恶性骨肿瘤患者心理健康水平与其应对方式的关系研究

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摘要目的探讨恶性骨肿瘤患者心理健康水平与其应对方式的关系。方法选取2017年1月～2020年1月就诊于我院的90例恶性骨肿瘤患者为研究组，选取同期在我院行常规体检的90例健康者为对照组。比较两组受检者的心理状况差异，分析恶性骨肿瘤患者心理状况与应对方式之间的相关性以及应对方式、心理健康状况对生存状态的影响。结果研究组的偏执、强迫症状、躯体化、敌对、恐怖、人际关系敏感、精神病性、抑郁、焦虑评分均高于对照组，差异有统计学意义（P＜0.05）；恶性骨肿瘤患者回避、面对、屈服评分分别为（13.26±2.72）、（13.25±3.41）、（15.99±3.22）分。恶性骨肿瘤患者的强迫症状、躯体化、敌对、恐怖、人际关系敏感、抑郁、焦虑与屈服成正相关（r=0.316、0.319、0.406、0.389、0.430、0.320、0.398，P=0.046、0.045、0.049、0.031、0.020、0.045、0.023），偏执、敌对、恐怖、人际关系敏感、精神病性、焦虑评分与回避成正相关（r=0.331、0.311、0.309、0.303、0.320、0.306，P=0.029、0.031、0.032、0.038、0.029、0.033），偏执、强迫症状、人际关系敏感、精神病性、抑郁、焦虑评分与面对成负相关（r=-0.317、-0.346、-0.348、-0.337、-0.404、-0.352，P=0.039、0.042、0.040、0.034、0.026、0.032）；将PIHS评分≥45 分设为生存状态差，＜45 分设为生存状态好，90例恶性骨肿瘤患者中生存状态差50例，生存状态好40例；生存状态好组的偏执、强迫症状、敌对、恐怖、人际关系敏感、精神病性、抑郁、焦虑、屈服、回避评分低于生存状态差组，面对评分高于生存状态差组，差异有统计学意义（P＜0.05）。结论恶性骨肿瘤患者心理健康水平较差，并与应对方式存在明显相关性，消极应对和负面情绪将直接影响患者生存状态，不利于病情恢复。

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	段浏华

关键词 ：恶性骨肿瘤, 应对方式, 心理健康, 生存状态

Abstract：Objective To explore the relationship between mental health levels and coping styles of patients with malignant bone tumors.Methods Totally 90 patients with malignant bone tumor who were treated in our hospital from January 2017 to January 2020 were selected as the study group, and 90 healthy persons who underwent routine physical examination in our hospital during the same period were selected as the control group.The psychological status of the two groups was compared, and the correlation between the psychological status of patients with malignant bone tumor and their coping styles, as well as the influence of coping styles and mental health levels on their survival state were analyzed.Results The scores of paranoia, obsessive-compulsive symptoms, somatization, hostility, terror, sensitivity of interpersonal relationship, psychoticism, depression, and anxiety in the study group were all higher than those of the control group, and the differences were statistically significant (P＜0.05).The scores of patients coping with the disease in escaping, facing and yielding were (13.26±2.72) points, (13.25±3.41) points, (15.99±3.22) points, respectively.Obsessive-compulsive symptoms, somatization, hostility, terror, sensitivity of interpersonal relationship, depression, and anxiety of patients with malignant bone tumors were positively correlated with yielding (r=0.316, 0.319, 0.406, 0.389,0.430, 0.320, 0.398, P=0.046, 0.045, 0.049, 0.031, 0.020, 0.045, 0.023).Paranoia, hostility, terror, sensitivity of interpersonal relationship, psychoticism, and anxiety were positively correlated with escaping (r=0.331, 0.311, 0.309, 0.303,0.320, 0.306, P =0.029, 0.031, 0.032, 0.038, 0.029,0.033).Paranoia, obsessive-compulsive symptoms, sensitivity of interpersonal relati onship, psychoticism, depression,and anxiety were negatively correlated with facing,(r=-0.317,-0.346,-0.348,-0.337,-0.404,-0.352, P=0.039,0.042, 0.040, 0.034, 0.026, 0.032).PIHS score ≥45 points was designated as poor survival state, PIHS score ＜45 points was as good survival state.In those 90 cases with malignant bone tumor, 50 cases were in poor survival state and the rest were in good survival state.The scores of paranoia, obsessive-compulsive symptoms, hostility, terror, sensitivity of interpersonal relationship, psychoticism, depression, anxiety, yielding, and escaping in the good survival state group were lower than those in the poor survival state group, the score of facing in the good survival state group was higher than that in the poor survival state group, and the differences were statistically significant (P＜0.05).Conclusion Patients with malignant bone tumor have poor mental health, their mental health levels have obvious correlation with their coping styles.Coping negatively and negative emotions will directly affect the survival state of patients, which are not conducive to recovery.

Key words： Malignant bone tumor Coping style Mental health Survival state

基金资助:江西省卫生计生委科技计划项目（20161109）

作者简介: 段浏华（1978-），女，江西南昌人，本科，副主任护师，研究方向：临床护理

引用本文:

段浏华. 恶性骨肿瘤患者心理健康水平与其应对方式的关系研究[J]. 中国当代医药, 2020, 27(23): 167-170.
DUAN Liu-hua. Study of the relationship between mental health levels and coping styles of patients with malignant bone tumor. 中国当代医药, 2020, 27(23): 167-170.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I23/167

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