预先指示对癌症患者希望水平和应对方式的影响  

Effect of advance directives on hope level and coping style in cancer patients

作　　者：张微[1] 刘雪融[1] Zhang Wei;Liu Xuerong(A Ward of Oncology First Affiliated Hospital of Harbin Medical University, Harbin 150000. China)

机构地区：[1]哈尔滨医科大学附属第一医院肿瘤内科一病房,150000

出　　处：《中国实用护理杂志》2019年第4期250-253,共4页Chinese Journal of Practical Nursing

摘　　要：目的 探讨预先指示对癌症患者希望水平和应对方式的影响。 方法 采用方便抽样的方法选取168例癌症患者为研究对象,按照是否设立预先指示分为2组,没有设立预先指示的对照组患者给予全力抢救,共88例患者,试验组按照患者事先的意愿进行医疗护理,共80例患者。比较2组患者癌症希望量表和癌症医学应对问卷的得分。 结果 试验组患者癌症希望量表总得分为(24.83 ± 2.59)分,对照组患者癌症希望量表总得分为(30.09 ± 3.36 )分;试验组患者癌症医学应对问卷总得分为(41.21 ± 2.65)分,对照组患者癌症医学应对问卷总得分为(35.85 ± 2.63 )分。2组比较差异有统计学意义(t =11.861、17.817,均P<0.01)。 结论 癌症患者存在多种心理健康问题,设立预先指示的患者能够以一种更加积极的态度面对疾病。Objective To explore the effect of advance directives on hope level and coping style in cancer patients. Methods A total of 168 cancerous person were selected as the research sample according to conveniences sampling. They were divided into two groups according to whether they were set up or not advance directives. A total of 88 patients without advance directives (control group) was given full rescue, and a total of 80 patients (experimental group) was given medical care according to the patient's prior wishes. The scores of the Cancer Hope Scale and the Medical Coping Questionnaire were compared between the two groups. Results The score of the Cancer Hope Scale was (24.83 ± 2.59) points in experimental group, (30.09±3.36) points in control group. The score of the Medical Coping Questionnaire was (41.21±2.65) points in experimental group, (35.85±2.63) points in control group. There was significant difference between the two groups (t =11.861, 17.817, P <0.01). Conclusions There are many mental health problems in cancer patients. Patients with advance directives can face the disease with a more positive attitude.

关 键 词：预先指示 肿瘤 希望水平 应对方式 

分 类 号：R473.73[医药卫生—护理学]