恶性肿瘤患者心理弹性与应对方式和生活质量的相关性研究。

IF 3.9 4区 医学 Q1 PSYCHIATRY
Xue-Jin Qin, Man-Man Kang, Fei Zhong, Jing-Jing Liu, Zheng-Chun Zhu, Di Zhang, Ke Han
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引用次数: 0

摘要

背景:心理弹性是个体在经历逆境、创伤等后的适应能力和心理反弹能力。适应力强的患者可以积极面对疾病。目的:探讨恶性肿瘤患者心理弹性与应对方式和生活质量的关系。方法:研究对象为安徽医科大学附属阜阳医院于2022年3月至2024年3月住院的恶性肿瘤患者。采用Connor-Davidson弹性量表、医疗应对方式问卷、社会支持评定量表和欧洲癌症研究与治疗组织生活质量问卷Core 30分别评估患者的弹性、应对方式、社会支持和生活质量。采用Pearson相关分析评估相关性。结果:175例恶性肿瘤患者在年龄、文化程度、就业状况、家庭月收入、疾病分期等方面差异无统计学意义(P < 0.05)。恶性肿瘤患者应对方式在对抗、回避和逃避维度的得分分别为17.49±1.20分、17.27±1.46分和11.19±1.29分。社会支持方面的主观支持、客观支持和支持利用得分分别为10.67±1.80分、11.26±2.08分和9.24±1.14分。总弹性分、坚韧、自我完善、乐观维度得分与对抗应对方式得分呈显著正相关,总弹性分、坚韧、自我完善维度得分与回避、逃避应对方式得分呈显著负相关(P < 0.05)。总弹性得分和韧性维度得分与身体功能、角色功能、认知功能、情感功能和社会功能以及整体健康状况呈正相关(P < 0.05),与疲劳、失眠和经济困难呈负相关(P < 0.05)。结论:恶性肿瘤患者的心理弹性与应对方式的对抗维度、社会支持领域总分和各项得分、整体生活质量呈正相关。临床医务人员需要关注医疗应对方式和社会支持对恶性肿瘤患者心理弹性水平的影响,以进一步提高患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlations of resilience with coping styles and quality of life in patients with malignancies.

Background: Resilience is an individual's ability and psychological rebound capacity to adapt well after experiencing adversity, trauma, etc. Patients with strong resilience can face illnesses actively.

Aim: To determine the association of resilience with coping styles and quality of life in patients with malignancies.

Methods: This study included patients with malignant tumors who were hospitalized at Fuyang Hospital Affiliated to Anhui Medical University from March 2022 to March 2024. The Connor-Davidson Resilience Scale, Medical Coping Modes Questionnaire, Social Support Rating Scale, and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were utilized to assess patients' resilience, coping styles, social support, and quality of life, respectively. Pearson correlation analysis was conducted to assess the correlations.

Results: A total of 175 patients with malignant tumors demonstrated no marked difference in terms of age, education level, employment status, monthly household income, and disease staging (P < 0.05). Further, patients with malignancies demonstrated scores of 17.49 ± 1.20, 17.27 ± 1.46, and 11.19 ± 1.29 points in terms of coping styles in confrontation, avoidance, and resignation dimensions, respectively. Subjective support, objective support, and support utilization scores in terms of social support were 10.67 ± 1.80, 11.26 ± 2.08, and 9.24 ± 1.14 points, respectively. The total resilience score and tenacity, self-improvement, and optimism dimension scores were positively correlated with the confrontation coping style score, whereas the total resilience score and tenacity and self-improvement scores were negatively associated with avoidance and resignation coping style scores (P < 0.05). The total resilience score and the tenacity dimension score were positively associated with physical, role, cognitive, emotional, and social functions, as well as global health status (P < 0.05), and were inversely related to fatigue, insomnia, and economic difficulties (P < 0.05).

Conclusion: The resilience of patients with malignancies is positively associated with the confrontation dimension in the coping style, the total and various social support domain scores, and the overall quality of life. Clinical medical staff need to pay attention to the effect of medical coping styles and social support on the resilience level of patients with malignancies to further improve their quality of life.

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来源期刊
自引率
6.50%
发文量
110
期刊介绍: The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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