目的本研究旨在了解宫颈癌患者的心理卫生状况及生活质量,分析宫颈癌患者悦纳进取处事方式与生活质量关系。方法以湖南省肿瘤医院70例宫颈癌患者为研究对象,采用一般人口特征量表、Zung抑郁自评量表(SDS)、Zung焦虑自评量表(SAS)、悦纳进取问卷、特质应对方式问卷(TCSQ)及宫颈癌患者生活质量测评量表FACT-Cx问卷进行调查。结果1高年龄组在生活质量的生理状况(17.67±7.7、11.70±8.1)、情感状况(16.39±6.0、11.36±6.6)显著高于低年龄组,而在功能状况(6.28±6.7、12.17±9.3)显著低于低年龄组,差异均有统计学意义(P<0.05)。2接纳因子、进取因子与悦纳进取总分均与积极应对存在显著正相关(r=0.687⁰.717,P均<0.01),与消极应对无显著相关。3接纳因子、进取因子与悦纳进取总分均与SAS、SDS分存在显著的负相关(r=0.646⁰.694,P均<0.01);4接纳因子、进取因子与悦纳进取总分、生理状况及情感状况呈显著负相关(r=0.578⁰.619,P均<0.01),与社会、家庭状况及功能状况呈显著正相关(r=0.631⁰.669,P均<0.01)。5线性回归分析显示,积极应对因子、焦虑分、接纳因子对生活质量有正向预测作用,可以解释24.3%的变异。结论 1宫颈癌患者悦纳进取程度越高,患者的生活质量越好。2悦纳进取量表可以在宫颈癌患者中使用。

Objective To study on the mental health status and life quality of patients with cervical cancer,and analyzes the relationship between positive acceptance and striving and life quality of patients with cervical cancer. Methods In this study,70 patients with cervical cancer in Hunan tumor hospital are tested by general population characteristics of scale,Zung Self-Rating Depression Scale( SDS),Zung anxiety rating Scale( SAS),Positive Acceptance and Striving Questionnaire,Trait Coping Style Questionnaire( TCSQ) and FACT-C questionnaire has been applied. Results 1 Patients with cervical cancer in elder group have significantly higher score of GP and GE,and lower score of GF than patients in younger group( GP: 17. 67 ± 7. 7 vs 11. 70 ± 8. 1,P <0. 05; GE: 16. 39 ± 6. 0 vs 11. 36 ± 6. 6,P < 0. 01; GP: 6. 28 ± 6. 7vs 12. 17 ± 9. 3,P < 0. 05). 2Total scores of acceptable factor,striving factor and positive acceptance and striving have significantly positive correlation with active coping style scores( r = 0. 687-0. 717,P < 0. 01),while they have no significant correlation with negative coping style. 3Total scores of acceptable factor,aggressive factor and positive acceptance and striving are related to patients' depression and anxiety scores obviously and negatively( r = 0. 646-0. 694,P < 0. 001). 4Total scores of acceptable factor,aggressive factor and positive acceptance and striving are linked to the scores of physiological status and emotional status( r = 0. 578- 0. 619,P < 0. 001); and they are significantly and positively correlated with the scores of social or family status and functional status( r = 0. 631- 0. 669,P < 0. 001). 5Multiple linear regression analysis shows that active coping style,SAS and acceptable factor has an great effect on predicting life quality,and can also explain the 24. 3% of the variation. Conclusion 1The higher the degree to which patients with cervical cancer have positive acceptance and striving,as the better life quality. 2Positive Acceptance and Striving Scale can be applied to patients with cervical cancer.