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投稿时间：2019-02-28 网络发布日期：2019-12-20
投稿时间：2019-02-28 网络发布日期：2019-12-20
中文摘要: 目的 分析放疗期鼻咽癌患者公正世界信念现状及其影响因素。方法 选取龙华区中心医院和广州医科大学附属第一医院肿瘤科于2016年1月至2018年6月行放疗的鼻咽癌患者201例作为研究对象。使用基本情况调查问卷调查基线资料,成人公正世界信念问卷调查公正世界信念,癌症应对问卷调查癌症应对。结果 放疗期鼻咽癌患者公正世界信念得分为47.11±6.37,单因素分析结果显示,放疗期鼻咽癌患者公正世界信念得分在性别、年龄、文化水平、癌症应对类型、子女人数、家庭人均收入、治疗费用支付类型、TNM分期和是否转移上比较差异具有统计学意义(P<0.05，P<0.01)。多元线性回归分析结果显示,自费、结婚、子女人数、TNM分期、发泄、回避与压抑、屈服均是公正世界信念显著抑制因素(P<0.01),文化水平、家庭人均收入、面对型的癌症应对均是公正世界信念显著促进因素(P<0.01)。结论 放疗期鼻咽癌患者公正世界信念较低,自费医疗、结婚、子女人数、TNM分期、文化水平、家庭人均收入、面对型的癌症应对均是患者公正世界信念显著影响因素。
Abstract:Objective To analyze the current situation and influencing factors of fair world beliefs in patients with nasopharyngeal carcinoma during radiotherapy. Methods A total of 201 patients with nasopharyngeal carcinoma who underwent radiotherapy from January 2016 to June 2018 were selected as study subjects.The basic situation questionnaire survey for baseline data,the Just World Scale for Chinese Adults(JWS-CA) for fair world belief and the Cancer Coping Modes Questionaire (CCMQ) for cancer coping were performed in all patients. Results The score of fair world belief was 47.11±6.37 for all patients.Univariate analysis showed that there were significant differences in gender,age,educational level,type of cancer coping,number of children,family income per capita,type of payment for treatment,TNM stage and metastasis in patients with nasopharyngeal carcinoma during radiotherapy (all P<0.05).Multivariate linear regression analysis showed that time of radiotherapy,self-expenditure,marriage,number of children,TNM stage significantly inhibited the fair world belief (P<0.05),and education level,family income per capita and coping with cancer(face to face) obviously promoted the fair world belief (P<0.05). ConclusionFair world belief is low in patients with nasopharyngeal carcinoma during radiotherapy.Self-paid medical treatment,marriage,number of children,TNM stage,education level,family income per capita and cancer coping(face-to-face) are the significant influencing factors of fair world belief in patients with nasopharyngeal cancer.
文章编号： 中图分类号： 文献标志码：A
基金项目:广东省自然科学基金(2015A030310126)
| 作者 | 单位 |
| 张甘棠1 | 1.深圳市龙华区中心医院肿瘤科,广东 深圳 518100 |
| 黄菊华1 | 1.深圳市龙华区中心医院肿瘤科,广东 深圳 518100 |
| 周宾华1 | 1.深圳市龙华区中心医院肿瘤科,广东 深圳 518100 |
| 徐理骅2 | 2.广州医科大学附属第一医院肿瘤科,广东 广州 510120 |
| Author Name | Affiliation |
| ZHANG Gan-tang*,HUANG Ju-hua,ZHOU Bin-hua,XU Li-hua | *Department of Oncology,Longhua District Central Hospital,Shenzhen,Guangdong 518100,China |
引用文本：
张甘棠,黄菊华,周宾华,等.放疗期鼻咽癌患者公正世界信念现状及其影响因素[J].中国临床研究,2019,32(12):1627-1631.
张甘棠,黄菊华,周宾华,等.放疗期鼻咽癌患者公正世界信念现状及其影响因素[J].中国临床研究,2019,32(12):1627-1631.