摘要
目的探讨乳腺癌患者乐观倾向、应对方式与益处发现的关系以及应对方式在乐观倾向和益处发现间的中介效应。方法采用方便抽样方法,选取2014年10月—2015年6月安徽省某两所医院的乳腺癌患者。采用自行设计的一般人口学资料调查表进行一般资料调查,采用生活定向测验修订版、医学应对方式问卷和中文版益处发现评定量表,分别评估患者乐观倾向水平、应对方式和益处发现水平。结果共发放问卷276份,其中有效问卷260份,有效回收率为94.2%。乳腺癌患者乐观倾向得分为(13.6±4.0)分,面对维度得分为(18.1±4.0)分,回避维度得分为(16.8±2.0)分,屈服维度得分为(9.2±2.9)分,益处发现得分为(46.8±14.0)分。Pearson相关分析结果显示,乐观倾向得分与益处发现得分呈正相关(r=0.631,P<0.01);面对、回避维度得分与益处发现得分呈正相关(r=0.507、0.431,P<0.01);屈服维度得分与益处发现得分呈负相关(r=-0.552,P<0.01)。应对方式(面对、回避、屈服)在乐观倾向和益处发现之间起部分中介效应,其中面对应对在乐观倾向与益处发现的中介效应占总效应的20.15%(0.464×0.274/0.631×100%),回避应对在乐观倾向与益处发现的中介效应占总效应的13.33%(0.355×0.237/0.631×100%),屈服应对在乐观倾向与益处发现的中介效应占总效应的23.25%〔(-0.719)×(-0.204)/0.631×100%〕。结论乳腺癌患者益处发现与乐观倾向、应对方式相关,同时应对方式在乐观倾向和益处发现之间起部分中介效应。
Objective To explore the relationship between optimism tendency,coping style and benefit finding of patients with breast carcinoma and the mediating effect of coping styles between optimism tendency and benefit finding. Methods From October 2014 to June 2015,we enrolled breast cancer patients from two hospitals in Anhui Province,using convenience sampling method. A self- designed questionnaire of general demographic data was used to conduct survey on general data of patients. Optimism tendency level,coping styles and benefit finding level were evaluated by the Revised Life Orientation Test,Medical Coping Modes Questionnaire and Chinese version of Benefit Finding Scale respectively. Results A total of 276 questionnaires were distributed,and 260 effective questionnaires were collected with an effective rate of 94. 2%. The scores of optimism tendency,the dimensions of facing,avoiding and yielding,and benefit finding were（ 13. 6 ± 4. 0）,（ 18. 1 ± 4. 0）,（ 16. 8 ± 2. 0）,（ 9. 2 ± 2. 9） and（ 46. 8 ± 14. 0） respectively. Pearson correlation analysis showed that the optimism tendency had positive correlation with benefit finding（ r = 0. 631, P〈0. 01）; the coping style of facing and avoiding had positive correlation with benefit finding（ r = 0. 507,0. 431; P〈0. 01）; the coping style of yielding had negative correlation with benefit finding（ r =- 0. 552,P〈0. 01）. Coping styles（ facing,avoiding and yielding） played a mediating effect between optimism tendency and benefit finding; the mediating effect of the coping style of facing between optimism tendency and benefit finding accounted for 20. 15%（ 0. 464 × 0. 274 /0. 631 × 100%） in the total effect; the mediating effect of the coping style of avoiding between optimism tendency and benefit finding accounted for 13. 33%（ 0. 355 × 0. 237 /0. 631 × 100%） in the total effect; the mediating effect of the coping style of yielding between optimism tendency and benefit finding accounted for 23. 25%〔（- 0. 719） ×（- 0. 2
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第23期2824-2827,共4页
Chinese General Practice
基金
安徽省高校省级自然科学研究项目(KJ2013Z110)
安徽省第二批科技计划项目(1303063025)
关键词
乳腺肿瘤
乐观倾向
应对方式
益处发现
Breast neoplasms
Optimistic tendency
Coping modes
Benefit finding
