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目的:分析2型糖尿病(T2DM)合并恶性肿瘤患者心理状况、应对方式及生存质量的现况,并探讨患者心理健康、应对方式与生存质量三者之间的关系。方法:本研究为横断面研究,选取2型糖尿病合并恶性肿瘤患者(恶性肿瘤在糖尿病之后或同时确诊)310例,采用症状自评量表(SCL-90)、医学应对问卷(MCMQ)和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)分别对患者的心理健康状况、应对方式和生存质量状况进行测评。结果:T2DM合并恶性肿瘤患者SCL-90自评量表总分为(179.8±51.2)分,平均分≥2分的前5位的健康因子分别为:躯体化症状、焦虑、抑郁、恐怖、人际关系紧张。患者应对方式的三个因子得分从高到低依次为:面对、回避、和屈服因子。T2DM合并恶性肿瘤患者与常模组相比在生理、心理、独立性、社会关系和总的生存质量与健康状况得分更低(P<0.05);环境、精神支柱与个人信仰得分则高于常模组(P<0.05)。T2DM合并恶性肿瘤患者SCL-90总分与患者总体生存质量、生理领域、心理领域得分呈正相关;应对方式中,面对因子与总体生存质量和健康状况、生理领域、心理领域得分呈正相关;屈服因子与总体生存质量和健康状况、心理领域得分呈负相关。结论:T2DM合并恶性肿瘤患者心理问题主要表现在躯体化症状、焦虑、抑郁、恐怖、人际关系紧张等方面,多数患者采用积极的面对方式,患者生存质量较低。
Objective: To analyze the status of psychological status, coping style and quality of life in patients with type 2 diabetes mellitus (T2DM) with malignant tumor and to explore the relationship between the patients’ mental health, coping style and quality of life. METHODS: This study was conducted in a cross-sectional study of 310 patients with type 2 diabetes mellitus (with or without malignancy diagnosed after diabetes mellitus or at the same time), using the Self-rating Symptom Inventory (SCL-90), the Medical Response Questionnaire (MCMQ) The WHOQOL-BREF was used to assess the patient’s mental health, coping style and quality of life. Results: The total score of SCL-90 in patients with T2DM with malignant tumor was (179.8 ± 51.2). The top five factors with average score ≥2 were as follows: somatization, anxiety, depression, terror, interpersonal Tense relationship. The three factors of patient coping style score from high to low are: face, avoidance, and yield factors. Patients with T2DM with malignant tumor scored lower (P <0.05) in physical, mental, social, and overall quality of life and health status than those in the normotensive group; and environmental, spiritual pillars and personal beliefs scores were higher Module (P <0.05). The score of SCL-90 in patients with T2DM with malignant tumor was positively correlated with overall quality of life, physiological field and psychological field score. Coping style, face-to-face factor was positively correlated with overall quality of life and health status, physiological and psychological field scores; Factors were negatively correlated with overall quality of life and health status and psychological field scores. Conclusion: The psychological problems of patients with T2DM complicated with malignant tumor are mainly manifested in somatization, anxiety, depression, terror and interpersonal tension. The majority of patients adopt a positive approach and their quality of life is low.