吉林大学学报(医学版) ›› 2017, Vol. 43 ›› Issue (01): 115-119.doi: 10.13481/j.1671-587x.20170123

• 临床研究 • 上一篇    下一篇

宫颈癌放疗患者对医疗行为的认知差异与焦虑程度的关系

刘倩倩1, 孙蕾2, 边丽1, 韩今华1, 贾秀秀3, 姚晓晴3, 陈玉丙1, 宋新灵1   

  1. 1. 吉林大学第二医院放疗科, 吉林 长春 130041;
    2. 吉林大学哲学社会学院应用心理学系, 吉林 长春 130012;
    3. 吉林大学公共卫生学院毒理学教研室, 吉林 长春 130021
  • 收稿日期:2016-05-19 出版日期:2017-01-28 发布日期:2017-02-08
  • 通讯作者: 宋新灵(Tel:0431-88796628,E-mail:15526856787@163.com) E-mail:15526856787@163.com
  • 作者简介:刘倩倩(1987-),女,吉林省长春市人,主要从事肿瘤临床治疗方面的研究。
  • 基金资助:

    教育部人文社会科学青年项目资助课题(11YJC190018)

Relationship between cognitive differences in medical behaviors and degrees of anxiety of cervical cancer patients undergoing radiotherapy

LIU Qianqian1, SUN Lei2, BIAN Li1, HAN Jinhua1, JIA Xiuxiu3, YAO Xiaoqing3, CHEN Yubing1, SONG Xinling1   

  1. 1. Department of Radiotherapy, Second Hospital, Jilin University, Changchun 130041, China;
    2. Department of Applied Psychology, College of Philosophy and Social Sciences, Jilin University, Changchun 130012, China;
    3. Department of Toxicology, School of Public Healthy, Jilin University, Changchun 130021, China
  • Received:2016-05-19 Online:2017-01-28 Published:2017-02-08

摘要:

目的:调查不同背景的宫颈癌行放射治疗(放疗)患者对医疗行为的认知差异,探讨沟通方式与焦虑程度之间的相关性,为临床上提高宫颈癌患者对放疗的依顺从性和完善医患沟通方式提供参考。方法:收集89例新入院的宫颈癌行放疗患者的临床资料,对临床现行的医患沟通内容(病情、治疗过程、治疗时间、相关症状、费用及疗效讲解等)、患者的认知状况进行调查,采用焦虑自评量表(SAS)对其焦虑程度进行评价,采用患者满意度评分(PSS)和患者疾病认知评分(PCS)了解患者的满意度和对疾病的认知情况,并进行描述性和相关性分析。结果:本组患者SAS评分与伴随症状呈正相关关系(r=0.472,P<0.01)。入院后等待放疗和放疗开始至4周时患者SAS评分与PSS评分呈正相关关系(r=0.757,r=0.291,P<0.05)。结论:提高新入院宫颈癌行放疗患者对医患沟通内容满意度,可舒缓宫颈癌患者的焦虑程度,提高宫颈癌患者对放疗的依从性。

关键词: 宫颈肿瘤, 焦虑, 满意度, 认知

Abstract:

Objective: To investigate the cognitive differences in the medical behaviors of the cervical cancer patients with different backgroundsundergoing radiotherapy,and to explore the relationship between the models of communication and the degrees of anxiety,and to provide reference for improving the radiotherapy obedient of the patients with cervical cancer and completing the models of communication.Methods: The clinical materials of 89 cervical cancer patients newly admitted and treated with radiotherapy were collected;the clinical current doctor-patient communication contents (explanation of patients' condition,treatment process,treatment time,associated symptoms,treatment cost and treatment effects)and the cognitive status of patients were investigated;the degrees of anxiety were evaluated by anxiety self rating scale (SAS), and descriptive statistical analysis and correlation analysis were performed.Results: The SAS scores were positively correlated with the concomitant symptoms (P<0.01).The SAS scores of the patients waiting for radiotherapy and the patients receivingradiotherapy from the beginning to 4 weeks after admission were significantly positively correlated with the patient's satisfaction score of the communication contents(P<0.05).Conclusion: To improve the satisfaction degree of doctor-patient communication content of the cervical cancer patients undergoing radiotherapy can relieve the anxiety degrees of cervical cancer patients and improve the radiotherapy obedience of the patients with cervical cancer.

Key words: cognition, satisfaction degree, uterine cervical neoplasms, anxiety

中图分类号: 

  • R737.33