水会锋

【摘要】 目的：分析心理彈性与治疗副反应和生存质量的关系。方法：选取2014年1月-2015年5月期间在本院诊断治疗的肿瘤患者102例作为研究对象，观察并对比不同心理弹性患者的治疗副反应发生率，分析肿瘤患者心理弹性与治疗副反应发生之间存在的关系，同时对比不同心理弹性患者的各项生存质量指标，分析肿瘤患者心理弹性与生存质量的关系。结果：102例肿瘤患者在治疗中有59例出现治疗副反应，发生率为57.8%，其中头颈部16例，肺部12例，消化道18例，妇科8例，其他5例。不同部位的肿瘤患者低心理弹性治疗副反应的发生率明显高于中心理弹性，中心理弹性治疗副反应的发生率明显低于高心理弹性，比较差异均有统计学意义（P<0.05）。不同部位的肿瘤患者低心理弹性的生理机能、健康状况、社会功能以及情感智能评分明显低于中心理弹性，中心理弹性的评分明显低于高心理弹性，比较差异均有统计学意义（P<0.05）。结论：肿瘤放化疗患者的心理弹性与治疗副反应和生存质量之间存在一定的关系，心理弹性越高，治疗副反应发生率越低，生存质量越高。

【关键词】 肿瘤患者； 心理弹性； 治疗副反应； 生存质量

The Relationship of Psychological Resilience with Side Effects and Quality of Life in Patients with Radiotherapy and Chemotherapy for Cancer/SHUI Hui-feng.//Medical Innovation of China，2016，13（31）：100-103

【Abstract】 Objective：To analyze the relationship of psychological resilience with the side effects and the quality of life.Method：102 tumor patients in our hospital for diagnosis and treatment were selected from January 2014 to May 2015 as the research objects， the different psychological resilience in patients with adverse reactions incidence，the relationship between the occurrence of tumor patients with resilience and side effect of the treatment of existing were observed and compared； at the same time the different resilience in patients with the quality of life index were compared.The relationship of tumor patients mental flexibility and quality of life were analyzed.Result：In the treatment of 102 cases with tumor had 59 cases of adverse reactions， the incidence rate was 57.8%， including 16 cases of head and neck， 12 cases of lung， 18 cases of digestive tract， 8 cases of gynecological， 5 cases of other cases.Different parts of the tumor patients with low psychological resilience in the treatment the incidence of side effects was significantly higher than that in the center psychological resilience，the center psychological resilience of those were higher than high psychological resilience，the differences were statistically significant（P<0.05）.Different parts of the tumor patients with low resilience physiological function，health status， social function and emotional intelligence score significantly lower than the center psychological resilience， the center psychological resilience of those were significantly lower than that of high psychological resilience，the differences were statistically significant（P<0.05）.Conclusion：There is a certain relationship of the psychological resilience with the treatment side effects and the quality of life in radiotherapy and chemotherapy.The higher resilience， the lower incidence of side effects，and the higher quality of life.endprint

【Key words】 Cancer patients； Psychological resilience； Treatment side effects； Quality of life

First-authors address：Luoyang Central Hospital Affiliated to Zhengzhou University，Luoyang 471000，China

doi：10.3969/j.issn.1674-4985.2016.31.029

恶性肿瘤是危害人类身心健康的严重疾病，最近几年随着生活环境及饮食习惯等多方面的改变，恶性肿瘤的发生率呈显著上升趋势，严重影响患者的生活质量，威胁患者的生命。目前肿瘤的治疗已发展为手术、放化疗、生物靶向治疗、微创治疗以及姑息治疗的多学科综合治疗，以期延长肿瘤患者的生存时间，提高肿瘤患者的生存率[1-2]。但肿瘤患者在进行放化疗治疗时也会对正常细胞产生损害，患者会出现不同程度的毒副反应，引起恶心呕吐、脱发等副反应症状。此外，放化疗不仅会对肿瘤患者产生严重的躯体副反应，还会对患者产生不同程度的心理副反应。……