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Journal of Peking University (Health Sciences) ›› 2022, Vol. 54 ›› Issue (4): 727-734. doi: 10.19723/j.issn.1671-167X.2022.04.023

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Investigation on mindfulness level of patients with oral and maxillofacial malignant tumor after operation and analysis of its influencing factors

Rui MA,Yan XUAN,Yao DUAN,Ting SHUAI*()   

  1. Second Clinical Division, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry & NMPA Key Laboratory for Dental Materials, Beijing 100020, China
  • Received:2021-07-28 Online:2022-08-18 Published:2022-08-11
  • Contact: Ting SHUAI E-mail:shuai13921832260@126.com
  • Supported by:
    the Hongrui Nursing Young Scholars Development Research Fund Project of Peking University(HRHL19MS04)

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Abstract:

Objective: To investigate the status quo of postoperative mindfulness level in patients with oral and maxillofacial malignant tumors, to analyze its influencing factors, and to provide targeted support for the patients, in order to provide evidence for clinical support. Methods: A total of 452 patients with oral and maxillofacial malignant tumor who were admitted to the Peking University School of Stomatology from January 2021 to June 2021 were followed up by convenience sampling method, the general information questionnaire, the Five Facet Mindfulness Questionnaire, the 10-item perceived stress scale, and the self-esteem scale were used. The t test and analysis of variance were used to compare the scores of mindfulness of the patients with different demographic characteristics after oral and maxillofacial malignant tumors, and the differences of mindfulness levels between the patients with oral and maxillofacial malignant tumors and the normal population were compared by the Z test, Spearman correlation analysis was used to analyze the correlation between the scores of mindfulness and perceived stress and self-esteem. Multiple linear regression was used to analyze the influencing factors of mindfulness levels. Results: A total of 439 valid questionnaires were collected. The average score of postoperative mindfulness of the patients with oral and maxillofacial malignant tumor was 120.28±13.86. The scores of each dimension from high to low were as follows: act with awareness, non-judging, describing, observing, and non-reacting. Compared with the normal population, the patients with oral and maxillofacial malignant tumor showed significant differences in the total scores and scores of various dimensions after surgery. The t test and ANOVA showed that different duration of disease, age, residence, education, marital status, per capita monthly income, occupation, and medical payment methods had influences on postoperative mindfulness level of the patients with oral and maxillofacial malignant tumor (P < 0.10). Spearman correlation analysis showed that the level of mindfulness was negatively correlated with the level of perceived stress, and positively correlated with the level of self-esteem. The duration of illness, marital status, stress perception and self-esteem were included in the regression equation, suggesting that postoperative mindfulness levels of the patients with oral and maxillofacial malignant tumor had an important effect. Conclusion: Patients with oral and maxillofacial malignant tumors have low postoperative mindfulness, which is related to duration of disease, marital status, and the level of perceived stress. Medical staff should identify this group as soon as possible, provide effective psychological intervention, help to improve the level of mindfulness, and strive to improve the patients'mental health.

Key words: Oral and maxillofacial malignant tumor, Mindfulness, Affective symptoms

CLC Number: 

  • R739.8

Table 1

Scores of FFMQ for patients with oral and maxillofacial malignant tumor"

Dimension Quantity terms Scores of dimension Average score of Dimension, $\bar x \pm s$ Average score of mindfulness, $\bar x \pm s$
Observing 8 40 22.25±7.00
Describing 8 40 24.86±5.78
Act with awareness 8 40 33.69±13.09 120.28±13.86
Non-judging 8 40 25.29±5.83
Non-reacting 7 35 20.14±4.99

Table 2

Single factor analysis of oral mindfulness score in patients with maxillofacial malignant tumor after operation"

Items n Constituent ratio/% Score of mindfulness, $\bar x \pm s$ Statistic (F/t) P
Neoplasms histologic type 0.687 0.601
    SCC 307 69.63 120.43±13.46
    ACC 38 8.66 119.03±13.12
    MEC 38 8.66 119.58±14.35
    Osteosarcoma 22 5.01 117.32±15.13
    Others 34 7.74 123.00±16.83
Chemotherapy 0.274 0.230
    Yes 148 33.71 119.16±14.83
    No 291 66.29 120.84±13.33
Radiotherapy 6.540 0.757
    Yes 30 6.83 119.23±19.30
    No 409 93.17 120.35±13.40
Metastasis 2.055 0.251
    Yes 381 86.79 120.57±13.42
    No 58 13.21 118.33±16.48
Duration of illness/months 2.166 0.091
    ≤6 156 35.54 122.34±12.58
    7-12 87 19.82 118.16±13.39
    13-48 139 31.66 120.00±14.32
    ≥49 57 12.98 118.53±16.17
Gender 0.142 0.706
    Female 179 40.77 120.17±14.47
    Male 260 59.23 120.35±13.45
Age/years 3.779 0.024
    1-30 32 7.29 125.00±13.02
    31-55 193 43.96 118.56±13.58
    56-88 214 48.75 121.12±14.05
Residence 3.664 0.012
    City 229 52.16 122.33±14.95
    County 82 18.68 118.63±13.69
    Town 45 10.25 117.51±12.03
    Country 83 18.91 117.72±10.81
Education 3.430 0.017
    Junior high school 145 33.03 118.35±10.49
    Senior high school 118 26.88 120.08±15.35
    University 156 35.54 121.19±15.32
    Postgraduate 20 4.56 128.25±11.29
Marital status 2.190 0.089
    Married 383 87.24 119.96±13.86
    Unmarried 29 6.61 126.31±13.60
    Divorced 10 2.28 119.90±9.24
    Widowed 17 3.87 117.24±14.86
Monthly income/yuan 7.437 0.007
     < 3 000 73 16.63 117.63±10.42
    ≥3 000 366 83.37 120.80±14.40
Job 3.322 0.037
    Farmer 92 20.96 117.09±11.21
    Worker 108 24.60 121.83±13.22
    Intellectual 239 54.44 120.80±14.89
Payment 2.601 0.036
    Self-supporting 136 30.98 119.32±13.74
    Medical insurance 227 51.71 120.85±14.26
    NCMS 64 14.58 118.17±11.72
    Free medicare 8 1.82 132.25±11.5
    Others 4 0.91 129.50±19.69
Other disease 0.016 0.590
    Yes 74 16.86 121.07±14.24
    No 365 83.14 120.12±13.80
Religion 0.103 0.349
    Yes 25 5.69 122.80±15.8
    No 414 94.31 120.12±13.74

Table 3

Multiple linear regression analysis on influencing factors of mindfulness level in patients with oral and maxillofacial malignant tumor after operation"

Factor B SE β t P
Constant 117.878 11.471 10.276 < 0.001
Age 0.105 0.058 0.106 1.793 0.074
Duration of illness -1.416 0.606 -0.109 -2.339 0.020
Residence
    City 0.868 2.484 0.031 0.349 0.727
    County -1.100 2.536 -0.031 -0.434 0.665
    Town -2.232 2.875 -0.049 -0.776 0.438
Education
    Junior high school -6.626 3.788 -0.225 -1.749 0.081
    Senior high school -6.865 3.605 -0.220 -1.904 0.058
    University -5.527 3.257 -0.191 -1.697 0.090
Marital
    Married 4.662 3.384 0.112 1.378 0.169
    Unmarried 13.609 4.649 0.244 2.927 0.004
    Divorced 4.734 5.469 0.051 0.866 0.387
Monthly income 0.603 2.244 0.016 0.269 0.788
Job
    Farmer -1.012 2.702 -0.030 -0.374 0.708
    Worker 2.682 1.816 0.083 1.477 0.140
Payment
    Self-supporting -4.461 6.805 -0.149 -0.656 0.512
    Medical insurance -5.491 6.728 -0.198 -0.816 0.415
    NCMS -3.399 7.073 -0.087 -0.481 0.631
    Free medicare 3.859 8.240 0.037 0.468 0.640
Stress perception level -0.409 0.105 -0.200 -3.880 < 0.001
Self-esteem 0.356 0.194 0.095 1.832 0.068
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