摘要
目的:分析头颈部肿瘤病人从放疗前到放疗结束后6个月的心理弹性变化轨迹,并探究轨迹类别的影响因素。方法:采用方便抽样法选取2020年12月—2021年11月上海市质子重离子医院接受放疗的头颈部肿瘤病人为研究对象,在放疗前、放疗结束时、放疗结束后3个月和6个月调查病人心理弹性水平,使用潜增长曲线模型分析心理弹性变化轨迹类别,运用多元Logistic回归分析探究轨迹类别的影响因素。结果:各轨迹类别影响因素包括年收入、受教育程度、肿瘤初发复发、同步放化疗、一般自我效能感量表(GSES)得分、Herth希望指数量表(HHI)得分、家庭关怀指数问卷(APGAR)得分。结论:头颈部肿瘤病人在放疗期间心理弹性变化轨迹分为3种类别。医务人员可通过病人年收入、受教育程度、肿瘤初发复发、同步放化疗等基本资料,识别心理弹性水平低的高危人群,并预测其心理弹性的动态变化。通过制定针对病人希望、自我效能、家庭支持等变量的心理弹性干预方案,提高病人心理弹性水平。
Objective:To analyze psychological resilience trajectory of patients with head and neck cancer undergoing radiotherapy from pre-radiotherapy to 6 months after radiotherapy,and to explore influencing factors of trajectory categories.Methods:Patients with head and neck cancer undergoing radiotherapy in Shanghai Proton and Heavy Lon Center were selected by convenient sampling as subjects from December 2020 to November 2021.The level of psychological resilience of patients was investigated at the pre-radiotherapy,the end of radiotherapy,the 3 months after radiotherapy and 6 months after radiotherapy.The latent growth curve model was used to analyze the differences of resilience trajectory,and Logistic regression analysis was used to explore influencing factors of resilience trajectory.Results:The influencing factors of resilience trajectory included annual income,education level,tumor were primary or recurrent,concurrent chemo-radiotherapy,score of General Self-Efficacy Scale(GSES),score of the Herth Hope Index(HHI),and score of Family APGAR Index Scale(APGAR).Conclusions:There are three kinds of psychological resilience trajectory of patients with head and neck cancer during radiotherapy.Medical personnel can identify high-risk patients with low psychological resilience and predict their psychological resilience trajectory by basic data of patients’annual income,education level,tumor were primary or recurrent,concurrent chemo-radiotherapy and so on,and to improve level of psychological resilience of patients by formulating psychological resilience intervention programs for patients’hope,self-efficacy,family support and other variables.
作者
项李娜
万宏伟
朱毓
郑咪咪
李小茹
王姝曼
XIANG Lina;WAN Hongwei;ZHU Yu;ZHENG Mimi;LI Xiaoru;WANG Shuman(Shanghai Proton and Heavy Lon Center,Cancer Hospital Affiliated to Fudan University,Shanghai 201321 China)
出处
《护理研究》
北大核心
2022年第18期3202-3208,共7页
Chinese Nursing Research
基金
上海市卫生健康委员会科研课题面上项目,编号:201940113
上海市浦东新区科技发展基金民生科研专项项目,编号:PKJ2020-Y57
复旦大学-复星护理科研基金项目,编号:FNF202104。
关键词
放疗
头颈部肿瘤
心理弹性
变化轨迹
影响因素
护理
radiotherapy
head and neck cancer
psychological resilience
trajectory
influencing factors
nursing
