乳腺癌妇女在等待手术干预时的应对方式:横断面研究

Sarah Fortunato, Matteo Danielis, Renzo Zanotti
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引用次数: 0

摘要

乳腺癌对女性身心的影响非常复杂,它不仅仅是一种需要接受治疗的身体状况。 调查接受手术治疗的乳腺癌妇女如何应对和适应疾病。 在 2022 年 4 月 12 日至 7 月 22 日期间进行横断面研究。这项研究遵循了加强流行病学观察性研究报告(STROBE)指南。 共有 125 名女性参加了研究(中位年龄为 52 岁)。大多数人(64.8%)做出了理性反应,25.4%的人做出了感性反应,9.8%的人没有做出反应。约 76.2% 的人采用以问题为中心的应对方式。与他人共同生活的妇女比独自生活的妇女有更好的适应能力。与理性评估相比,情绪评估增加了适应不良的可能性。非主流应对方式与社会心理适应不良率增加 6 倍有关(OR,5.88;95% CI,1.14-30.30)。 该研究表明,乳腺癌女性患者倾向于采取以问题为中心的应对策略,理性应对与较好的心理适应结果相关,而感性或非主流应对则可能导致较差的适应性。 肿瘤科护士应与目标女性分享应对策略,尤其是考虑到这些策略在确诊后可能带来的积极心理变化。 被诊断出患有乳腺癌并符合手术治疗条件的妇女可能会经历积极的心理转变,因为大多数人都表现出以问题为中心、理性对待疾病的态度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Coping in Women With Breast Cancer Awaiting a Surgical Intervention: A Cross-Sectional Study
Breast cancer affects a woman’s body and mind in complex ways and is more than just a physical condition that requires medical treatment. To investigate how women with breast cancer undergoing surgical treatment cope with and adjust to the disease. A cross-sectional study between April 12 and July 22, 2022. This study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. A total of 125 women participated (median age 52). Most (64.8%) responded rationally, 25.4% emotionally, and 9.8% nonprevailing. About 76.2% used problem-focused coping. Women living with others had better adaptation than those alone. Emotional appraisal increased the likelihood of poor adaptation compared to rational appraisal. Nonprevailing coping was linked to a 6-fold increase in psychosocial maladjustment (OR, 5.88; 95% CI,1.14-30.30). The study indicates that women with breast cancer tend to adopt problem-focused coping strategies, with rational responses correlating with better psychological adaptation outcomes, while emotional or nonprevailing responses may lead to poorer adjustment. Coping strategies should be shared by oncology nurses with targeted women, especially if their potential for postdiagnosis positive psychological change is considered. Women diagnosed with breast cancer eligible for surgical treatment may undergo a positive psychological transformation, as the majority exhibit a problem-focused, rational approach to the disease.
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