乳腺癌病人生命质量的影响因素调查

目的]分析影响乳腺癌病人生命质量的因素,为改进乳腺癌病人的心理护理措施提供依据.方法]对201例原发性乳腺癌术后化疗病人采用自设人口统计学和临床特征调查表、乳腺癌病人生命质量测定量表、医学应对问卷、中文版艾森克人格问卷简版进行调查.结果]将病人生命质量总分作为应变量,社会人口学、临床特征、人格变量的4个维度和应对变量的3个维度作为自变量进行多元线性回归分析,结果表明,只有神经质维度和屈服应对维度进入方程,决定系数为0.542,即2个变量能联合预测生命质量54.2%的变异量.结论]护理人员应关注乳腺癌病人的人格特征和应对方式特点,采取积极有效的心理护理措施,提高病人的生命质量.

Survey of influencing factors of quality of life of breast cancer patients

Objective:To analyze the factors influencing the quality of life of breast cancer patients and to provide theoretical evidences for nursing care.Methods:A total of 201 breast cancer patients undergoing chemotherapy from the First Affiliated Hospital and Affiliated Shengjing Hospital of Chinese Medical University were investigated by using self-designed general information questionnaire including demographic variables and medical character,Measurement Scale of Quality of Life for Patients with Breast Cancer(FACT-B);Medical Coping Modes Questionnaire(MCMQ) and Chinese Version of the Eysenck Personality Questionnaire Short Scale(EPQ-RSC).Results:Multiple regression analysis demonstrated that when total score of FACT-B was identified as dependent variable,demographic variable,medical character,subscales of EPQ-RSC(psychoticism,neuroticism,extraversion and Lie) and subscales of MCMQ(confrontation,avoidance,and acceptance-resignation) were treated as independent variables,only neuroticism and resignation domains enter the multiple regression equation model with R2=0.542.The results indicated that only the two psychosocial factors predicted quality of life of breast cancer patients and accounted for 54.2% of the variance.Conclusion: Nurses should focus on the personality characters and coping styles of breast cancer patients and formulate relevant psychosocial nursing interventions to modify patients’ cognition and behavioral styles and improve positive coping strategies in order to prompt breast cancer patients’ quality of life.