本文選題：腫瘤患者 + 述情障礙�。� 參考：《南昌大學》2011年碩士論文

【摘要】：目的：研究惡性腫瘤住院患者述情障礙狀況,探討惡性腫瘤患者述情障礙對疾病以及治療的影響,為提高腫瘤患者的生活質(zhì)量提供參考依據(jù)。 方法：本研究為隨機對照研究,對符合納入標準的116例住院腫瘤患者及102名非腫瘤疾病患者采用自編一般情況問卷、多倫多述情障礙量表(TAS-20)、醫(yī)學應對方式(MCMQ)及生活質(zhì)量量表QLQ-C30進行調(diào)查,使用SPSS17.0軟件進行數(shù)據(jù)處理與分析。 結(jié)果：①惡性腫瘤組患者的述情障礙發(fā)生率為44.8%,對照組發(fā)生率為5.88%； ②兩組在述情障礙各因子及總分上有顯著的差異,且腫瘤組各因子的平均分及總分均高于對照組； ③腫瘤患者不同職業(yè)類型在TAS、EOT方面存在顯著差異； ④腫瘤患者不同病程、病情危重程度在DIF DDF、TAS總分方面存在顯著差異； ⑤述情障礙中DIF和DDF以及TAS總分與生活質(zhì)量的大部分領域有顯著性相關,EOT與總體功能、總體癥狀和經(jīng)濟困難顯著性相關,應對方式中的回避、屈服與述情障礙和生活質(zhì)量相關性顯著： ⑥述情障礙中DIF對生活質(zhì)量各維度有直接影響,并通過應對方式對生活質(zhì)量產(chǎn)生間接影響。 結(jié)論：腫瘤患者述情障礙發(fā)生率較高,各因子均分和述情障礙總分均高于對照組。述情障礙的主要影響因素為職業(yè)類型、病程及危重程度等。述情障礙與應對方式、生活質(zhì)量相關顯著,述情障礙可直接和通過應對方式間接對生活質(zhì)量產(chǎn)生影響。
[Abstract]:Objective: To study the status of alexithymia in patients with malignant tumor and to explore the effect of alexithymia on the disease and treatment in patients with malignant tumor, so as to provide reference for improving the quality of life of the cancer patients.
Methods: This study was a randomized controlled study. 116 cases of hospitalized cancer patients and 102 patients with non tumor diseases were investigated by self compiled general questionnaire, Toronto Alexithymia Scale (TAS-20), medical coping style (MCMQ) and quality of life scale QLQ-C30 (QOL), and SPSS17.0 software was used for data processing and analysis.
Results: (1) the incidence of alexithymia was 44.8% in the malignant tumor group and 5.88% in the control group.
(2) there were significant differences in the alexithymia factors and total scores between the two groups, and the average scores and total scores of all the factors in the tumor group were higher than those in the control group.
3. There were significant differences in TAS and EOT between different occupational types of cancer patients.
4. The degree of critical illness in patients with different stages of cancer is DIF DDF, and there are significant differences in total TAS scores.
(5) the total score of DIF, DDF and TAS in alexithymia was significantly related to most of the areas of quality of life. EOT was related to the overall function, the overall symptoms and the economic difficulties, the avoidance in the coping style, and the correlation between the yield and the alexithymia and the quality of life was significant.
DIF in alexithymia has a direct impact on all dimensions of quality of life, and indirectly affects the quality of life through coping styles.
Conclusion: the incidence of alexithymia was higher in tumor patients, and the total score of all factors and alexithymia was higher than that of the control group. The main influencing factors of alexithymia were occupational type, course and severity. Alexithymia was related to the way of coping and the quality of life. Alexithymia could directly and indirectly produce quality of life through coping style. The impact of life.
【學位授予單位】：南昌大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R395

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