| 史 笑,潘志娟,岳朝丽,陈 丹,刘扣英.肺癌患者病耻感的影响因素调查及与生活质量和负性情绪的相关性研究[J].,2021,(19):3670-3674 |
| 肺癌患者病耻感的影响因素调查及与生活质量和负性情绪的相关性研究 |
| Investigation on Influencing Factors of Stigma in Lung Cancer Patients and Its Correlation with Quality of Life and Negative Emotions |
| 投稿时间：2021-03-07 修订日期：2021-03-30 |
| DOI：10.13241/j.cnki.pmb.2021.19.014 |
| 中文关键词: 肺癌 病耻感 影响因素 生活质量 负性情绪 |
| 英文关键词: Lung cancer Stigma Influencing factors Quality of life Negative emotions |
| 基金项目:国家自然科学基金项目（81800090） |
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| 中文摘要: |
| 摘要 目的：调查并分析肺癌患者病耻感的影响因素，并探讨病耻感与生活质量和负性情绪的相关性。方法：选取2019年1月-2020年9月期间我院收治的肺癌患者159例作为研究对象。采用自制的一般资料调查表收集患者的临床资料，采用中文版肺癌患者病耻感量表（CLCSS）评估入选患者的病耻感，采用Zung焦虑自评量表（SAS）、Zung抑郁自评量表（SDS）评估患者的负性情绪，采用肿瘤患者专用的生活质量核心问卷（EORTC QLQ-C30）评估患者生活质量。应用单因素及多元线性COX回归分析病耻感的影响因素，应用Pearson相关分析病耻感与生活质量和负性情绪的相关性。结果：本研究共发放159份调查问卷，回收有效问卷156份，无效问卷3份，回收成功率为98.11%。肺癌患者病耻感中的社会隔离、耻辱与羞愧、吸烟、总评分以及SAS、SDS评分高于国内常模中位分（P<0.05），EORTC QLQ-C30评分低于国内常模中位分（P<0.05），而歧视与国内常模中位分对比无统计学差异（P>0.05）。Pearson相关分析结果显示，CLCSS总评分与SAS、SDS评分均呈正相关，而与EORTC QLQ-C30评分呈负相关（P<0.05）。单因素分析结果可知，不同性别、年龄、婚姻状况、居住地、医疗费用支付方式、文化程度、病程的肺癌患者病耻感评分对比差异无统计学意义（P>0.05），是否合并慢性病、是否吸烟、不同个人月收入的肺癌患者病耻感评分对比差异有统计学意义（P<0.05）。多元线性COX回归分析结果显示，合并慢性病、吸烟、个人月收入<2000元均是影响肺癌患者病耻感的危险因素（P＜0.05）。结论：肺癌患者病耻感处于偏高水平，且与患者生活质量和负性情绪息息相关，其中合并慢性病、吸烟、个人月收入是影响患者病耻感的主要因素，应给予针对性干预，以降低其病耻感，促进患者身心健康。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate and analyze the influencing factors of stigma in lung cancer patients, and to explore the correlation between stigma and quality of life and negative emotions. Methods: 156 lung cancer patients from January 2019 to September 2020 in our hospital were selected as the research objects. The clinical data of patients were collected by self-made general information questionnaire. The Chinese version of the stigma scale for lung cancer patients (CLCSS) was used to evaluate the stigma of the patients. Zung self rating Anxiety Scale (SAS) and Zung self rating Depression Scale (SDS) were used to evaluate the negative emotions of patients. The quality of life of cancer patients was evaluated by Core Quality of Life Questionnaire for Tumor Patients (EORTC QLQ-C30). Univariate and multivariate linear COX regression were used to analyze the influencing factors of stigm. Pearson correlation analysis was used to analyze the correlation between stigma, quality of life and negative emotions. Results: In this study, a total of 159 questionnaires were issued, 156 valid questionnaires were recovered, and 3 invalid questionnaires were recovered, with a recovery success rate of 98.11%. The social isolation, stigma and shame, smoking, total score, SAS and SDS scores of stigma in lung cancer patients were higher than the median score of the domestic norm (P<0.05), and the EORTC QLQ-C30 score was lower than the median score of the domestic norm (P<0.05), but there was no significant difference between discrimination and the median score of domestic norm (P>0.05). Pearson correlation analysis showed that CLCSS total score were positively correlated with SAS and SDS, but negatively correlated with EORTC QLQ-C30 score (P<0.05). The results of univariate analysis showed that there were no significant differences in stigma scores of lung cancer patients with different gender, age, marital status, residence place, payment method of medical expenses, education level and disease course (P>0.05), while the patients with chronic diseases, smoking history and personal monthly income had significant differences (P<0.05). Multiple linear Cox regression analysis showed that chronic diseases, smoking history and personal income <2000 yuan were risk factors of stigma in lung cancer patients (P<0.05). Conclusion: The stigma in lung cancer patients is at a high level, which is closely related to the quality of life and negative emotions of patients. Among them, the combination of chronic diseases, smoking and personal monthly income are the main factors affecting the stigma of patients. Targeted intervention should be given to reduce the stigma and promote the physical and mental health of patients. |
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