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目的探讨食管癌患者的C型行为特征,为食管癌防治提供科学依据。方法采用C型行为问卷调查208例食管癌患者与210例非食管癌患者的C型行为特征,并对相关指标进行分析。结果食管癌组与非食管癌组患者C型行为量表中抑郁、愤怒、愤怒向内、理智、社会支持得分分别为(44.30±7.47)与(40.47±6.87)、(24.74±6.71)与(22.58±5.00)、(14.71±2.51)与(13.82±2.25)、(42.19±6.50)与(40.83±3.58)、(16.24±3.20)与(17.53±2.13),差异均有统计学意义(P<0.01);男性食管癌患者的焦虑、抑郁、愤怒、愤怒向内、愤怒向外、理智、控制、乐观、社会支持得分分别为(47.37±7.38)、(43.34±7.81)、(24.62±6.24)、(14.86±2.37)、(13.83±2.75)、(42.62±6.77)、(19.07±3.86)、(22.11±3.83)、(16.56±3.15),与男性常模得分比较差异均有统计学意义(P<0.01);女性食管癌患者的焦虑、抑郁、愤怒、愤怒向外、控制、乐观、社会支持得分分别为(46.17±6.31)、(46.25±6.36)、(24.97±7.61)、(13.22±2.74)、(18.33±3.86)、(21.10±3.26)、(15.58±3.21),与女性常模得分比较,差异均有统计学意义(P<0.05)。结论食管癌患者具有明显的C型行为特征,提示C型行为特征与食管癌的发生、发展、治疗和预后有关;加强心理健康教育、改善行为方式有益于食管癌的防治。
Objective To investigate the C-type behavior of esophageal cancer patients and provide a scientific basis for the prevention and treatment of esophageal cancer. Methods C-type behavioral questionnaire was used to investigate the C-type behaviors of 208 patients with esophageal cancer and 210 patients with non-esophageal cancer, and the related indicators were analyzed. Results The scores of depression, anger and anger in the C-type behavior scale of esophageal cancer patients and non-esophageal cancer patients were (44.30 ± 7.47) and (40.47 ± 6.87), (24.74 ± 6.71) and 22.58 ± 5.00), (14.71 ± 2.51) and (13.82 ± 2.25), (42.19 ± 6.50) and (40.83 ± 3.58), (16.24 ± 3.20) and (17.53 ± 2.13) respectively, with statistical significance (P < (47.37 ± 7.38), (43.34 ± 7.81), (24.62 ± 6.24), respectively. The scores of anxiety, depression, anger, anger inward, anger outward, reason, control, optimism and social support in male patients with esophageal cancer were , (14.86 ± 2.37), (13.83 ± 2.75), (42.62 ± 6.77), (19.07 ± 3.86), (22.11 ± 3.83) and (16.56 ± 3.15) respectively, which were significantly different from those of male norm (46.17 ± 6.31), (46.25 ± 6.36), (24.97 ± 7.61), (13.22 ± 0.45), and the difference was statistically significant (P <0.01). The scores of anxiety, depression, anger and anger in women with esophageal cancer were (46.17 ± 6.31), 2.74), (18.33 ± 3.86), (21.10 ± 3.26) and (15.58 ± 3.21) respectively. There were significant differences between the two groups (P <0.05). Conclusion The patients with esophageal cancer have obvious characteristics of C-type behavior, suggesting that the behavior of C-type is related to the occurrence, development, treatment and prognosis of esophageal cancer. Strengthening mental health education and improving behavior are beneficial to the prevention and treatment of esophageal cancer.