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目的探讨头颈部癌治疗后患者心理状况与生存质量之间的关系。方法对中国人民解放军济南军区第四五六医院肿瘤科复诊的110例头颈部癌术后或放化疗后的患者及105名健康对照进行问卷调查。结果头颈部癌患者生存质量总分为(717.45±109.63)分,对照组总分为(867±90.64)分,头颈部癌患者各个领域生存质量指标均低于对照组,差异有统计学意义(P(0.05);Spearm an相关分析表明,焦虑及抑郁与患者生存质量大多数维度呈相关关系(P(0.05);Logistic回归分析表明,抑郁、焦虑是患者生存质量的主要影响因素,标准回归系数分别为-0.597、-0.830;头颈部癌患者心理状况与生存质量密切相关。结论心理干预可作为生存质量的干预手段之一;改善患者的心理状况可以提高其生存质量水平。
Objective To explore the relationship between psychological status and quality of life in patients with head and neck cancer after treatment. Methods A total of 110 patients with head and neck cancer who underwent postoperative radiotherapy or chemotherapy and 105 healthy controls were surveyed in Department of Oncology, the 456th Hospital of Jinan Military Region, People’s Liberation Army. Results The total quality of life of patients with head and neck cancer was (717.45 ± 109.63) points, and the control group was (867 ± 90.64) points. The quality of life indicators of patients with head and neck cancer in all fields were lower than those of the control group (P (0.05)); Spearm an correlation analysis showed that anxiety and depression correlated with most dimensions of patient’s quality of life (P <0.05). Logistic regression analysis showed that depression and anxiety were the main influencing factors of quality of life The regression coefficients were -0.597, -0.830, respectively.Conclusion Psychological intervention may be one of the means of intervention for the quality of life.Improving the psychological status of patients can improve their quality of life.