Comparison of health locus of control in oncological and non-oncological patients

Katarzyna Gibek, T. Sacha
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引用次数: 15

Abstract

Aim of the study The aim of the study was to investigate whether there are differences in the various dimensions of the health locus of control between oncological and non-oncological patients and to determine whether there is a relationship between the level of health locus of control and the type, duration of disease and gender. Material and methods The study was conducted at the Department of Hematology and the 1st Department of Cardiology of the University Hospital in Krakow. 204 patients were enrolled. Our own questionnaire developed for this purpose and the Multidimensional Health Locus of Control scale were used. The US normalization group and the Polish standardization groups of the chronically ill patients were used for comparative analysis. Results Analysis showed significant differences between women and men in the Internal control scale (p < 0.02). The respondents from both groups showed lower scores in the Internal locus of control and much higher scores in the dimension Powerful Others. In the group of oncological patients, a negative correlation was found between the Internal scale of health locus of control and the duration of the disease (p = 0.007). There was a significant difference between oncological and non-oncological patients in the Powerful Others scale (p < 0.004). Conclusions The results suggest that oncologically ill patients could be more convinced that others are responsible for their health when compared to non-oncological patients. The longer the disease persists in oncological patients, the weaker is their internal motivation to achieve good treatment results.
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肿瘤患者与非肿瘤患者健康控制点的比较
研究的目的本研究的目的是调查肿瘤患者和非肿瘤患者在健康控制点的各个维度上是否存在差异,并确定健康控制点水平与疾病类型、病程和性别之间是否存在关系。材料与方法本研究在克拉科夫大学医院血液科和心脏科一科进行,共纳入204例患者。我们为此目的开发了自己的调查问卷,并使用了多维健康控制点量表。采用慢性病患者美国标准化组和波兰标准化组进行比较分析。结果分析显示,男女在内部控制量表上差异有统计学意义(p < 0.02)。两组被调查者在“内在控制点”维度上得分较低,而在“强大他人”维度上得分较高。在肿瘤患者组中,健康控制点内部量表与病程呈负相关(p = 0.007)。肿瘤患者与非肿瘤患者在“强大他人”量表上的差异有统计学意义(p < 0.004)。结论与非肿瘤患者相比,肿瘤患者更相信他人对自己的健康负责。肿瘤患者病情持续时间越长,其取得良好治疗效果的内在动力就越弱。
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