本文關鍵詞：膀胱癌患者人格特征與生命質量的相關性研究　出處：《大連醫(yī)科大學》2017年碩士論文　論文類型：學位論文

  更多相關文章： 膀胱癌 人格特征 生命質量

【摘要】：目的:對接受住院診治的膀胱癌患者人格特征與生命質量狀況進行調查研究,了解膀胱癌患者目前生命質量狀況,分析不同人口學變量的膀胱癌患者生命質量之間差異以及探索膀胱癌患者人格特征與生命質量之間關系,從而進一步探索出改善與提升膀胱癌患者生命質量提供具有現(xiàn)實意義的理論支撐。方法:本次采用橫斷面調查方式,選擇2015年9月~2016年4月于大連某三級甲等醫(yī)院接受住院診治的153例膀胱癌患者納入研究,使用自制的一般情況問卷、艾森克人格問卷簡式量表中國版(EPQ-RSC)、世界衛(wèi)生組織生存質量測定量表簡表(WHOQOL-BREF)對患者進行研究,使用SPSS17.0對數(shù)據(jù)進行差異性檢驗、相關和回歸分析,以P0.05為統(tǒng)計學顯著性差異標準。結果:(1)t檢驗:膀胱癌患者各維度生命質量的得分由高到低依次是環(huán)境維度(12.57±1.6)、生理維度(11.84±1.81)、社會關系維度(11.67±2.08)、心理維度(11.57±1.60)。對膀胱癌患者生命質量各維度與常模進行比較發(fā)現(xiàn),膀胱癌患者的生命質量除環(huán)境維度稍高于常模外(t=3.14,p=0.002),其它維度(生理、心理、社會關系)均低于國內(nèi)常模,且均具有統(tǒng)計學差異(t=-22.25,t=-17.98,t=-13.69,p0.001)。(2)方差分析:利用方差分析對膀胱癌患者人口學變量進行差異性檢驗,結果得到,不同年齡(F=15.55,P0.05)與不同文化水平(F=38.71,P0.05)的膀胱癌患者的生命質量之間存在差異,而不同職業(yè)(F=1.97,p0.05)與不同醫(yī)療付費方式(F=0.54,p0.05)的膀胱癌患者的生命質量無統(tǒng)計學差異。(3)相關性分析:對膀胱癌患者的人格特征和生命質量進行相關分析,結果顯示,人格特征中神經(jīng)質和膀胱癌患者總生命質量、生理、心理及環(huán)境維度呈負相關(r=-0.349,r=-0.230,r=-0.333,r=-0.242,p0.001);精神質與患者總生命質量、生理及社會關系維度呈負相關(r=-0.287,r=-0.239,r=-0.251,p0.001);內(nèi)外向與總生命質量、生理、心理及社會關系維度呈正相關(r=0.309,r=0.211,r=0.220,r=0.255,p0.001);掩飾維度與患者總生命質量及心理維度呈正相關(r=0.170,r=0.163,p0.05)。采用逐步回歸分析方法進一步探索膀胱癌患者人格特征對膀胱癌患者生命質量的影響,結果得到人格特征中3個維度均進入方程,其中影響大小依次為神經(jīng)質(b=-0.234,P=0.019)、內(nèi)外向(b=0.230,P=0.002)及精神質(b=-0.184,P=0.004)。(4)對膀胱癌患者影響因素分析結果得到,文化程度、年齡、精神質3個變量進入回歸方程(b=0.595,b=-0.227,b=-0.185,P0.05)。結論:(1)目前,膀胱癌患者整體生命質量狀況相對較差。(2)膀胱癌患者的生命質量與患者的年齡以及文化程度有關,與患者的職業(yè)及醫(yī)療付費方式無關。(3)具有神經(jīng)質傾向以及精神質傾向的膀胱癌患者與其生命質量呈現(xiàn)負相關關系,且對生命質量的作用顯著,具有外向型傾向的膀胱癌患者與其生命質量呈現(xiàn)正相關關系,且對生命質量的作用顯著。此外,精神質、年齡、文化程度對患者的生命質量起到較大作用。
[Abstract]:Objective: To investigate the diagnosis and treatment of bladder cancer hospitalized patients personality traits and quality of life of patients with bladder cancer currently understand the quality of life in patients with bladder cancer, analysis between the quality of life of different demographic variables difference and explore the personality characteristics of patients with bladder cancer and the relationship between the quality of life, so as to further explore and improve to provide theoretical support with practical significance to improve the quality of life of patients with bladder cancer. Methods: a cross-sectional survey, study in 153 cases of bladder cancer in September 2015 ~2016 year in April in Dalian some three grade hospital for inpatient treatment, using the general questionnaire, Eysenck personality questionnaire China Version (EPQ-RSC), the self-made scale to determine the quality of survival of WHO (WHOQOL-BREF) study on patients, the data difference test, correlation and regression analysis using SPSS17.0, using P0.05 as a statistically significant difference in standard. Results: (1) t test: the scores of quality of life of all bladder cancer patients ranged from high to low, followed by environmental dimension (12.57 + 1.6), physiological dimension (11.84 + 1.81), social relationship dimension (11.67 + 2.08), psychological dimension (11.57 + 1.60). The various dimensions of quality of life of patients with bladder cancer compared with the norm, the quality of life of patients with bladder cancer in the environmental dimension is slightly higher than the norm (t=3.14, p=0.002), and other dimensions (physical, psychological, social relations) were lower than the norm, and there was statistically significant difference (t=-22.25, t=-17.98, t=-13.69. P0.001). (2) analysis of variance: the variance analysis of difference test of bladder cancer patients, demographic variables results, different ages (F=15.55, P0.05) with different culture levels (F=38.71, P0.05) the difference between the quality of life of patients with bladder cancer, and different occupation (F=1.97, P0.05) with different means of payment (F=0.54, P0.05). There were no significant differences in the quality of life of patients with bladder cancer. (3) correlation analysis: correlation analysis of patients with bladder cancer personality characteristics and life quality showed that the personality characteristics of neuroticism and total life of patients with bladder cancer quality, physiological and psychological and environmental dimensions were negatively correlated (r=-0.349, r=-0.230, r=-0.333, r=-0.242, p0.001); psychoticism was negatively correlated with the total patients the quality of life, physical and social relationship dimension (r=-0.287, r=-0.239, r=-0.251, p0.001); and related to the overall quality of life, physical, psychological and social relationship dimension positively (r=0.309, r=0.211, r=0.220, r= 0.255, p0.001); cover dimensions and total life quality of patients with positive psychological dimension and correlation (r=0.170, r=0.163, P0.05). By stepwise regression analysis to further explore the influence of personality characteristics of patients with bladder cancer on quality of life in patients with bladder cancer, the personality characteristics of the 3 dimensions were entered into the equation, the influence order of neuroticism (b=-0.234, P=0.019) to (b=0.230, P, and =0.002) and psychoticism (b=-0.184, P=0.004). (4) the analysis of influencing factors of bladder cancer patients showed that 3 variables of cultural degree, age and mental quality entered the regression equation (b=0.595, b=-0.227, b=-0.185, P0.05). Conclusion: (1) at present, the overall quality of life of bladder cancer patients is relatively poor. (2) the quality of life of the patients with bladder cancer is related to the age and educational level of the patients, and has nothing to do with the patient's occupation and pay for medical treatment. (3) neuroticism and psychoticism of bladder cancer patients and their life quality is negatively related, and the quality of life significantly, with extroversion tendency of bladder cancer patients and their quality of life was positively correlated, and the quality of life significantly. In addition, mental quality, age, and educational level play a significant role in the quality of life of the patients.
【學位授予單位】：大連醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473.73

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