结直肠癌术后化疗患者反刍性沉思现状的影响研究

摘要/Abstract

摘要： 目的探讨结直肠癌术后化疗患者反刍性沉思现状的影响因素,为找到适宜的应对方式提供一定的参照。方法采用横断面调查,选择2024年1月—2024年3月于中山大学附属第六医院接受治疗的117例结直肠癌术后化疗患者作为研究对象。运用问卷调查的方式对患者的基本情况、反刍性沉思水平、心理韧性和感知社会支持度进行调查,对结直肠癌患者反刍性沉思现状的影响因子进行分析。结果接受化疗的结直肠癌患者在侵入性反刍性沉思的评分中获得（12.92±5.06）分,得分率为43.07%;目的性反刍性沉思的评分中获得（14.50±3.62）分,得分率为48.33%,研究观察到侵入性反刍性沉思与心理弹性水平和感知社会支持之间存在负相关,目的性反刍性沉思则与上述两项指标有正相关性（P<0.05）;多重线性回归分析揭示,患者的性别、受教育程度、心理弹性评分、领悟社会支持评分等因素综合影响了侵入性反刍性沉思和目的性反刍性沉思的变异度,分别解释了79%与40.1%的差异性（P<0.05）。结论患有结直肠癌的患者普遍在主动积极的深度思考方面较为缺乏,主要影响因素有性别、教育程度、心理弹性水平和对社会支持的认知程度。鉴于此,医护人员在进行救治和看护时,应特别重视女性患者和学历较低者的心理承受问题,对其提供额外的关心和心理援助,并且应致力于增强患者的应对压力能力以及巩固其社会支持网。

关键词: 结直肠癌, 手术, 化疗, 反刍性沉思

Abstract: Objective To explore the influencing factors of rumination status in patients with postoperative chemotherapy for colorectal cancer, and to provide some reference for formulating corresponding countermeasures. Methods A total of 117 patients with colorectal cancer who received postoperative chemotherapy in the Sixth Affiliated Hospital of Sun Yat-sen University from January 2024 to March 2024 were selected as the subjects of this cross-sectional survey. The general data, rumination level, mental resilience level and perceptive social support level of patients with colorectal cancer were investigated by questionnaire, and the factors affecting rumination level of patients with colorectal cancer were analyzed. Results The score of invasive rumination was (12.92±5.06), and the score rate was 43.07%. Purposive rumination score (14.50±3.62), scoring rate of 48.33%; The correlation study indicated that the score of intrusive rumination was negatively correlated with the score of mental resilience and perceived social support, while purposive rumination had a positive correlation with the above two indicators(P<0.05). Multiple linear regression analysis revealed that gender, educational level, psychological resilience score, and perceptive social support score combined to affect the variability of intrusive rumination and purposive rumination, explaining 79% and 40.1% of the difference, respectively (P<0.05). Conclusion Patients with colorectal cancer generally lack active deep thinking, and the main influencing factors are gender, education level, mental resilience level and social support recognition level. In view of this, medical personnel should pay special attention to the psychological bearing problems of female patients and those with lower education, provide them with additional care and psychological assistance, and strive to enhance patients' ability to cope with pressure and consolidate their social support network.

Key words: colorectal cancer, operation, chemotherapy, rumination

中图分类号:

R473.73

刘浩, 覃双. 结直肠癌术后化疗患者反刍性沉思现状的影响研究[J]. 中华养生保健, 2025, 43(8): 131-135.

LIU Hao, QIN Shuang. The Influence of Rumination Status in Postoperative Chemotherapy Patients With Colorectal Cancer[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(8): 131-135.

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