【摘要】 目的探讨直肠癌患者人格类型和生命质量的相关性,为临床情绪管理和心理护理干预提供依据。方法对91例直肠癌患者采用艾森克人格问卷简式量表(Eysenck personality questionnaire-revised,short scale for Chinese,EPQ-RSC)和生命质量测定量表(European organization for research and treatment,quality of life questionnaire-core 30,EORT QLQ-C30)进行问卷调查并分析其相关性。结果 91例直肠癌患者的人格特质在精神质、内外性、神经质及社会性得分均显著高于常模,得分比较,差异有统计学意义(均P<0.05)。直肠癌患者与中国正常人群相比,情绪较不稳定,易怒、易抑郁,有较高的社会掩饰性;直肠癌患者功能领域得分率高于70%,总体健康状况得分率为61%,症状领域和其他单一条目得分率均少于40%。直肠癌患者精神质与角色功能呈负相关;内外性与情绪功能和总体健康状况领域呈正相关,与疲倦、食欲丧失和腹泻呈负相关;神经质与总体健康状况领域、情绪功能和社会功能呈负相关,与疲倦、疼痛、失眠、食欲减退、经济困难呈正相关;社会掩饰性与角色功能呈正相关(均P<0.05)。结论临床医护人员应分析不同性格的直肠癌患者的心理状况,开展针对性心理干预,有利于改善患者的生命质量。更多还原

【Abstract】 Objective To study the correlations between personality characteristics and life quality of rectal cancer patients.Methods A total of 91 rectal cancer patients were enrolled in the study. Preoperative questionnaire-based survey was conducted for investigation of personality characteristics and life quality using Eysenck personality questionnaire-revised, short scale for Chinese(EPQ-RSC) and European organization for research and treatment, quality of life questionnaire-core 30(EORTC QLQ-C30). The correlations between personality characteristics and life quality were analyzed. Results The scores on the personality characteristics of rectal patients were significantly higher than norms(all P <0.05). In addition, the scores on constipation, diarrhea and economic difficulties were higher than the norms(all P <0.05). In contrast, the patients with introverted personality were subject to irritability and depression. The score on function was more than 70%. And the total score on health was 61%. The scores on symptoms and dimensions were all less than 40%. The psychoticism was negatively related with role function, extraversion and emotional function were both positively related with general health but negative with fatigue, loss of appetite and diarrhea. The nervosity was negatively related with general health, emotional function and social function, but positively related with fatigue, pains, insomnia, anorexia, financial difficulties. The lie was positively related with role function(all P<0.05). Conclusion This study suggests that targeted psychological intervention will be beneficial for improving the life quality of rectal cancer patients through preoperative analysis of personality characteristics.更多还原