摘要
目的:探讨肝癌部分切除术患者心理弹性与社会支持、应对方式的相关性。方法:选取某院2018年5月-2020年5月112例肝癌部分切除术患者,调查患者一般资料,使用中文版心理弹性量表(CD-RISC)评价患者心理弹性,并通过中文版医学应对问卷(MCMQ)和社会支持评定量表对患者进行问卷调查,分析患者心理弹性与社会支持、应对方式的相关性。结果:肝癌部分切除术患者心理弹性CD-RISC量表坚韧、乐观、自强及量表总分均低于国内常模(t=-15.278,-14.425,-25.434,-21.392;P<0.05);肝癌部分切除术患者社会支持量表中主观支持、客观支持、对社会支持的利用度及量表总评分均低于国内常模(t=12.345,19.822,24.273,19.156;P<0.05);肝癌部分切除术患者应对方式MCMQ量表中面对维度评分低于国内常模,回避、屈服维度评分高于国内常模(t=-9.166,9.538,8.092;P<0.05);肝癌部分切除术患者心理弹性量表评分与社会支持量表中主观支持、客观支持、对社会支持的利用度以及量表总分呈现正相关(r=0.659,0.468,0.596,0.742;P<0.05);心理弹性量表评分与应对方式MCMQ量表中面对维度呈现正相关,与回避、屈服维度分别呈现负相关(r=0.631,-0.598,-0.538;P<0.05)。结论:肝癌部分切除术患者心理弹性水平低于正常人,且心理弹性水平与社会支持及应对方式密切相关,患者社会支持度越高,采取的积极应对方式越多,心理弹性水平也越高。
Objective:To explore the correlation between psychological resilience and social support,coping styles in patients undergoing partial hepatectomy.Methods:A total of 112 patients undergoing partial hepatectomy in the hospital from May 2018 to May 2020 were enrolled.Their general data were investigated.Psychological resilience of patients was evaluated by Connor-DavidsonResilience Scale(CD-RISC).Thepatients were investigated by medical coping modes questionnaire(MCMQ)and social support rating scale.The correlation between psychological resilience and social support,coping styles was analyzed.Results:The scores of toughness,optimism and self-improvement,and total score of CD-RISC in patients undergoing partial hepatectomy were lower than those of domestic norms(t=15.278,14.425,25.434,21.392;P<0.05),scores of subjective support,objective support and social utilization,and total score of social support scale were all lower than those of domestic norms(t=-12.345,-19.822,-24.273,-19.156;P<0.05),score of facing in MCMQ was lower than that of domestic norms,while scorers of avoidance and yielding were higher than those of domestic norms(t=-9.166,9.538,8.092;P<0.05).The score of psychological resilience scale was positively correlated with scores of subjective support,objective support and social utilization,and total score of social support scale(r=0.659,0.468,0.596,0.742;P<0.05).The score of psychological resilience scale was positively correlated with score of facing dimension in MCMQ,while negatively correlated with scores of avoidance and yielding dimensions(r=0.631,-0.598,-0.538;P<0.05).Conclusion:The level of psychological resilience in patients undergoing partial hepatectomy is lower than that in normal people,which is closely related to social support and coping styles.The higher the social support and the more the active coping styles,the higher the level of psychological resilience.
作者
赵丹丹
赵明
ZHAO Dandan;ZHAO Ming(Department of Oncology,Henan Provincial Hospital,Zhengzhou 450000,China)
出处
《中国健康心理学杂志》
北大核心
2021年第11期1665-1669,共5页
China Journal of Health Psychology
基金
河南省医学科技攻关计划联合共建项目(编号:LHGJ20190095)。
关键词
肝癌部分切除术
心理弹性
社会支持
应对方式
Partial hepatectomy
Psychological resilience
Social support
Coping style
