癌症患者复发恐惧与疾病应对方式的相关性研究  

Relationship between recurrence fear and medical coping modes in cancer patients

作　　者：黄霜[1] 黄佳雨 王国蓉[2] 黄敏[1] 杨承莲[1] 罗稀[2] Huang Shuang;Huang Jiayu;Wang Guorong;Huang Min;Yang Chenglian;Luo Xi(Department of Nursing,Sichuan Cancer Hospital,Chengdu 610041,China)

机构地区：[1]四川省肿瘤医院门诊部,成都610041 [2]四川省肿瘤医院护理部,成都610041 [3]北京大学心理与认知科学学院

出　　处：《中国实用护理杂志》2018年第27期2146-2150,共5页Chinese Journal of Practical Nursing

基　　金：成都市科技局科技惠民项目（2015-HM01-00409-SF）

摘　　要：目的探讨分析癌症患者复发恐惧与其疾病应对方式之间的关系。方法本研究为横断面研究，采用方便抽样选取126例癌症住院患者为研究对象，采用疾病进展恐惧简化量表（FoP-Q-SF）和医学应对方式问卷（MCMQ）进行测评。结果癌症患者疾病复发恐惧总均分（29．97±9．24）分，条目均分（2．50±0．77）分，患者疾病应对方式的面对维度评分（2．55±0．35）分，回避维度评分（2．54±0.35）分，屈服维度评分（2．38±0．54）分。不同性别及不同婚姻状况的癌症患者疾病复发恐惧的社会家庭维度差异有统计学意义（F=4．36、3．22，P〈0．05），不同性别的癌症患者在疾病应对方式回避维度差异有统计学意义（F=6．59，P〈0．05）。应对方式的屈服维度与癌症复发恐惧呈正相关（r=0．481，P〈0．05）。结论女性、离异、倾向采用屈服应对方式的癌症患者复发恐惧较突出，女性任疾病应对方式上倾向于采取回避的应对策略。因此，在肿瘤患者心理干预中应重点关注女性及离异人群，引导患者采用面对的积极应对方式从而降低复发恐惧。Objective To explore the relationship between recurrence fear and coping styles of cancer patients. Methods This study was a cross-sectional study, using the convenience sampling to select 126 inpatient cancer patients as the research object. The Fear of Progression Questionnaire-Short Form （FoP-Q-SF） and Medical Coping Modes Questionnaire （MCMQ） were used. Results The Fear of Progression score was （29.97±9.24） points,the mean score of items was （2.50±0.77） points, and the face dimensions of coping styles was （2.55±0.35） points, the avoidance dimension was （2.54±0.35） points, and the yield dimension was （2.38±0.54） points. Different gender （F=4.36,P 〈 0.05） and marital status （F=3.22, P 〈 0.05） of cancer patients in social family dimension of recurrence fear was statistically significant, different gender of cancer patients in avoid disease dimension was statistically significant （F=6.59,P 〈 0.05）. The yield dimension in coping style was positively correlated with the recurrence of cancer （r=0.481, P 〈 0.05）. Conclusions The recurrent fear of cancer patients with women, divorce and surrender coping strategy is prominent, women tend to take avoid coping strategy in response to disease. Therefore, it＇s important to focus on women and divorced people in the psychological intervention of tumor patients, and guide patients to adopt the positive coping style to reduce the recurrence fear.

关 键 词：肿瘤 复发恐惧 应对方式 

分 类 号：R473.73[医药卫生—护理学]