乳腺癌患者术后自我形象与应对方式的相关性研究  

Correlation between postoperative self-image and coping style of patients with breast cancer

作　　者：任海玲[1] 贾辛婕 王晴[1] 

机构地区：[1]天津医科大学肿瘤医院乳腺二科国家肿瘤临床医学研究中心乳腺癌防治教育部重点实验室,300060

出　　处：《中华现代护理杂志》2014年第11期1274-1277,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨乳腺癌患者术后自我形象与应对方式的相关性。方法采用一般资料量表、简易应对方式问卷（SCSQ）和乳腺癌患者自我形象量表（BIBCQ）对410例乳腺癌患者术后的自我形象水平和应对方式进行问卷调查，并采用Pearson相关分析法对两者之间的相关性进行分析。结果共发放问卷410份，回收有效问卷391份，有效率为95．4％。乳腺癌患者术后自我形象总分为（81．51±21．96）分，在疾病易感、身体关注、身体羞耻、透视维度、功能受限及患臂关注6个维度中，得分最高的为疾病易感维度，得分为（29．33±7．99）分，得分最低的为患臂关注维度，得分为（0．98±3．90）分。患者应对方式量表积极应对维度得分为（2．05±0．53）分，消极应对维度得分为（1．46±0．51）分。自我形象总分及疾病易感、身体羞耻、功能受限、身体关注维度水平分别与积极应对方式呈负相关（P＜0．05）。结论乳腺癌术后患者自我形象水平较差，乳腺癌患者越多采用积极应对方式，其自我形象评价越好，自我形象水平越高，越有利于提高乳腺癌术后患者的生活质量。Objective To investigate the correlation between postoperative self-image and coping style of patients after breast cancer resection .Methods Totals of 410 patients undergoing breast cancer resection were assessed by using simplified coping style questionnaire （ SCSQ ） and body image after breast cancer questionnaire （ BIBCQ ） .The correlation was then analyzed through Pearson method .Results Totals of 410 questionnaires were distributed , and 391 questionnaires returned , with an effective rate of 95.4%.The total score of postoperative self-image was （81.51 ±21.96）.Within the aspects of disease susceptibility , body shame, functional limitation , physical attention dimensions and etc , the highest was disease susceptibility with a score of （29.33 ±7.99）, while the lowest was limb attention with a score of （0.98 ±3.90）.For the SCSQ, the score of positive coping style was （2.05 ±0.53）, and the score of negative coping style was （1.46 ± 0.51）.There was an obvious negative correlation between self-image level and positive coping style （ P ＆lt;0.05）.The scores of disease susceptibility , body shame, functional limitation, physical attention dimensions also had significantly negative correlations with positive coping style （P＆lt;0.05）.Conclusions The level of self-image is low in patients with breast cancer .A more positive coping style can help the patients achieve a better self-image, thus, it can raise the quality of life of patients .

关 键 词：乳腺肿瘤 自我形象 应对方式 相关性 

分 类 号：R473.73[医药卫生—护理学]