本文關(guān)鍵詞：膀胱癌病人尊嚴(yán)、自我感受負擔(dān)及心理韌性相關(guān)性研究　出處：《延邊大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:了解膀胱癌病人尊嚴(yán)、自我感受負擔(dān)及心理韌性的現(xiàn)狀,分析影響膀胱癌病人尊嚴(yán)、自我感受負擔(dān)及心理韌性的差異,明確膀胱癌病人尊嚴(yán)、自我感受負擔(dān)及心理韌性的相關(guān)因素,增強尊嚴(yán)、減輕病人自我感受負擔(dān)、加強心理韌性、提高膀胱癌病人的治療依從性并提高生命質(zhì)量,提供實證依據(jù)。方法:本研究屬于非實驗性的相關(guān)性研究。通過便利抽樣的方法在吉林省內(nèi)三所三級甲等醫(yī)院的已確診為膀胱癌的病人為研究對象進行問卷調(diào)查。本次研究共發(fā)放問卷350份,回收327份,其中有效問卷295份,回收率為93.4%,合格率為84.0%。研究工具包括社會人口學(xué)特征、尊嚴(yán)量表、自我感受負擔(dān)量表、心理韌性量表。利用spss19.0統(tǒng)計軟件對整理好的問卷數(shù)據(jù)進行統(tǒng)計分析,分別采用t檢驗、方差分析、相關(guān)分析。結(jié)果:(1)膀胱癌病人的病人尊嚴(yán)總分為(38.39± 16.16)分,處于中等水平,在民族、職業(yè)、教育程度、子女情況、經(jīng)濟收入、醫(yī)保形式等因素上有統(tǒng)計學(xué)差異(P≤0.01)。(2)膀胱癌病人自我感受負擔(dān)的總分為(22.53±10.30),平均得分為(2.25±1.0)分。在經(jīng)濟收入、醫(yī)療費用支付形式、日常生活自理程度、手術(shù)方式、是否復(fù)發(fā)、是否做化療等因素上有顯著性差異。(3)膀胱癌病人的心理韌性總分得分(66.81±20.55),平均得分(2.66±0.79)。各影響因素中年齡、居住地、職業(yè)、教育程度、主要照顧者等多個因素上有顯著性差異。(4)膀胱癌病人尊嚴(yán)、自我感受負擔(dān)及心理韌性三者之間相關(guān)性分析后得出結(jié)論為:尊嚴(yán)與自我感受負擔(dān)之間是正相關(guān)關(guān)系(r=0.793,P≤0.01),尊嚴(yán)與心理韌性之間是負相關(guān)關(guān)系(r=0.482,P≤0.01),自我感受負擔(dān)與心理韌性之間是負相關(guān)關(guān)系(r=0.395,P≤0.01)。結(jié)論:(1)膀胱癌病人尊嚴(yán)水平處于中等水平,其中尊嚴(yán)與民族、職業(yè)、教育程度、子女情況、經(jīng)濟收入、醫(yī)療費用形式、手術(shù)方式、是否進行化療有關(guān)。(2)膀胱癌病人中無明顯感受負擔(dān)的占58.6%,重度感受負擔(dān)的有占10.8%。負擔(dān)最重的是經(jīng)濟負擔(dān),擔(dān)心花費很多錢。(3)膀胱癌病人的心理韌性水平處于中等水平。心理韌性水平與年齡、居住地、職業(yè)、教育程度、經(jīng)濟收入、醫(yī)療費用形式、手術(shù)方式、是否化療、是否復(fù)發(fā)有關(guān)。(4)膀胱癌病人尊嚴(yán)與自我感受負擔(dān)之間是正相關(guān)關(guān)系,與心理韌性之間是負相關(guān)關(guān)系。自我感受負擔(dān)與心理韌性之間是負相關(guān)關(guān)系。即尊嚴(yán)喪失、自我感受負擔(dān)重,心理韌性水平低,反之亦然。
[Abstract]:Objective: to understand the present situation of the dignity, self-perceived burden and psychological resilience of bladder cancer patients, and to analyze the difference of the dignity, self-feeling burden and psychological resilience of bladder cancer patients, and to clarify the dignity of bladder cancer patients. The related factors of self-feeling burden and psychological resilience, enhance dignity, reduce the burden of self-feeling of patients, strengthen psychological resilience, improve the compliance of bladder cancer patients and improve the quality of life. Provide empirical evidence. Methods:. This study is a non-experimental correlation study. A questionnaire survey was conducted among the patients diagnosed with bladder cancer in three grade three first-class hospitals in Jilin province by means of convenience sampling. A total of questionnaires were distributed in this study. 350. 327 copies were recovered, 295 effective questionnaires were collected, the recovery rate was 93.4and the qualified rate was 84.0. The research tools included social demographic characteristics, dignity scale and self-feeling burden scale. Mental resilience scale. The questionnaire data were analyzed by spss19.0 software. T test and ANOVA were used respectively. Results: the total score of patients with bladder cancer was 38.39 鹵16.16, which was in the middle level, in nationality, occupation, education, children's condition and income. There was statistical difference in the form of medical insurance and other factors (P 鈮，

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