口腔癌患者二元应对现状及影响因素分析

doi:10.19438/j.cjoms.2024.02.010

中国口腔颌面外科杂志 ›› 2024, Vol. 22 ›› Issue (2): 170-174.doi: 10.19438/j.cjoms.2024.02.010

口腔癌患者二元应对现状及影响因素分析

周新凯¹,张月影¹,滕晓菊²,邹卫珍²,吴瑞芳²

1.皖南医学院, 护理学院, 安徽, 芜湖241000;
2.皖南医学院附属弋矶山医院, 护理部, 安徽, 芜湖241000

收稿日期:2023-07-18 修回日期:2023-09-01 出版日期:2024-02-20 发布日期:2024-03-27
通讯作者: 滕晓菊,E-mail: 3291323953@qq.com
作者简介:周新凯（1997-）,男,在读硕士研究生,E-mail: zyyzxk0929@163.com
基金资助:
安徽省高等学校质量工程项目（2020szsfkc0886）

A study on the current status of dyadic coping and factors influencing oral cancer patients

ZHOU Xin-kai¹, ZHANG Yue-ying¹, TENG Xiao-ju², ZOU Wei-zhen², WU Rui-fang²

1. School of Nursing, Wannan Medical University. Wuhu 241000;
2. Nursing Department, Yijishan Hospital Affiliated to Wannan Medical College. Wuhu 241000, Anhui Province, China

Received:2023-07-18 Revised:2023-09-01 Online:2024-02-20 Published:2024-03-27

摘要/Abstract

摘要： 目的: 探讨口腔癌患者二元应对现状,并分析其影响因素。方法: :采用便利抽样法,选择2021年6月— 2022年11月皖南医学院附属弋矶山医院住院治疗的128例口腔癌患者作为研究对象,采用二元应对量表、一般自我效能量表进行调查。采用SPSS 25.0软件包对数据进行统计学分析。结果: :口腔癌患者二元应对总分为（129.85± 11.282）分,一般自我效能总分为（25.45± 4.463）分,两者呈正相关（r=0.822,P< 0.05）;一般自我效能、是否接受过口腔癌相关健康教育,是口腔癌患者二元应对水平的影响因素（调整后R²=0.716,P均< 0.05）。结论: :口腔癌患者二元应对水平处于中等水平,有待进一步提高。医务工作者和其他社会支持力量需加强日常口腔癌相关知识的宣传教育,口腔癌患者可从提高患者一般自我效能感为出发点,提高二元应对水平。

关键词: 口腔癌, 二元应对, 影响因素, 现状研究

Abstract: PURPOSE: To explore the current situation of dyadic coping in oral cancer patients and analyze the influencing factors. METHODS: Using a convenience sampling method, a total of 128 oral cancer patients who were hospitalized in the Department of Stomatology of a tertiary hospital from June 2021 to November 2022 were selected as study subjects and investigated using the binary coping scale and the general self-efficacy scale. SPSS 25.0 software package was used for data analysis. RESULTS: The total binary coping score of oral cancer patients was 129.85±11.282 and the total general self-efficacy score was 25.45±4.463, which were positively correlated(r=0.822, P<0.05). General self-efficacy and whether they had received oral cancer-related health education were the influencing factors of the binary coping level of oral cancer patients (adjusted R²=0.716, P<0.05). CONCLUSIONS: The binary coping level of oral cancer patients is at a moderate level and needs to be further improved. Medical staff and other social support forces need to strengthen the daily publicity and education of oral cancer-related knowledge and health education; at the same time, the general self-efficacy of oral cancer patients can be improved as a starting point, so as to improve the binary coping level of patients.

Key words: Oral cancer, Dyadic coping, Influencing factors, Current study

中图分类号:

R739.8

周新凯¹,张月影¹,滕晓菊²,邹卫珍²,吴瑞芳². 口腔癌患者二元应对现状及影响因素分析[J]. 中国口腔颌面外科杂志, 2024, 22(2): 170-174.

ZHOU Xin-kai, ZHANG Yue-ying, TENG Xiao-ju, ZOU Wei-zhen, WU Rui-fang. A study on the current status of dyadic coping and factors influencing oral cancer patients[J]. China J Oral Maxillofac Surg, 2024, 22(2): 170-174.

参考文献

[1] Wang J, Lv N, Lu X, et al.Diagnostic and therapeutic role of microRNAs in oral cancer (Review)[J]. Oncol Rep, 2021,45(1): 58-64.
[2] D'Cruz A K, Vaish R. Risk-based oral cancer screening- lessons to be learnt[J]. Nat Rev Clin Oncol, 2021, 18(8): 471-472.
[3] Dzioba A, Aalto D, Papadopoulos-Nydam G, et al.Functional and quality of life outcomes after partial glossectomy: a multi-institutional longitudinal study of the head and neck research network[J]. J Otolaryngol Head Neck Surg, 2017,46(1): 56-66.
[4] 秦帅华, 李新明, 李文鹿. 口腔癌相关生存质量量表的系统性回顾研究[J]. 华西口腔医学杂志, 2018, 36(4): 410-420.
Qin SH, Li XM, Li WL.Systematic retrospective study of oral cancer-related quality of life scale[J]. West China Journal of Stomatology, 2018, 36(4): 410-420.
[5] 中华口腔医学会口腔病理学专业委员会.口腔癌及口咽癌病理诊断规范[J].中国口腔颌面外科杂志, 2020, 18(4):289-296.
Chinese Stomatological Association Oral Pathology Committee. Guideline on pathological diagnosis of oral and oropharyngeal squamous cell carcinoma[J]. China Journal of Oral and Maxillofacial Surgery, 2020,18(4): 289-296.
[6] 严颖彬, 毛驰, 彭歆, 等. 应用UW-QOL评价口腔鳞癌患者的生存质量[J]. 中国口腔颌面外科杂志, 2009, 7(6): 495-499.
Yan YB, Mao C, Peng X, et al.Evaluation quality of life in patients with oral squamous cell carcinoma using UW-QOL[J]. China Journal of Oral and Maxillofacial Surgery, 2009, 7(6): 495-499.
[7] 王才康, 胡中锋, 刘勇. 一般自我效能感量表的信度和效度研究[J].应用心理学, 2001, 7(1): 37-40.
Wang CK, Hu ZF, Liu Y.Evidences for reliability and validity of the Chinese version of General Self Efficacy Scale[J]. Chinese Journal of Applied Psychology, 2001, 7(1): 37-40.
[8] 赵露, 李俊玲, 王俊锋, 等. 中青年2型糖尿病患者二元应对现状及影响因素分析[J]. 中华护理杂志, 2022, 57(5): 576-581.
Zhao L, Li JL, Wang JF, et al.Investigation and analysis of factors related to dyadic coping among young and middle-aged patients with type 2 diabetes[J]. Chinese Journal of Nursing, 2022, 57(5): 576-581.
[9] Mittinty MM, Kindt S, Mittinty MN, et al.A dyadic perspective on coping and its effects on relationship quality and psychological distress in couples living with chronic pain: a longitudinal study[J]. Pain Med, 2020, 21(2): e102-e113.
[10] 史素丽, 郝习君, 陈长香. 社区慢性阻塞性肺病老年患者一般自我效能感影响因素[J]. 中国老年医学杂志, 2015, 35(24): 7194-7196.
Shi SL, Hao XJ, Chen CX.Factors influencing self-efficacy in elderly patients with chronic obstructive pulmonary disease in community[J]. Chinese Journal of Gerontology, 2015, 35(24): 7194-7196.
[11] 张鑫, 李一飞, 崔春影, 等. 女性不孕症患者生育压力与一般自我效能及焦虑关系[J]. 中国公共卫生, 2020, 36(5): 807-809.
Zhang X, Li YF, Cui CY, et al.Relationship among infertility-related stress, general self-efficacy and anxiety in female infertility patients[J]. Chinese Journal of Public Health, 2020, 36(5): 807-809.
[12] Lavdaniti M, Tilaveridis I, Palitzika D, et al.Quality of life in oral cancer patients in Greek clinical practice: a cohort study[J]. J Clin Med, 2022, 11(23): 7235-7246.
[13] Tan C, Zhong C, Mei R, et al.Correction to: stigma and related influencing factors in postoperative oral cancer patients in China: a cross-sectional study[J]. Support Care Cancer, 2022, 30(6): 5449-5458.
[14] Yarelahi M, Karimi M, Asadollahi A.Dose spouses' coping skills promote qol and dyadic coping of menopausal women?[J]. Women Health, 2021, 61(5): 431-439.
[15] 安慧颖, 王月芹, 陈长英, 等. 中青年淋巴瘤患者二元应对水平及影响因素分析[J]. 护理学杂志, 2020,35(3): 70-73.
An HY, Wang YQ, Chen CY, et al.The level and related factors of dyadic coping in young and middle-aged lymphoma patients[J]. Journal of Nursing Science, 2020, 35(3): 70-73.
[16] 戴亚端, 张小玲, 汪小灵, 等. 基于IMB模型的初产妇及配偶双主体母乳喂养健康教育[J]. 护理学杂志, 2021,36(17): 82-85.
Dai YD, Zhang XL, Wang XL, et al.Primipara-spouse double subject breastfeeding health education premised on the Information-Motivation-Behavioral Skills Model[J]. Journal of Nursing Science, 2021, 36(17): 82-85.
[17] 姚梦真, 孙铮, 李雪颖. 维持性血液透析病人二元应对水平及影响因素[J]. 护理研究, 2023, 37(3): 511-516.
Yao MZ, Sun Z, Li XY.The level of dyadic coping and influencing factors in patients with maintenance hemodialysis[J]. Chinese Nursing Research,2023,37(3): 511-516.
[18] 段含含, 徐巍, 赵丽敏, 等. 维持性血液透析患者二元应对现状及影响因素分析[J]. 上海护理, 2023, 23(6): 31-35.
Duan HH, Xu W, Zhao LM, et al.Analysis of the status quo and influencing factors of dyadic coping in patients on maintenance hemodialysis[J]. Shanghai Nursing, 2023, 23(6): 31-35.
[19] Rapelli G, Donato S, Parise M, et al.Yes, I can (with you)! Dyadic coping and self-management outcomes in cardiovascular disease: the mediating role of health self-efficacy[J]. Health Soc Care Community, 2022,30(5): e2604-e2617.
[20] Lyons KS, Lee CS.The theory of dyadic illness management[J]. J Fam Nurs, 2018, 24(1): 8-28.
[21] Giesler JM, Weis J.Patient competence in the context of cancer: its dimensions and their relationships with coping, coping self-efficacy, fear of progression, and depression[J]. Support Care Cancer, 2021, 29(4): 2133-2143.
[21] Tiete J, Delvaux N, Lienard A, et al.Efficacy of a dyadic intervention to improve communication between patients with cancer and their caregivers: a randomized pilot trial[J]. Patient Educ Couns, 2021, 104(3): 563-570.

口腔癌患者二元应对现状及影响因素分析

A study on the current status of dyadic coping and factors influencing oral cancer patients

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	刘佳乐, 蔡蕾, 杨钰云, 张燕飞. 110例儿童牙外伤临床特征及发生牙髓坏死的相关因素探讨[J]. 中国口腔颌面外科杂志, 2024, 22(5): 468-472.
[2]	赵安玉琢, 石兴莲, 刘欢, 姜健红, 李哲臻, 刘梅. 人工智能在口腔癌早期诊断中的应用研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(5): 493-498.
[3]	高鹏飞, 林洁. 区域神经阻滞技术用于口腔癌缺损皮瓣修复手术的研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(4): 400-403.
[4]	洪磊, 陈伟良. 口腔癌老年患者术后静脉血栓栓塞症的危险因素分析[J]. 中国口腔颌面外科杂志, 2024, 22(3): 233-238.
[5]	王帅, 何杏芳, 王蕴洁, 吴伟勤, 黄秋雨. 非药物干预对口腔癌患者术后谵妄预防效果的系统评价[J]. 中国口腔颌面外科杂志, 2024, 22(3): 279-286.
[6]	陈瑞斌, 陈岚枫. 2011—2017年福建省口腔癌发病及死亡趋势分析[J]. 中国口腔颌面外科杂志, 2024, 22(1): 68-72.
[7]	陈歆旖, 李晨蕾, 秦兴军, 张金凤. 口腔癌患者营养状况变化轨迹及其影响因素分析[J]. 中国口腔颌面外科杂志, 2023, 21(6): 538-547.
[8]	周新凯, 滕晓菊, 张月影. 基于CiteSpace口腔癌患者生存质量研究的可视化分析[J]. 中国口腔颌面外科杂志, 2023, 21(6): 586-592.
[9]	陈玉, 陶明, 雷银富, 吴和梅, 彭晓峰, 苟登群. 口腔癌患者术后肺部感染危险因素的meta分析[J]. 中国口腔颌面外科杂志, 2023, 21(5): 511-517.
[10]	李贵忠, 李洁莹, 周凯, 孟宇翔, 王可心, 葛胜优, 宋凯, 冯元勇, 陶月琴, 展晓红, 尚伟. 淋巴结外扩展对口腔鳞癌患者TNM分期及生存预后的影响[J]. 中国口腔颌面外科杂志, 2023, 21(4): 377-383.
[11]	汪子恒, 周韧, 严佳, 张磊, 杨雅琼, 姜虹. 靶向EGFR治疗联合化疗与单纯化疗对口腔癌痛的影响[J]. 中国口腔颌面外科杂志, 2023, 21(3): 225-230.
[12]	陈伟良. 延长垂直下斜方肌岛状肌皮瓣修复重建大型头颈部缺损[J]. 中国口腔颌面外科杂志, 2023, 21(1): 1-10.
[13]	周瑜, 翁海燕, 司呈云, 段贤捷, 安星妃, 章礼玉. 第8版TNM分期修订版对早期口腔黏膜鳞癌患者预后及危险分层作用的临床研究[J]. 中国口腔颌面外科杂志, 2022, 20(6): 571-576.
[14]	吴梓谦, 殷玉兰, 杨文玉, 张贞, 侯黎莉, 王磊. 口腔癌患者术后舌神经功能障碍与生活质量的关系评价[J]. 中国口腔颌面外科杂志, 2022, 20(5): 449-454.
[15]	樊文慧, 劳峥, 石慧烽, 毕帆, 涂文勇, 胡海生. 3D打印可分离式口腔支架在口腔癌放疗中的摆位准确性研究[J]. 中国口腔颌面外科杂志, 2022, 20(5): 466-470.