| 彭丽华,张玲,李微,李显蓉.中青年结直肠癌患者二元应对水平现状及影响因素分析[J].上海护理,2025,25(2): |
| 中青年结直肠癌患者二元应对水平现状及影响因素分析 |
| Status quo and influencing factors of dyadic coping level in young and middle-aged patients with colorectal cancer |
| DOI： |
| 中文关键词: 中青年结直肠癌患者，二元应对，焦虑抑郁，影响因素 |
| 英文关键词:Young and middle-aged patients with colorectal cancer,Dyadic coping,Anxiety and depression,Influence factor |
| 基金项目:四川省医学会伤口疾病（泰阁）专项科研课题（编号:2021TG06）；泸州市科技厅项目（编号：2022–SYF–49） |
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| 中文摘要: |
| 目的 了解中青年结直肠癌患者二元应对水平现状,并分析其影响因素。方法 采用便利抽样方法,选取泸州市某三甲医院胃肠外科、肿瘤科2022年10月-2023年07月住院治疗的250例中青年结直肠癌患者为调查对象,采用自制一般资料问卷、中文版二元应对量表、综合医院焦虑抑郁量表对患者进行问卷调查。结果 中青年结直肠癌患者二元应对总分为(117.28±13.71)分；焦虑抑郁总分为(7.80±4.76)分,其中焦虑维度为(4.73±2.89)分,抑郁维度为(3.07±2.33)分；患者二元应对总分与焦虑、抑郁维度得分分别呈负相关((r=-0.469,r=-0.454,P＜0.01)。多元线性回归分析结果显示,患者的职业、家庭月均收入、医保类型、疾病分期、是否造口、焦虑是影响其二元应对的重要因素(P<0.05),共解释总变异的41.3%。结论 中青年结直肠癌患者的二元应对能力处于中等水平,仍有待进一步的提升。临床护理人员需多关注从事体力劳动、家庭月均收入低、医保报销少、疾病分期晚、携带造口及焦虑等患者人群的情况,并有针对性的为其制定二元干预方案,以提高中青年结直肠癌患者的二元应对能力,进而改善其生活质量。 |
| 英文摘要: |
| Objective To investigate the status quo of dyadic coping level in young and middle-aged patients with colorectal cancer and analyze its influencing factors. Methods A total of 250 middle-aged and young patients with colorectal cancer who were hospitalized in the Department of gastrointestinal Surgery and Oncology of a Grade-Three hospital in Luzhou City from October 2022 to July 2023 were selected as the investigation objects by convenient sampling method. Self-made general data questionnaire, Chinese dyadic coping scale and general hospital anxiety and depression scale were used to investigate the patients. Results The total score of dyadic coping was (117.28±13.71) in young and middle-aged patients with colorectal cancer. The total score of anxiety and depression was (7.80±4.76) points, the anxiety dimension was (4.73±2.89) points, and the depression dimension was (3.07±2.33) points. The total score of dyadic coping was negatively correlated with the scores of anxiety and depression (r=-0.469, r=-0.454, P < 0.01). The results of multiple linear regression analysis showed that patients" occupation, family monthly income, medical insurance type, disease stage, enterostomy or not, and anxiety were important factors affecting dyadic coping (P< 0.05), accounting for 41.3% of the total variation. Conclusion The dyadic coping ability of middle-aged and young patients with colorectal cancer is at the medium level and needs to be further improved. Clinical nurses should pay more attention to the situations of patients engaged in physical labor, low average monthly family income, low medical insurance reimbursement, late disease stage, carrying stoma and anxiety, etc., and formulate targeted dyadic intervention programs for them to improve the dyadic coping ability of middle-aged and young patients with colorectal cancer. And improve their quality of life. |
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