本文選題：乳腺癌患者 + 心理健康�。� 參考：《吉林大學(xué)》2015年碩士論文

【摘要】：目的:本研究通過對齊齊哈爾市某三甲醫(yī)院乳腺癌患者進(jìn)行問卷調(diào)查,旨在調(diào)查乳腺癌患者在醫(yī)院治療期間心理健康狀況,進(jìn)一步探討和研究乳腺癌患者治療期間的心理健康的影響因素,從而為減輕患者的心理負(fù)擔(dān)、提升其生活質(zhì)量,提供一個(gè)新的干預(yù)靶點(diǎn)和一個(gè)全新的理論思路。方法:采用調(diào)查問卷對120例乳腺癌患者進(jìn)行問卷調(diào)查,對全部患者的一般特征資料進(jìn)行描述性統(tǒng)計(jì),同時(shí)采用了一般統(tǒng)計(jì)描述(頻數(shù)、率或百分比、均數(shù)和標(biāo)準(zhǔn)差等)、Pearson卡方檢驗(yàn)、方差分析。針對患有乳腺癌的相關(guān)人群進(jìn)行關(guān)于心理健康因素的分析。結(jié)果:120例乳腺癌患者的心理健康得分低于參考值(P0.05);不同年齡的乳腺癌患者在心理健康的9個(gè)維度和總均分方面差異均具有統(tǒng)計(jì)學(xué)意義(P0.001);不同婚姻狀況的患者在心理健康的9個(gè)維度得分和總均分方面均存在統(tǒng)計(jì)學(xué)差異(P0.05);不同文化程度的患者在心理健康的9個(gè)維度得分和總均分方面的差異具有統(tǒng)計(jì)學(xué)意義(P0.05);不同家庭月收入的患者的心理健康差異無統(tǒng)計(jì)學(xué)意義(P0.05);是否有醫(yī)療保險(xiǎn)對乳腺癌患者心理健康狀況的影響,在軀體化、人際關(guān)系、敵意、恐怖、妄想、精神病維度上的差別無統(tǒng)計(jì)學(xué)意義(P0.05),在強(qiáng)迫、抑郁、焦慮3個(gè)維度和總均分方面的差異具有統(tǒng)計(jì)學(xué)意義(P0.05);不同婚姻質(zhì)量評價(jià)的乳腺癌患者心理健康狀況差異沒有統(tǒng)計(jì)學(xué)意義(P0.05);乳腺癌患者在是否為初次入院方面心理健康狀況差異沒有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1、乳腺癌患者的SCL-90得分在九個(gè)因子得分上,均為大于常模分?jǐn)?shù)的范圍。2、老年乳腺癌患者較年輕患者心理健康狀況差。3、不同婚姻狀況對乳腺癌患者SCL-90的9個(gè)維度得分和總均分方面均有影響,其中喪偶對乳腺癌患者心理健康狀況的影響最大。4、不同文化程度對乳腺癌患者的SCL-90的9個(gè)維度得分中及總均分方面均有影響。其中文盲患者的心理健康狀況最差,其次是小學(xué)文化程度患者。5、不同家庭月收入患者的心理健康沒有差異。6、乳腺癌患者是否有醫(yī)療保險(xiǎn)對強(qiáng)迫、抑郁、焦慮維度和總均分方面有影響,且有醫(yī)保患者心理健康狀態(tài)好于無醫(yī)�；颊�。7、不同婚姻質(zhì)量評價(jià)的乳腺癌患者心理健康狀況沒有差異。8、乳腺癌患者在是否為初次入院方面心理健康狀況沒有差異。
[Abstract]:Objective: to investigate the mental health of breast cancer patients in a third Class A Hospital in Qiqihar.In order to reduce the psychological burden and improve the quality of life of patients with breast cancer, a new intervention target and a new theoretical thinking were provided to further explore and study the influencing factors of mental health of breast cancer patients during the treatment period.Methods: 120 patients with breast cancer were investigated by questionnaire, and the general characteristic data of all patients were analyzed, and the general statistical description (frequency, rate or percentage) was used.Mean and standard deviation were analyzed by Pearson chi-square test.To analyze the mental health factors of breast cancer patients.Results the score of mental health of 120 breast cancer patients was lower than that of reference value (P 0.05), the difference of 9 dimensions and total mean scores of mental health of breast cancer patients of different ages was statistically significant (P 0.001), and that of patients with different marital status was lower than that of patients with different marital status.There were statistical differences in nine dimension scores and total mean scores of health care, there were significant differences in 9 dimensions of mental health and total mean scores among patients with different education levels, and there were significant differences in monthly income of different families.There was no statistically significant difference in mental health among patients with breast cancer (P 0.05); whether there was any medical insurance on the mental health status of breast cancer patients,There was no statistically significant difference in the dimensions of somatization, interpersonal relationships, hostility, terror, delusion, and psychosis.The differences in three dimensions of anxiety and total mean score were statistically significant (P 0.05); there was no significant difference in mental health status of breast cancer patients with different marital quality evaluation; the psychological status of breast cancer patients was not significantly different from that of breast cancer patients on admission to hospital for the first time.The difference of health status was not statistically significant (P 0.05).Conclusion: one, the SCL-90 score of breast cancer patients is nine factors.The mental health status of the elderly patients with breast cancer was worse than that of the younger patients. Different marital status had an effect on the nine dimensions and the total mean score of SCL-90 in breast cancer patients.Widowhood had the greatest influence on the mental health of breast cancer patients. Different education level had influence on the SCL-90 scores of breast cancer patients in 9 dimensions and the total mean score.Among them, the mental health status of the illiterate patients was the worst, followed by those with primary school education. There was no difference in mental health among the patients with different families' monthly income. Whether the breast cancer patients had medical insurance against compulsion and depression,Anxiety dimensions and total mean scores had an impact,The mental health status of the patients with medical insurance was better than that of the patients without insurance. There was no difference in the mental health status of breast cancer patients with different marital quality evaluation, and there was no difference in mental health status of breast cancer patients on admission for the first time.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R737.9

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