文章摘要
徐莉,王蕾,李雁飞.老年食管癌病人味嗅觉改变与应对方式、反刍性沉思的相关性[J].安徽医药,2022,26(9):1747-1751.
老年食管癌病人味嗅觉改变与应对方式、反刍性沉思的相关性
Correlation between taste and smell changes, coping style and rumination meditation in elderly patients with esophageal cancer
  
DOI:10.3969/j.issn.1009-6469.2022.09.012
中文关键词: 食管肿瘤  味觉异常  嗅觉障碍  适应,心理学  老年人  应对方式  反刍性沉思
英文关键词: Esophageal neoplasms  Dysgeusia  Olfaction disorders  Adaptation, psychology  Aged  Coping styles  Rumination meditation
基金项目:江苏省卫生计生委科研课题(BJ15015)
作者单位E-mail
徐莉 江苏省人民医院老年消化2病区江苏南京224000  
王蕾 江苏省人民医院老年消化2病区江苏南京224000  
李雁飞 江苏省人民医院老年消化2病区江苏南京224000 448178728@qq.com 
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中文摘要:
      目的探讨老年食管癌病人味嗅觉改变与应对方式、反刍性思维的相关性。方法选取江苏省人民医院2017年5月至2019年10月72例老年食管癌病人,收集病人一般资料及评估味嗅觉改变。采用Pearson相关法分析味嗅觉调查表(TSS)评分与简易应对方式问卷(SCSQ)、事件相关反刍性沉思问卷(ERRI)的相关性。结果39例(54.17%)病人出现味嗅觉改变,以轻度改变为主。TSS无改变及轻、中、重度改变病人的TSS评分的整体差异有统计学意义(P<0.05),两两比较均差异有统计学意义(P<0.05)。72例病人SCSQ中积极应对得分(16.92±3.09)分,高于消极应对得分的(13.04±2.17)分(P<0.05)。ERRI评估结果侵入性反刍沉思得分为(15.30±4.96)分,目的性反刍沉思得分为(16.25±4.57)分,差异无统计学意义(P>0.05)。Pearson相关性分析显示,TSS评分、消极应对与侵入性反刍沉思呈显著正相关,与目的性反刍沉思呈显著负相关(P<0.05);积极应对得分与侵入性反刍沉思呈显著负相关,与目的性反刍沉思呈显著正相关(P<0.05)。结论老年食管癌病人味嗅觉改变的发生易使病人倾向于采取消极应对。而应对方式与反刍性沉思之间有明显相关性,积极应对与目的性反刍性沉思呈显著正相关。
英文摘要:
      Objective To explore the correlation between changes in taste and smell and coping styles and rumination thinking in elderly patients with esophageal cancer.Methods A total of 72 elderly esophageal cancer patients in Jiangsu Province Hospital were selected from May 2017 to October 2019. The general data of the patients were collected, and changes in taste and smell were evaluated.The Pearson correlation method was used to analyze the correlation between the taste and smell questionnaire score (TSS), the Simplified Coping Style Questionnaire (SCSQ) and the Event-Related Rumination Inventory (ERRI).Results Thirty-nine cases (54.17%)had changes in taste and smell, mainly mild changes. The overall difference in TSS scores of patients with no change, mild change, moderate change, and severe change was statistically significant in pairwise comparisons (P < 0.05). The positive coping score on the SCSQ of 72 patients was 16.92±3.09, which was higher than the negative coping score (13.04±2.17), and the difference was statistically significant (P < 0.05). In the ERRI assessment results, the score of invasive rumination was 15.30±4.96, the score of purposeful rumination was 16.25±4.57, and the difference was not statistically significant (P > 0.05). Pearson correlation analysis showed that TSS score and negative coping were significantly positively correlated with intrusive rumination and negatively correlated with purposeful rumination(P < 0.05); positive coping score was significantly negatively correlated with intrusive rumination and significantly positively correlated with purposeful rumination (P < 0.05).Conclusions The change in taste and smell in elderly patients with esophageal cancer tends to make the patients tend to take negative responses. There was a significant correlation between coping style and rumination, and positive coping was significantly positively correlation with purposeful rumination.
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