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目的探讨直肠癌患者焦虑状况与其生存质量和心理韧性的相关性。方法以本院2015年7月至2016年7月收治的78例直肠癌患者为研究对象。患者焦虑状况采用焦虑自评量表(SAS)进行测评。心理韧性采用心理弹性量表测定。生存质量评价采用生存质量调查问卷(QLQ-C30)进行测评,分析患者焦虑状况与其生存质量和心理韧性的相关性。结果所有患者中合并焦虑者为42例(53.84%)。直肠癌患者中女性、离婚或丧偶、文化程度较低、家庭经济较困难者容易合并焦虑(P<0.05)。女性患者、已婚、文化程度越高和家庭经济情况较好者其心理韧性更好(P<0.05)。已婚患者和家庭经济情况较好者其生存质量更好(P<0.05),不同性别和文化程度患者的生存质量差异无统计学意义(P>0.05)。直肠癌患者焦虑与心理韧性不同维度(自强、乐观、坚韧)、生存质量各维度(躯体功能、角色功能、情绪功能、认知功能、社会功能)均呈负相关(P<0.05)。逐步线性回归模型显示,家庭经济水平、婚姻状况、文化程度、心理韧性与生存质量影响直肠癌患者的焦虑程度。结论直肠癌患者焦虑程度与其生存质量和心理韧性程度存在负相关,应积极给予患者心理干预以改善焦虑和心理韧性,提高患者生存质量。
Objective To investigate the correlation between anxiety and quality of life and psychological resilience in patients with rectal cancer. Methods 78 patients with rectal cancer admitted to our hospital from July 2015 to July 2016 were enrolled in this study. Anxiety status of patients using self-rating anxiety scale (SAS) for evaluation. Psychological resilience using psychological flexibility scale determination. The quality of life evaluation was conducted by using the QLQ-C30 questionnaire to evaluate the correlation between anxiety and quality of life and psychological resilience. Results All patients with anxiety in 42 cases (53.84%). Women with rectal cancer, divorced or widowed, with a low level of education, and those with a more difficult family economy were more likely to have anxiety (P <0.05). Female patients, married, higher educational level and better family economic status of their psychological resilience (P <0.05). The quality of life was better in married patients and families with better economic status (P <0.05). There was no significant difference in quality of life between patients with different genders and educational level (P> 0.05). There were negative correlations between anxiety and psychological resilience (self-improvement, optimism, tenacity) and quality of life (body function, role function, emotion function, cognitive function and social function) in patients with rectal cancer. The stepwise linear regression model shows that family economic level, marital status, educational level, psychological resilience and quality of life affect the anxiety level of patients with rectal cancer. Conclusion There is a negative correlation between the degree of anxiety and the quality of life and the degree of mental toughness in patients with rectal cancer. Psychological intervention should be given to patients to improve their anxiety and psychological resilience, and to improve their quality of life.