切的关系.护理人员在关注肝癌患者焦虑、抑郁情绪的同时,应全面评估患者人格特征,从而制定护理干预措施以提高患者希望水平,改善患者焦虑、抑郁情绪.

Study on the relationship between hope level,personality and negative emotion in patients with primary liver cancer

Objective To investigate the relationship between hope level , personality feature and negative emotion in patients with primary liver cancer .Methods An investigation was made on the hope level , personality and anxiety and negative emotion in 128 patients with primary liver cancer from January 2015 to December 2015 by using Herth Hope Scale , Eysenck Personality Questionnaire (EPQ), Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS).The relationship between hope level , personality and negative emotion of primary liver cancer patients was analyzed by using Pearson Single -factor analysis .In accordance with EN di-mension scores of the EPQ , the primary liver cancer patients were divided into 4 groups:i.e.the inward-emotional stability group ( n=34), the inward-emotional instability group (n=38), the outward-emotional stability group (n=30) and the outward-emotional insta-bility group (n=26).Results Total scores of Herth Hope for the inward-emotional instability group and the inward-emotional stability group were lower than those of the outward-emotional stability group and the outward-emotional instability group (P<0.05), while the SAS scores and SDS scores were all higher than those of the outward stability group and the outward instability group (P<0.05).Pear-son univariate analysis indicated that total Herth Hope scores was negatively correlated with the P /N dimensions in the EPQ and SAS/SDS scores (P<0.05).Conclusion The hope level of the patients with liver cancer anxiety was closely correlated with personality , anxiety and depression .In addition to the concern about the anxiety and depression of liver cancer patients , nurses should have a com-prehensive assessment of personality feature of the cancer patients , so that related nursing intervention measures could be developed for further improvement of the hope level , anxiety and depression of the cancer patients .