【摘要】 目的探讨鼻咽癌患者放疗期间反刍性沉思水平及其影响因素。方法采用便利抽样法选取2018年7-12月于广州市2所三级甲等医院就诊的142例鼻咽癌患者为研究对象,采用一般资料问卷、事件相关性反刍性沉思问卷、社会支持评定量表及简易应对方式量表对其进行调查。结果鼻咽癌患者放疗期间侵入性反刍性沉思得分[(15.39±4.37)分]高于目的性反刍性沉思得分[(14.16±3.74)分],差异有统计学意义(P<0.05);社会支持、消极应对、家庭人均月收入、性别是侵入性反刍性沉思的主要影响因素;消极应对、社会支持、文化程度、肿瘤分期是目的性反刍性沉思的主要影响因素。结论鼻咽癌患者放疗期间反刍性沉思处于中等水平,侵入性反刍性沉思高于目的性反刍性沉思。临床医护人员应开展针对性干预,提高患者的社会支持水平,引导患者采取积极应对,避免消极应对,从而促进患者由侵入性反刍性沉思向目的性反刍性沉思的转变。更多还原

【Abstract】 Objective To explore the rumination level and influencing factors of patients with nasopharyngeal carcinoma during radiotherapy.Methods By convenience sampling method,a total of 142 patients with nasopharyngeal carcinoma from July to December 2018 were investigated using the general information questionnaire, Event Related Rumination Inventory(ERRI),Social Support Rating Scale(SSRS) and Simplified Coping Style Questionnaire(SCSQ).Results The scores of intrusive rumination in patients with nasopharyngeal carcinoma during radiotherapy were 15.39±4.37,which were higher than the scores of deliberate rumination(14.16±3.74), the difference was significant(P<0.05).Social support,negative coping,per capita monthly income of families,and gender were the main influencing factors of intrusive rumination. Negative coping,social support,education level,and tumor staging were the main influencing factors of deliberate rumination.Conclusions The ruminant meditation of nasopharyngeal carcinoma patients during radiotherapy is at the middle level,and the intrusive rumination is higher than the deliberate rumination.Clinical staff should carry out targeted interventions to improve the level of social support for patients,guide patients to positive coping,avoid negative coping,thereby promoting the transition of patients from intrusive rumination to deliberate rumination.更多还原