摘要
目的探讨乳腺癌患者的创伤后成长及其与应对方式和生存质量的关系。方法采用一般人口学资料问卷,创伤后成长评定量表,乳腺癌生存质量评定量表和医学应对问卷,对372例乳腺癌患者进行横断面调查。结果乳腺癌患者创伤后成长总分为(55.04±14.30)分;生存质量总分为(71.84±16.41)分;乳腺癌患者的创伤后成长与生存质量呈正相关,与应对方式中的面对和回避维度呈正相关,而与屈服维度呈负相关(均P<0.01)。结论乳腺癌患者的创伤后成长呈中等水平,其创伤后成长与患者的应对方式与生存质量相关。临床护理中应鼓励患者正视疾病,采取积极的应对方式,减少消极应对方式,鼓励并激发患者的创伤后成长,以提高其生存质量。
Objective To explore the correlation between posttraumatic growth,coping styles and quality of life in breast cancer patients.Methods A total of 372 breast cancer patients were investigated by using the general demographic information questionnaire,Post-traumatic Growth Inventory（PTGI）,Functional Assessment of Cancer Therapy-Breast（FACT-B）and Medical Coping Modes Questionnaire（MC-MQ）.Results The patients scored 55.04±14.30 on posttraumatic growth and 71.84±16.41 on the FACT-B.The posttraumatic growth was positively correlated with quality of life and two subscales of coping styles including confrontation and avoidance,whereas negatively correlated with acceptance subscale of coping styles（P〈0.01 for all）.Conclusion Breast cancer patients report medium level of posttraumatic growth.The level of posttraumatic growth was correlated with coping styles and quality of life.We should encourage patients to face the disease,adopt positive coping styles and avoid negative coping styles,thus to motivate their growth after diagnosis of breast cancer and improve their quality of life.
基金
山东省高校人文社会科学研究计划项目课题(J11WH13)
泰山医学院博士科研启动基金项目资助
关键词
乳腺癌
创伤后成长
应对方式
生存质量
breast cancer
posttraumatic growth
coping style
quality of life
