癌癥患者創(chuàng)傷后應(yīng)激障礙的癥狀特點(diǎn)及心理社會因素研究
發(fā)布時(shí)間：2018-12-29 14:02
【摘要】：目的：調(diào)查癌癥患者創(chuàng)傷后應(yīng)激障礙癥狀特點(diǎn)，，探討影響癌癥患者創(chuàng)傷后應(yīng)激障礙癥狀的心理社會相關(guān)因素，為早期發(fā)現(xiàn)心理問題提供參考依據(jù)。 方法：采用方便抽樣的方法，使用一般情況調(diào)查表、簡易應(yīng)對方式問卷、社會支持評定量表、艾森克人格問卷和創(chuàng)傷后應(yīng)激障礙篩查量表對198例癌癥患者進(jìn)行調(diào)查。用EpiData3.0建立數(shù)據(jù)庫錄入，SPSS13.0統(tǒng)計(jì)軟件進(jìn)行處理，全部檢驗(yàn)均為雙側(cè)檢驗(yàn)，檢驗(yàn)水準(zhǔn)為P0.05。 結(jié)果： 1.癌癥患者PTSD癥狀的平均程度屬于中度，回避/麻木的程度最高，其次是再體驗(yàn)癥狀，癌癥患者中PTSD癥狀的陽性率可達(dá)37.27%。 2.①不同居住地被試PTSD癥狀有顯著差異，農(nóng)村顯著高于城市（P0.05）；②不同癌癥類型被試PTSD癥狀有顯著差異，乳腺癌和子宮癌患者要顯著低于其他類型的癌癥（P0.05）；③不同患病時(shí)間被試PTSD癥狀有顯著差異，隨著時(shí)間推移有上升的趨勢（P0.05）；④不同年齡被試PTSD癥狀有顯著差異，年齡小的人群要顯著高于年齡大的人群（P0.05）；⑤不同職業(yè)被試PTSD癥狀有顯著差異，在崗人員要顯著高于離退休人員（P0.05）。 3.①個(gè)性特征中神經(jīng)質(zhì)與PTSD癥狀總分、再體驗(yàn)、回避/麻木、警覺性增高呈顯著正相關(guān)（P0.01），精神質(zhì)與回避/麻木、警覺性增高呈顯著正相關(guān)（P0.05）；②消極應(yīng)對與PTSD癥狀總分、再體驗(yàn)、回避/麻木、警覺性增高呈顯著正相關(guān)（P0.01）；③客觀支持與PTSD癥狀總分、再體驗(yàn)、回避/麻木、警覺性增高呈顯著負(fù)相關(guān)（P0.01），社會支持總體水平與PTSD癥狀總分及回避/麻木呈顯著負(fù)相關(guān)（P0.05）。 4.全變量回歸分析顯示神經(jīng)質(zhì)、消極應(yīng)對最終進(jìn)入回歸方程，可解釋PTSD癥狀的總分變異的16.6%。 結(jié)論： 1. PTSD癥狀在癌癥患者中存在并處于中度水平，其中回避/麻木的程度高于再體驗(yàn)及警覺性增高，應(yīng)當(dāng)引起臨床的重視。 2.不同居住地、年齡、職業(yè)、癌癥類型、患病時(shí)間等變量是癌癥患者創(chuàng)傷后應(yīng)激障礙的影響因素。 3.社會支持對癌癥患者創(chuàng)傷后應(yīng)激障礙癥狀起緩沖作用，其中客觀支持及社會支持總體水平是重要的因素，能顯著預(yù)測癌癥患者的創(chuàng)傷后應(yīng)激障礙的相關(guān)癥狀。 4.人格特征中的神經(jīng)質(zhì)和精神質(zhì)影響癌癥患者創(chuàng)傷后應(yīng)激障礙癥狀水平，其中神經(jīng)質(zhì)是易感因素，神經(jīng)質(zhì)個(gè)性特征越明顯，創(chuàng)傷后應(yīng)激障礙癥狀水平越高；精神質(zhì)個(gè)性特征越明顯，創(chuàng)傷后應(yīng)激障礙癥狀水平越高。 5.應(yīng)對方式影響癌癥患者創(chuàng)傷后應(yīng)激障礙癥狀水平，采用消極的應(yīng)對方式越多，創(chuàng)傷后應(yīng)激障礙癥狀水平越高。
[Abstract]:Objective: to investigate the symptoms of post-traumatic stress disorder (PTSD) in cancer patients, and to explore the psychosocial factors affecting the symptoms of PTSD in cancer patients, and to provide a reference for the early detection of psychological problems. Methods: a total of 198 cancer patients were investigated with the convenience sampling questionnaire, the simple coping style questionnaire, the Social support rating scale, the Eysenck Personality questionnaire and the Post-traumatic stress Disorder screening scale. The database input was established by EpiData3.0 and processed by SPSS13.0 statistical software. All the tests were carried out on both sides, and the test level was P0.05. Results: 1. The average degree of PTSD symptoms in cancer patients was moderate, and the degree of avoidance / numbness was the highest, followed by reexperience symptoms. The positive rate of PTSD symptoms in cancer patients was 37.27. 2.1 there were significant differences in the symptoms of PTSD among the subjects in different places of residence, which were significantly higher in rural than in urban areas (P0.05). (2) there were significant differences in PTSD symptoms among patients with different cancer types, and the patients with breast cancer and uterine cancer were significantly lower than those with other types of cancer (P0.05). (3) there were significant differences in the symptoms of PTSD in the subjects with different disease time, and there was an upward trend with the passage of time (P0.05), and there were significant differences in the symptoms of PTSD in the subjects of different ages, and the younger groups were significantly higher than those in the older ones (P0.05). 5There were significant differences in PTSD symptoms among the subjects in different occupations, and those in the post were significantly higher than those in the retired (P0.05). There was a significant positive correlation between neuroticism and the total score of PTSD symptoms, re-experience, avoidance / numbness, increased alertness (P0.01), psychoticism and avoidance / numbness, and increased alertness (P0.05). (2) negative coping was positively correlated with the total score of PTSD symptoms, re-experience, avoidance / numbness, and increased alertness (P0.01); 3There was a significant negative correlation between objective support and the total score of PTSD symptoms, re-experience, avoidance / numbness, increased alertness (P0.01), and the overall level of social support was negatively correlated with the total score of PTSD symptoms and avoidance / numbness (P0.05). 4. The whole variable regression analysis showed that neuroticism, negative coping finally entered the regression equation, which could explain the total score variation of PTSD symptoms 16. 6%. Conclusion: 1. The symptoms of PTSD exist in cancer patients and are at moderate level. The degree of avoidance / numbness is higher than that of re-experience and alertness. Therefore, clinical attention should be paid to the symptoms of PTSD. 2. Variables such as residence, age, occupation, cancer type and duration of disease were the influencing factors of post-traumatic stress disorder. 3. Social support plays a buffer role on the symptoms of post-traumatic stress disorder (PTSD) in cancer patients. Objective support and overall level of social support are important factors, which can significantly predict the symptoms of post-traumatic stress disorder (PTSD) in cancer patients. 4. The neuroticism and psychoticism in personality characteristics affect the symptom level of post-traumatic stress disorder in cancer patients, among which neuroticism is the susceptible factor, the more obvious the neuroticism personality is, the higher the symptom level of post-traumatic stress disorder is. The more obvious the psychotic personality, the higher the symptom level of post-traumatic stress disorder. 5. Coping styles affect the symptom level of post-traumatic stress disorder (PTSD) in cancer patients, and the more negative coping styles are used, the higher the level of PTSD symptoms is.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R749.5
本文編號：2394921
[Abstract]:Objective: to investigate the symptoms of post-traumatic stress disorder (PTSD) in cancer patients, and to explore the psychosocial factors affecting the symptoms of PTSD in cancer patients, and to provide a reference for the early detection of psychological problems. Methods: a total of 198 cancer patients were investigated with the convenience sampling questionnaire, the simple coping style questionnaire, the Social support rating scale, the Eysenck Personality questionnaire and the Post-traumatic stress Disorder screening scale. The database input was established by EpiData3.0 and processed by SPSS13.0 statistical software. All the tests were carried out on both sides, and the test level was P0.05. Results: 1. The average degree of PTSD symptoms in cancer patients was moderate, and the degree of avoidance / numbness was the highest, followed by reexperience symptoms. The positive rate of PTSD symptoms in cancer patients was 37.27. 2.1 there were significant differences in the symptoms of PTSD among the subjects in different places of residence, which were significantly higher in rural than in urban areas (P0.05). (2) there were significant differences in PTSD symptoms among patients with different cancer types, and the patients with breast cancer and uterine cancer were significantly lower than those with other types of cancer (P0.05). (3) there were significant differences in the symptoms of PTSD in the subjects with different disease time, and there was an upward trend with the passage of time (P0.05), and there were significant differences in the symptoms of PTSD in the subjects of different ages, and the younger groups were significantly higher than those in the older ones (P0.05). 5There were significant differences in PTSD symptoms among the subjects in different occupations, and those in the post were significantly higher than those in the retired (P0.05). There was a significant positive correlation between neuroticism and the total score of PTSD symptoms, re-experience, avoidance / numbness, increased alertness (P0.01), psychoticism and avoidance / numbness, and increased alertness (P0.05). (2) negative coping was positively correlated with the total score of PTSD symptoms, re-experience, avoidance / numbness, and increased alertness (P0.01); 3There was a significant negative correlation between objective support and the total score of PTSD symptoms, re-experience, avoidance / numbness, increased alertness (P0.01), and the overall level of social support was negatively correlated with the total score of PTSD symptoms and avoidance / numbness (P0.05). 4. The whole variable regression analysis showed that neuroticism, negative coping finally entered the regression equation, which could explain the total score variation of PTSD symptoms 16. 6%. Conclusion: 1. The symptoms of PTSD exist in cancer patients and are at moderate level. The degree of avoidance / numbness is higher than that of re-experience and alertness. Therefore, clinical attention should be paid to the symptoms of PTSD. 2. Variables such as residence, age, occupation, cancer type and duration of disease were the influencing factors of post-traumatic stress disorder. 3. Social support plays a buffer role on the symptoms of post-traumatic stress disorder (PTSD) in cancer patients. Objective support and overall level of social support are important factors, which can significantly predict the symptoms of post-traumatic stress disorder (PTSD) in cancer patients. 4. The neuroticism and psychoticism in personality characteristics affect the symptom level of post-traumatic stress disorder in cancer patients, among which neuroticism is the susceptible factor, the more obvious the neuroticism personality is, the higher the symptom level of post-traumatic stress disorder is. The more obvious the psychotic personality, the higher the symptom level of post-traumatic stress disorder. 5. Coping styles affect the symptom level of post-traumatic stress disorder (PTSD) in cancer patients, and the more negative coping styles are used, the higher the level of PTSD symptoms is.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R749.5
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