鼻咽癌放疗患者心理弹性的影响因素及与自我感受负担的关系分析

摘要 目的：观察鼻咽癌放疗患者心理弹性的影响因素，并分析心理弹性与自我感受负担（SPB）的关系。方法：选取2019年3月~2020年8月期间我院收治的鼻咽癌患者100例，采用中文版心理弹性量表（CD-RISC）观察鼻咽癌放疗患者心理弹性，采用自我感受负担（SPB）量表观察患者SPB情况，分析患者心理弹性的影响因素及其与SPB的关系。结果：鼻咽癌放疗患者CD-RISC乐观、坚韧、自强各维度评分及总分均低于国内常模（P<0.05），SPB量表总分为（38.10±2.74）分，处于中等负担水平。Pearson相关性分析结果显示，鼻咽癌放疗患者心理弹性和SPB呈负相关（P<0.05）。鼻咽癌放疗患者心理弹性与接受放疗宣教情况、临床分期、家庭月收入、教育程度、年龄有关（P<0.05）。本研究表明，教育程度、临床分期、年龄及家庭月收入是鼻咽癌放疗患者心理弹性的影响因素（P<0.05）。结论：鼻咽癌放疗患者的心理弹性较差，且其SPB与心理弹性有一定的联系。患者心理弹性的影响因素包括年龄、家庭月收入、临床分期、教育程度，临床可结合以上因素制定针对性方案以改善患者心理弹性。

Influencing Factors of Psychological Resilience and Its relationship with Self Perceived Burden in Patients with Nasopharyngeal Carcinoma Undergoing Radiotherapy

ABSTRACT Objective: To observe the influencing factors of psychological resilience in patients with nasopharyngeal carcinoma after radiotherapy, and to analyze the relationship between psychological resilience and self perceived burden (SPB). Methods: 100 patients with nasopharyngeal carcinoma from March 2019 to August 2020in our hospital were selected. The Chinese version of psychological resilience Scale (CD-RISC) was used to observe the psychological resilience of patients with nasopharyngeal carcinoma radiotherapy, and the self perceived burden (SPB) scale was used to observe the patients'' SPB. The relationship between psychological resilience and SPB was analyzed, and the influencing factors of psychological resilience of patients with nasopharyngeal carcinoma radiotherapy were analyzed. Results: The CD-RISC scale of patients with nasopharyngeal carcinoma with radiotherapy: optimistic, tough, self-improvement dimensions and total scores were lower than the domestic norm, The total score of SPB was(38.10±2.74) scores, it was in the medium burden level. Pearson correlation analysis showed that, there was a negative correlation between psychological resilience and SPB (P<0.05). The psychological resilience of patients with nasopharyngeal carcinoma was related to receiving radiotherapy education, clinical stage, family monthly income, education level and age(P<0.05). This study shows that, education level, clinical stage, age and monthly family income were the influencing factors of psychological resilience of patients with nasopharyngeal carcinoma(P<0.05). Conclusion: The psychological resilience of patients with nasopharyngeal carcinoma after radiotherapy is poor, and there is a certain relationship between SPB and psychological resilience. The influencing factors of patients'' resilience include age, family monthly income, clinical stage and education level, and the targeted program can be made to improve patients'' resilience by combining the above factors.