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护理学报 ›› 2019, Vol. 26 ›› Issue (23): 71-74.doi: 10.16460/j.issn1008-9969.2019.23.071

• 心理卫生 • 上一篇    下一篇

局部宫颈癌晚期患者预感性悲伤与心理控制源相关性研究

武妍, 赵国艳, 王艺   

  1. 武汉大学中南医院 麻醉手术科,湖北 武汉 430071
  • 收稿日期:2019-06-23 发布日期:2020-07-27
  • 作者简介:武 妍（1982-）,女,山东临沂人,本科学历,护师。

Association between Anticipatory Grief and Locus of Control in Patients with Locally Advanced Cervical Cancer

WU Yan, ZHAO Guo-yan, WANG Yi   

  1. Dept. of Anesthesia and Operating Room, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
  • Received:2019-06-23 Published:2020-07-27

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摘要： 目的 探讨局部宫颈癌晚期患者预感性悲伤与心理控制源的相关性。方法 采用便利抽样法,选取局部宫颈癌晚期患者146例,采用一般资料调查表、晚期癌症患者预感性悲伤量表、多维度健康状况心理控制源进行调查,并分析预感性悲伤与心理控制源得分的相关性。结果 本组患者预感性悲伤总分为（42.78±19.22）分,心理控制源3个维度得分为内控型（20.19±4.03）分、他控型（28.87±5.43）分、机遇控型（21.72±4.26）分。预感性悲伤总分和心理控制源内控型维度得分呈负相关（r=-0.425,P<0.05）,和心理控制源他控型、机遇控型维度得分呈正相关（r=0.496、0.474,P<0.05）。结论 局部宫颈癌晚期患者预感性悲伤水平较高,心理控制源倾向于外部控制;预感性悲伤与心理控制源密切相关。提示应根据患者心理控制源的特点,制定干预措施,以减轻预感性悲伤反应,促进患者身心康复。

关键词: 预感性悲伤, 心理控制源, 局部宫颈癌晚期, 晚期癌症

Abstract: Objective To discuss the association between anticipatory grief and locus of control in patients with locally advanced cervical cancer. Methods With convenient sampling, 146 patients with locally advanced cervical cancer were investigated by using general information questionnaire, the anticipatory grief scale (AGC) and the multidimensional health locus of control (MHLC) scales, analysis of the correlation between anticipatory grief and locus of control. Results The total score of anticipatory grief was 42.78±19.22. The score of IHLC was 20.19±4.03, that of PHLC 28.87±5.43 and that of CHLC 21.72±4.26. The total score of anticipatory grief was negatively associated with the score of IHLC (r=-0.425, P<0.05) but positively with the score of PHLC and CHLC (r=0.496, 0.474, P<0.05). Conclusion Patients with locally advanced cervical cancer present a relatively high level of anticipatory grief and they believe his or her health status is determined by the actions of others. There is close association between anticipatory grief and locus of control. It is suggested targeted measures according to the features of patients' locus of control should be adopted to ease anticipatory grief and promote patients' recovery.

Key words: anticipatory grief, locus of control, locally advanced cervical cancer, advanced cancer

中图分类号: 

  • R473.73
[1] 郑荣寿,孙可欣,张思维,等.2015年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2019,41(1):19-28. DOI:10.3760/cma.j.issn.0253-3766.2019.01.008.
[2] 秦天生. 局部晚期子宫颈癌治疗的临床研究[D].兰州:兰州大学,2018.
[3] Koutrouli N, Anagnostopoulos F, Griva F, et al.Exploring the Relationship Between Posttraumatic Growth, Cognitive Processing, Psychological Distress, And Social Constraints in a Sample of Breast Cancer Patients[J].Women Health, 2015,56(6):650-667.DOI:10.1080/03630242.2015.1118725.
[4] Kostopoulou S, Parpa E, Tsilika E, et al.Advanced Cancer Patients' Perceptions of Dignity: The Impact of Psychologically Distressing Symptoms and Preparatory Grief[J]. J Palliat Care,2018,33(2):88-94.DOI:10.1177/0825859718759882.
[5] Vergo M T, Whyman J, Li Z, et al.Assessing Preparatory Grief in Advanced Cancer Patients as an Independent Predictor of Distress in an American Population[J]. J Palliat Med, 2017,20(1):48-52. DOI:10.1089/jpm.2016.0136.
[6] Mystakidou K, Parpa E, Tsilika E, et al.Posttraumatic Stress Disorder and Preparatory Grief in Advanced Cancer[J]. J Buon, 2012,17(1):155-159.
[7] Chuang S P, Wu J Y, Wang C S, et al.Self-concepts, Health Locus of Control and Cognitive Functioning Associated with Health-promoting Lifestyles in Schizophrenia[J]. Compr Psychiatry, 2016,10(70):82-89. DOI:10.1016/j.comppsych.2016.06.014.
[8] Lazarus R S.Progress on a Cognitive-motivational-relational Theory of Emotion[J]. Am Psychol, 1991, 46(8):819-834. DOI:10.1037//0003-066x.46.8.819.
[9] 赫捷. 临床肿瘤学[M].北京:人民卫生出版社,2016.
[10] Quinn M A, Benedet J L, Odicino F, et al.Carcinoma of the Cervix Uteri. FIGO 26th Annual Report on the Results of Treatment in Gynecological Cancer[J].Int J Obstet, 2006, 95(1):843-1103. DOI:10.1016/S0020-7292(06)60030-1.
[11] 叶盈,辛大君,鲜莉,等.晚期癌症患者预感性悲伤评估量表汉化及信效度评价[J].西南医科大学学报,2018,41(3):268-272. DOI:10.3969/j.issn.2096-3351.2018.03.018.
[12] 汪向东,王希林,马宏.心理卫生评定量表手册[M].北京:中国卫生杂志社,1999.
[13] 辛大君,叶盈,张婷,等.晚期癌症病人预感性悲伤反应现状及影响因素调查[J].护理研究,2018,32(3):370-374. DOI:10.3969/j.issn.1009-6493.2018.03.011.
[14] 于文华,陆宇晗,路潜,等.癌症患者主要照顾者预期性悲伤的研究进展[J].中华护理杂志, 2018,53(6):730-735. DOI:10.3761/j.issn.0254-1769.2018.06.018.
[15] Croson E, Keim-Malpass J.Grief and Gracefulness Regarding Cancer Experiences Among Young Women[J]. Oncology Nursing Forum,2016, 43(6):747. DOI:10.1188/16.ONF.747-753.
[16] 范家莉,孔悦,施素华,等.血液透析患者心理控制源与自我管理行为的相关性研究[J].解放军护理杂志,2016,33(9):23-27,35. DOI:10.3969/j.issn.1008-9993.2016.09.005.
[17] 柳之啸,乔玉玲,吴任钢.自尊对生命意义感的预测机制--心理控制源和积极情绪的双中介模型[J].中国心理卫生杂志,2018,32(9):772-777. DOI:10.3969/j.issn.1000-6729.2018.09.012.
[18] Takaki J, Yano E.Possible Gender Differences in the Relationships of Self-efficacy and the Internal Locus of Control with Compliance in Hemodialysis Patients[J]. Behav med, 2006,32(1):5-11. DOI:10.3200/BMED.32.1.5-11.
[19] 宋江艳,王维利,李惠萍,等.肿瘤化疗患者抑郁情绪与应对方式生活质量相关性分析[J].护理学报,2010,17(5):5-8. DOI:10.3969/j.issn.1008-9969.2010.05.002.
[20] 龙吉芳,黄旭倩,周娜,等.308例癌症中年患者希望水平现状及影响因素分析[J].护理学报, 2019,26(8):37-41. DOI:10.16460/j.issn1008-9969.2019.08.037.
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