本文選題：癌癥患者 + 生命質(zhì)量　； 參考：《陜西師范大學(xué)》2008年碩士論文

【摘要】： 進(jìn)入21世紀(jì),癌癥取代心腦血管病成為人類的“第一殺手”,長(zhǎng)期以來(lái),癌癥一直以其高死亡率使患者產(chǎn)生強(qiáng)烈的心理反應(yīng)。鑒于癌癥較難治愈,很難用治愈率來(lái)評(píng)價(jià)治療效果,生存率的作用也有限,因此癌癥患者的生命質(zhì)量研究成為醫(yī)學(xué)領(lǐng)域生命質(zhì)量研究的主流。 本論文主要研究癌癥患者生命質(zhì)量與應(yīng)對(duì)方式、社會(huì)支持、心境狀況等相關(guān)因素的關(guān)系,并得出生命質(zhì)量與各變量關(guān)系的結(jié)構(gòu)模型;根據(jù)關(guān)系模型中的顯著路徑,用不同干預(yù)方式對(duì)癌癥患者進(jìn)行心理干預(yù),通過(guò)心理干預(yù)的實(shí)驗(yàn)研究對(duì)不同干預(yù)方式進(jìn)行效果評(píng)估,為進(jìn)一步改善癌癥患者生命質(zhì)量提供可靠的實(shí)證資料。 本研究選取預(yù)期生存期超過(guò)一年的癌癥康復(fù)期患者進(jìn)行問(wèn)卷調(diào)查研究,共發(fā)放問(wèn)卷180份,回收有效問(wèn)卷169份。研究對(duì)象中,男性患者82例,女性患者87例;患者年齡24～78歲,平均年齡53.28歲;被試中無(wú)精神疾患者、無(wú)智力障礙者。研究選用生命質(zhì)量核心問(wèn)卷[Quality of Life Questionnare-Core,QLQ-C30(2.0)]、簡(jiǎn)式簡(jiǎn)明心境問(wèn)卷(Profile of MoodStates-Short Form,POMS-SF)、醫(yī)學(xué)應(yīng)對(duì)問(wèn)卷(Medical Coping Modes Questionnaire,MCMO)、社會(huì)支持評(píng)定量表(SSRS)、自編問(wèn)卷,對(duì)患者進(jìn)行測(cè)量,根據(jù)問(wèn)卷結(jié)果得出生命質(zhì)量與各變量關(guān)系的結(jié)構(gòu)模型,并在此模型的基礎(chǔ)上,進(jìn)行為期10周的心理干預(yù)實(shí)驗(yàn)研究。實(shí)驗(yàn)階段,將120名被試分為3組:①團(tuán)體心理干預(yù)組,共40名被試,男、女患者各20名,患者年齡29～68歲,平均年齡48.33歲;以知識(shí)講座、團(tuán)體輔導(dǎo)、自由討論、觀看影片等方式進(jìn)行團(tuán)體干預(yù)。②保健信息干預(yù)組,共40名被試,男、女患者各20名,患者年齡24～71歲,平均年齡49.20歲;保健資料的發(fā)放與團(tuán)體心理干預(yù)組的活動(dòng)同步進(jìn)行,資料內(nèi)容以抗癌和心理保健為主。③對(duì)照組,共40名被試,男、女患者各20名,患者年齡26～74歲,平均年齡49.03歲:實(shí)驗(yàn)期間不進(jìn)行任何方式的干預(yù)。三組被試在人口學(xué)資料上基本匹配。實(shí)驗(yàn)結(jié)束后一周,用調(diào)查問(wèn)卷分別對(duì)三組被試同時(shí)進(jìn)行重測(cè),最后評(píng)估不同干預(yù)方式的干預(yù)效果。 在本研究條件下,根據(jù)分析得出以下結(jié)果:①男女患者的生命質(zhì)量、心境狀況、社會(huì)支持、應(yīng)對(duì)方式總體而言無(wú)顯著性別差異;②癌癥患者的生命質(zhì)量在文化程度上的差異并不顯著;③經(jīng)濟(jì)狀況是影響癌癥患者生命質(zhì)量、心境狀況的重要因素;④社會(huì)支持、應(yīng)對(duì)方式、心境狀況對(duì)癌癥患者的生命質(zhì)量均具有直接或間接的影響作用,實(shí)驗(yàn)研究結(jié)果較好的擬和了生命質(zhì)量與各變量關(guān)系的結(jié)構(gòu)模型;⑤團(tuán)體心理干預(yù)有利于癌癥患者生命質(zhì)量的提高,保健信息可以有效的緩解癌癥患者的緊張焦慮情緒,但對(duì)于提高生命質(zhì)量,還有一定的局限性,對(duì)照組生命質(zhì)量呈下降趨勢(shì)。 根據(jù)分析得出以下結(jié)論:①心境狀況和主觀支持是影響生命質(zhì)量的直接變量,同時(shí),心境狀況是社會(huì)支持、應(yīng)對(duì)方式影響生命質(zhì)量的中介變量;②社會(huì)支持是影響癌癥患者生命質(zhì)量的重要因素;③改變癌癥患者的應(yīng)對(duì)方式,是提高癌癥患者生命質(zhì)量的有效方法;④團(tuán)體心理干預(yù)是提高癌癥患者生命質(zhì)量、促進(jìn)癌癥患者身心健康的有效途徑。
[Abstract]:In the 21 ~ ( st ) century , cancer has replaced cardiovascular and cerebrovascular diseases as the " first killer " of mankind . For a long time , cancer has caused a strong psychological response in patients with high mortality . In view of the difficult cure of cancer , it is difficult to use cure rate to evaluate the therapeutic effect , and the survival rate is limited , so the quality of life of cancer patients has become the mainstream of life quality research in the medical field .


This paper mainly studies the relationship between life quality and coping style , social support , mood condition and other related factors in cancer patients , and obtains the structural model of the relationship between life quality and each variable . According to the significant path in the relationship model , the psychological intervention is carried out to the cancer patients by different intervention methods , and the effect evaluation of different intervention methods is carried out through the experimental study of psychological intervention , so as to provide reliable empirical data for further improving the life quality of cancer patients .


In this study , 120 patients were randomly divided into three groups : 鈶，

本文編號(hào)：2063248