国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (2): 203-209.doi: 10.7518/gjkq.2023041

• 综述 • 上一篇    下一篇

口腔癌患者心理因素及干预现状分析

王太萍1,2(),石兴莲2(),李喆臻1,2,刘梅1,2,姜健红1,2   

  1. 1.遵义医科大学护理学院 遵义 563003
    2.遵义医科大学附属口腔医院护理部 遵义 563003
  • 收稿日期:2022-09-14 修回日期:2023-01-02 出版日期:2023-03-01 发布日期:2023-03-14
  • 通讯作者: 石兴莲
  • 作者简介:王太萍，硕士，Email：2839231441@qq.com
  • 基金资助:
    贵州省科技计划项目（黔科合成果-LC［2022］006）;遵义市科技计划项目(遵市科合HZ字（2022）14号);贵州省卫生健康委科学技术基金(gzwkj2021-484)

Analysis of psychological factors and intervention in patients with oral cancer

Wang Taiping1,2(),Shi Xinglian2(),Li Zhezhen1,2,Liu Mei1,2,Jiang Jianhong1,2   

  1. 1.Nursing School of Zunyi Medical University, Zunyi 563003, China
    2.Dept. of Nursing, Affiliated Stomatological Hospital, Zunyi Medical University, Zunyi 563003, China
  • Received:2022-09-14 Revised:2023-01-02 Online:2023-03-01 Published:2023-03-14
  • Contact: Xinglian Shi
  • Supported by:
    Guizhou Provincial Science and Technology Plan Project(LC[2022]006);Zunyi Science and Technology Plan Project(HZ(2022)14);Science and Technology Fund Project of Guizhou Provincial Health Commission(gzwkj2021-484)

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摘要：

心理困扰是口腔癌患者常见的社会心理问题，严重影响患者的生存质量。掌握口腔癌患者的心理影响因素及干预措施有助于临床工作者及时发现患者的心理困扰并为其提供心理支持，改善患者的生存质量。本文在回顾口腔癌患者心理困扰相关研究的基础上，分别从社会人口学、躯体症状、疾病治疗因素、疾病应对态度和社会因素等方面分析口腔癌患者心理困扰的相关影响因素和作用，从心理及信息支持、认知行为及药物干预、康复指导和健康教育方面探讨了改善口腔癌患者心理困扰的措施，旨在为广大医务工作者更好地识别口腔癌患者心理困扰的影响因素，为其制定精准防治措施提供参考。

关键词: 口腔癌, 心理困扰, 影响因素, 干预方法

Abstract:

In patients with oral cancer, psychological distress is a common social and psychological problem that se-riously affects the quality of life. Understanding its influencing factors and intervention measures will help clinical wor-kers identify this issue in time and provide psychological support to improve the quality of life of patients. By reviewing related studies on the psychological distress of patients with oral cancer, we analyzed the related influencing factors and influences of psychological distress in patients with oral cancer in detail from the aspects of sociodemographic information, somatic symptoms, disease treatment factors, disease-coping attitudes, and social factors. We also discussed the measures taken to improve psychological distress in patients with oral cancer from the aspects of psychological and information support, cognitive behavior and drug intervention, rehabilitation guidance, and health education. Our work aims to improve the identification of the influencing factors of psychological distress in patients with oral cancer by the majority of medical workers to provide a reference for the formulation of control measures with increased precision.

Key words: oral cancer, psychological distress, influencing factors, intervention methods

中图分类号: 

  • R 78
1 Haron N, Zain RB, Ramanathan A, et al. M-health for early detection of oral cancer in low- and middle-income countries[J]. Telemed J E Health, 2020, 26(3): 278-285.
2 王树斌, 秦帅华, 易雅群, 等. 216例口腔鳞癌患者术后心理困扰影响因素及放疗前、后生存质量评价[J]. 上海口腔医学, 2021, 30(1): 71-76.
Wang SB, Qin SH, Yi YQ, et al. Factors associated with psychological distress after surgery and quality of life before and after radiotherapy in 216 patients with squamous cell carcinoma[J]. Shanghai J Stomatol, 2021, 30(1): 71-76.
3 郭宏梅, 王伟平, 徐春燕, 等. 口腔颌面部恶性肿瘤术后患者心理痛苦及相关因素分析[J]. 护理学杂志, 2021, 36(6): 88-90.
Guo HM, Wang WP, Xu CY, et al. Psychological distress and associated factors in patients receiving surgical management for oral and maxillofacial malignancy[J]. J Nurs Sci, 2021, 36(6): 88-90.
4 Schell JT, Petermann-Meyer A, Kloss-Brandstätter A, et al. Distress thermometer for preoperative scr-eening of patients with oral squamous cell carcinoma[J]. J Craniomaxillofac Surg, 2018, 46(7): 1111-1116.
5 Wang YH, Li JQ, Shi JF, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort stu-dies[J]. Mol Psychiatry, 2020, 25(7): 1487-1499.
6 Riba MB, Donovan KA, Andersen B, et al. Distress management, version 3. 2019, NCCN clinical practice guidelines in oncology[J]. J Natl Compr Canc Netw, 2019, 17(10): 1229-1249.
7 Donovan KA, Deshields TL, Corbett C, et al. Update on the implementation of NCCN guidelines for distress management by NCCN member institutions[J]. J Natl Compr Canc Netw, 2019, 17(10): 1251-1256.
8 Bultz BD. Lessons learned from the science of caring: extending the reach of psychosocial oncology: The International Psycho-Oncology Society 2016 Sutherland Award Lecture[J]. Psychooncology, 2017, 26(6): 721-723.
9 王树斌, 秦帅华, 李新明, 等. 口腔癌患者的心理困扰及生存质量研究[J]. 上海口腔医学, 2018, 27(5): 486-490.
Wang SB, Qin SH, Li XM, et al. Study of psychological distress and quality of life in patients with oral cancer[J]. Shanghai J. Stomatol, 2018, 27(5): 486-490.
10 Hellyer P. The role of religious beliefs in oral cancer diagnosis and treatment[J]. Br Dent J, 2022, 233(1): 42.
11 Gasparro R, Calabria E, Coppola N, et al. Sleep disorders and psychological profile in oral cancer survivors: a case-control clinical study[J]. Cancers, 2021, 13(8): 1855.
12 彭翠娥, 李赞, 周波, 等. 口腔癌术后患者症状群与生活质量的相关性研究[J]. 中华现代护理杂志, 2020(8): 1038-1039.
Peng CE, Li Z, Zhou B, et al. Correlation between symptom groups and quality of life in patients with oral cancer after surgery[J]. Chin J Mod Nur, 2020(8): 1038-1039.
13 Ou MJ, Wang GF, Yan YX, et al. Perioperative symptom burden and its influencing factors in patients with oral cancer: a longitudinal study[J]. Asia Pac J Oncol Nurs, 2022, 9(8): 100073.
14 Bozec A, Majoufre C, De Boutray M, et al. Oral and oropharyngeal cancer surgery with free-flap reconstruction in the elderly: factors associated with long-term quality of life, patient needs and concerns. A GETTEC cross-sectional study[J]. Surg Oncol, 2020, 35: 81-88.
15 秦帅华, 李新明, 李文鹿, 等. 口腔癌患者的生存质量评价分析[J]. 实用口腔医学杂志, 2019, 35(1): 46-50.
Qin SH, Li XM, Li WL, et al. Evaluation of the life quality of the patients with oral cancer[J]. J. Pract Stomatol, 2019, 35(1): 46-50.
16 包睿智, 易俊林, 刘清峰, 等. 老年头颈恶性肿瘤患者放疗前后心理痛苦状态分析[J]. 中华放射肿瘤学杂志, 2021, 30(2): 109-113.
Bao RZ, Yi JL, Liu QF, et al. Analysis of psychological distress in elderly patients with head and neck cancer receiving radiotherapy[J]. Chin J Radiat Oncol, 2021, 30(2): 109-113.
17 Dunne S, Coffey L, Sharp L, et al. Barriers to active self-management following treatment for head and neck cancer: survivors’ perspectives[J]. Psychoon-cology, 2018, 27(10): 2382-2388.
18 于苗苗, 王鸣, 石立新, 等. 口腔癌患者癌因性疲劳的调查分析[J]. 现代临床护理, 2013, 12(10): 13-15.
Yu MM, Wang M, Shi LX, et al. Investigation on cancer related fatigues in oral cancer patients[J]. Mod Clin Nur, 2013, 12(10): 13-15.
19 Wang TJ, Lu MH, Kuo PL, et al. Influences of facial disfigurement and social support for psychosocial adjustment among patients with oral cancer in Taiwan: a cross-sectional study[J]. BMJ Open, 2018, 8(11): e023670.
20 Chen CL, Cao JY, Wang LL, et al. Body image and its associated factors among Chinese head and neck cancer patients undergoing surgical treatment: a cro-ss-sectional survey[J]. Support Care Cancer, 2020, 28(3): 1233-1239.
21 Chang YL, Huang BS, Hung TM, et al. Factors influencing body image in posttreatment oral cavity cancer patients[J]. Psychooncology, 2019, 28(5): 1127-1133.
22 Iftikhar A, Islam M, Shepherd S, et al. Cancer and stress: does it make a difference to the patient when these two challenges collide[J]. Cancers, 2021, 13(2): 163-192.
23 秦帅华, 李新明, 李文鹿. 口腔癌患者生存质量的影响因素及医学应对方式分析[J]. 华西口腔医学杂志, 2018, 36(3): 271-276.
Qin SH, Li XM, Li WL. Influencing factors on the quality of life and medical coping style of patients with oral cancer[J]. West China J Stomatol, 2018, 36(3): 271-276.
24 Rana M, Kanatas A, Herzberg PY, et al. Relevance of psychosocial factors to quality of life in oral cancer and oral lichen planus: a prospective comparative study[J]. Br J Oral Maxillofac Surg, 2015, 53(7): 621-626.
25 Yuan L, Pan B, Wang W, et al. Prevalence and predictors of anxiety and depressive symptoms among patients diagnosed with oral cancer in China: a cross-sectional study[J]. BMC Psychiatry, 2020, 20(1): 394-409.
26 马芮, 宣岩, 段瑶, 等. 口腔颌面部恶性肿瘤患者术后正念水平调查及影响因素分析[J]. 北京大学学报(医学版), 2022, 54(4): 727-734.
Ma R, Xuan Y, Duan Y, et al. Investigation on mindfulness level of patients with oral and maxillofacial malignant tumor after operation and analysis of its influencing factors[J]. J Peking Univ (Health Sci), 2022, 54(4): 727-734.
27 Chen YJ, Lai YH, Lee YH, et al. Impact of illness perception, mental adjustment, and sociodemographic characteristics on return to work in patients with head and neck cancer[J]. Support Care Cancer, 2021, 29(3): 1519-1526.
28 Togni L, Mascitti M, Vignigni A, et al. Treatment-related dysgeusia in oral and oropharyngeal cancer: A comprehensive review[J]. Nutrients, 2021, 13(10): 3325-3336.
29 Findlay M, Rankin NM, Bauer J, et al. “Completely and utterly flummoxed and out of my depth”: patient and caregiver experiences during and after treatment for head and neck cancer-a qualitative evaluation of barriers and facilitators to best-practice nutrition care[J]. Support Care Cancer, 2020, 28(12): 5771-5780.
30 Rangabashyam M, Koh SQ, Sultana R, et al. Factors associated with returning to work in head and neck cancer survivors in Singapore: a preliminary exploratory mixed-methods approach study[J]. Head Neck, 2021, 43(5): 1451-1464.
31 Sun LY, Liu XL, Weng XL, et al. Narrative therapy to relieve stigma in oral cancer patients: a rando-mized controlled trial[J]. Int J Nurs Pract, 2022, 28(4): e12926.
32 王舒, 夏梦, 朱竞. 心理干预对口腔癌患者围术期疼痛、负性情绪及生活质量的影响[J]. 中国健康心理学杂志, 2019, 27(5): 681-684.
Wang S, Xia M, Zhu J. Effects of psychological intervention on perioperative pain, negative emotions and quality of life in patients with oral cancer[J].China J Health Psychol, 2019, 27(5): 681-684.
33 张春, 张琪, 崔春燕, 等. 共情护理在口腔颌面部恶性肿瘤手术患者术后的应用[J]. 中华肿瘤防治杂志, 2018, 25(S1): 186-187.
Zhang C, Zhang Q, Cui CY, et al. Application of empathy nursing in postoperative patients with oral and maxillofacial malignant tumor[J]. Chin J Cancer Prev Treat, 2018, 25(S1): 186-187.
34 Khandpur M, Kumar K, Kumar S, et al. A single-blinded assessment of the effect of communication on psychological burden among oral cancer and oral potentially malignant disorder patients[J]. J Oral Biol Craniofac Res, 2022, 12(4): 427-430.
35 翟梦君. 心理痛苦温度计及心理干预在口腔颌面部肿瘤病人中的应用[J]. 护理研究, 2014, 28(15): 1837-1839.
Zhai MJ. Application of psychological pain thermometer and psychological intervention for patients with oral and maxillofacial tumor[J]. Chin Nurs Res, 2014, 28(15): 1837-1839.
36 陈晴晴. 正念减压疗法对减轻口腔癌患者心理痛苦的应用[J]. 中国妇幼健康研究, 2017, 28(S4): 368.
Chen QQ. Application of mindfulness-based stress reduction therapy in alleviating psychological pain in patients with oral cancer[J]. Chin J Woman Child Health, 2017, 28(S4): 368.
37 弓儒芳, 刘均娥, 王秋莉. 接纳承诺疗法对口腔癌复发患者癌症复发恐惧的影响[J]. 护理学杂志, 2019, 34(16): 84-86.
Gong RF, Liu JE, Wang QL. Effect of acceptance and commitment therapy on fear of cancer recurrence among recurrent oral cancer patients[J]. J Nurs Sci, 2019, 34(16): 84-86.
38 Wang CH, Huang LC, Yang CC, et al. Short- and long-term use of medication for psychological distress after the diagnosis of cancer[J]. Support Care Cancer, 2017, 25(3): 757-768.
39 邢育珍, 王彩芹. 延续护理对舌癌手术患者生活质量的影响[J]. 护理学杂志, 2016, 31(4): 80-82.
Xing YZ, Wang CQ. Effect of continuous nursing on the quality of life of patients with tongue cancer surgery[J]. J Nurs Sci, 2016, 31(4): 80-82.
40 彭翠娥, 李赞, 周晓, 等. 口腔癌游离皮瓣修复术患者的出院准备服务[J]. 护理学杂志, 2017, 32(18): 39-41.
Peng CE, Li Z, Zhou X, et al. Discharge planning for patients receiving free flap reconstruction for oral cancer[J]. J Nurs Sci, 2017, 32(18): 39-41.
41 彭翠娥. 网络互动教育在口腔癌手术病人护理中的应用[J]. 护理研究, 2019, 33(3): 376-380.
Peng CE. Application of network interactive education in the nursing of patients with oral cancer[J]. Chin Nurs Res, 2019, 33(3): 376-380.
42 Champarnaud M, Villars H, Girard P, et al. Effectiveness of therapeutic patient education interventions for older adults with cancer: a systematic review[J]. J Nutr Health Aging, 2020, 24(7): 772-782.
43 闫媛媛, 王磊, 王梦瑶, 等. 叙事循证医学模式在护理中的应用[J]. 解放军护理杂志, 2021, 38(7): 78-81.
Yan YY, Wang L, Wang MY, et al. Application of narrative evidence-based medicine model in nursing[J]. Nurs J Chin PLA, 2021, 38(7): 78-81.
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[4] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
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[6] 侯锐. 正畸患者釉白斑损害的纵向激光荧光研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
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