摘要
目的探讨口腔癌术后患者容貌焦虑情况及与负面评价恐惧、应对方式的关系。方法选取2021年1月至2023年8月收治的84例口腔癌术后患者,分别采用社交外貌焦虑量表、负面评价恐惧量表简版(BFNES)和医学应对方式问卷(MCMQ)评价容貌焦虑程度、负面评价恐惧和应对方式,采用Pearson相关分析容貌焦虑和负面评价恐惧、应对方式之间的相关性,采用多元线性回归分析负面评价恐惧和应对方式对患者容貌焦虑的影响。结果口腔癌术后患者性别、年龄与容貌焦虑程度有关(P<0.05),婚姻状况、学历、肿瘤分期、病理类型和宗教信仰与容貌焦虑程度无关(P>0.05)。口腔癌术后患者社交外貌焦虑量表得分为(61.25±5.23)分,BFNES得分为(30.95±3.49)分,MCMQ中面对得分为(28.25±2.18)分,回避得分为(12.57±2.01)分,屈服得分为(10.14±1.57)分。Pearson相关分析显示,口腔癌术后患者容貌焦虑和负面评价恐惧、回避、屈服应对方式呈正相关(r=0.290、0.344、0.415,P<0.01),与面对应对方式呈负相关(r=-0.324,P<0.01)。多元线性逐步回归分析显示,负面评价恐惧、回避、屈服应对方式对患者的容貌焦虑具有正向预测作用,面对应对方式对患者的容貌焦虑具有负向预测作用(P<0.05)。结论口腔癌术后患者容貌焦虑程度较重,且与负面评价恐惧、回避、屈服应对方式呈正相关,与面对应对方式呈负相关;负面评价恐惧、回避、屈服应对方式对患者的容貌焦虑具有正向预测作用,面对应对方式对患者的容貌焦虑具有负向预测作用。
Objective To explore the appearance anxiety in patients after oral cancer surgery and its relationship with fear of negative evaluation(FNE)and coping modes.Methods A total of 84 patients with oral cancer admitted between January 2021 and August 2023 were enrolled.The appearance anxiety,FNE and coping modes were evaluated by Appearance Anxiety scale-brief version(AAS-BV),Brief fear of negative evaluation scale(BFNES)and the medical coping modes question-naire(MCMQ),respectively.The correlation of appearance anxiety with FNE and coping modes was analyzed by Pearson cor-relation analysis,and the effects of FNE and coping modes on appearance anxiety were analyzed by multiple linear regression analysis.Results The gender and age of patients were correlated with appearance anxiety after oral cancer surgery(P<0.05),while marital status,education level,cancer staging,pathological types and religious beliefs were not correlated with appear-ance anxiety(P>0.05).The scores of AAS-BV,BFNES and facing dimension,avoidance dimension and yielding dimension in MCMQ were(61.25±5.23)points,(30.95±3.49)points,(28.25±2.18)points,(12.57±2.01)points and(10.14±1.57)points,respectively.Pearson correlation analysis showed that appearance anxiety was positively correlated with FNE,avoidance and yielding modes after oral cancer surgery(r=0.290,0.344,0.415,P<0.01),but negatively correlated with facing mode(r=-0.324,P<0.01).Multiple linear stepwise regression analysis showed that FNE,avoidance and yielding modes were of positively pre-dictive effect on appearance anxiety,while facing style was of negatively predictive effect(P<0.05).Conclusion Postoperative patients with oral cancer have a higher degree of appearance anxiety,which is positively correlated with FNE,avoidance and yielding modes,but negatively correlated with facing mode in patients after oral cancer surgery.FNE,avoidance and yielding modes have positively predictive effect on appearance anxiety,while facing mode has negatively predictive effect.
作者
王敏
苏秀茹
庄志征
吴凡
WANG Min;SU Xiuru;ZHUANG Zhizheng;WU Fan(Department of Education,the Third Rongjun Special Care Hospital of Hebei Province,Baoding,Hebei 071000,China;Department of Stomatology,the Affiliated Hospital of Hebei University,Baoding,Hebei 071000,China)
出处
《临床误诊误治》
CAS
2024年第12期36-40,共5页
Clinical Misdiagnosis & Mistherapy
基金
2021年度河北省医学科学研究课题(20210409)。
关键词
口腔肿瘤
焦虑
外观焦虑量表
负面评价恐惧量表简版
医学应对方式问卷
应对方式
回归分析
Oral cancer
Anxiety
Appearance anxiety scale
brief fear of negative evaluation scale
Medical coping modes questionnaire
Coping mode
Regression analysis
