外阴癌手术患者病耻感与自我效能和应对方式的相关分析  

An analysis of correlation between stigma and self-efficacy and coping style in patients with vulvar cancer underwent surgery

作　　者：孙丽敏[1] 王菲[2] 马春洋 SUN Limin;FANG Fei;Ma Chunyang(Outpatient Center Operating Room,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongfiang,China;Department of Obstetrics and Gynecology,Second ward,The 2nd Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongfiang,China)

机构地区：[1]哈尔滨医科大学附属第一医院门诊中心手术室,哈尔滨150001 [2]哈尔滨医科大学附属第二医院妇产科二病房,哈尔滨150001

出　　处：《中国性科学》2018年第8期49-52,共4页Chinese Journal of Human Sexuality

基　　金：黑龙江省卫生厅科研课题:护理干预在外阴患者围手术期的应用(2013062)

摘　　要：目的:分析外阴癌手术患者病耻感与自我效能和应对方式的相关性。方法:采用精神疾病自我病耻感量表(ISMI)、一般自我效能感量表(GSES)、医学应对方式问卷(MCMQ)对哈尔滨医科大学附属第一医院在2013年6月~2017年6月期间手术治疗的36例外阴癌患者进行问卷调查。观察外阴癌手术患者病耻感与自我效能和应对方式的相关性。结果:(1)在36例外阴癌手术患者中,无自我病耻感的患者占比25. 0%,轻、中、重度自我病耻感患者占比分别为25. 0%、27. 8%、22. 2%。外阴癌手术患者GSES各维度及总评分均明显低于全国常模水平(P <0. 05);(2)与其他慢性病比较,外阴癌手术患者多采用回避、屈服的应对方式(P <0. 05);(3)Spearman相关分析发现,外阴癌手术患者病耻感中的歧视体验、社会退缩、疏远体验、刻板印象认同与一般自我效能感量的4个维度和面对应对方式呈负相关,与回避、屈服应对方式呈正相关;病耻感抵抗与面对应对方式呈正相关,与回避、屈服应对方式呈负相关。结论:外阴癌手术患者的病耻感较高,自我效能水平较低,多采用回避、屈服的应对方式。临床工作者应当对外阴癌手术患者采取相应的措施,降低自我病耻感,提高自我效能水平。Objective：To investigate the correlation between stigma and self-efficacy and coping style in patients with vulvar cancer underwent surgery-. Methods ： The self mental illness stigma scale （ISMI） , general self-efficacy scale （GSES）, medical coping mode questionnaire （MCMQ） were used to survey 36 vulvar cancer cases in The First Affiliated Hospital of Harbin Medical Universityfrom June 2013 to June 2017. The Pearson analysis was used to investigate the correlation between stigma and self-efficacy and coping style in patients with vulvar cancer underwent surgery. Results： （1）In 36 cases with vulvar cancer underwent surgery, the cases without self stigma accounted for 25.0% , and the cases with mild, moderate and severe self stigma accounted for 25.0% , 27.8% and 22.2% respectively. The dimensions and total scores of GSES in patients with vulvar cancer were significantly lower than that of the national norm （P 〈0.05）. （1）Compared with the other chronic diseases, the way of avoiding and yielding were mainly taken by patients with vulvar cancer （ P 〈 0.05 ）. （2）The results of the Spearman correlation analysis showed that the experience of discrimination, social withdrawal, alienation experience, stereotype identity were negatively correlated with 4 dimensions of general self-efficacy scale and facing coping style ; and positively correlated with avoidance and coping style. The stigma resistance facing coping style was positively correlated with avoidance and was negatively related with resignation coping style. Conclusions： The stigma of patients with vulvar cancer underwent surgery is high and their self-efficacy level is low, and the main coping style used by patients is a- voidance and resignation. The corresponding measures should be taken by clinical workers for vulvar cancer surgery patients to reduce patient self stigma, improve the level of self-efficacy and encourage patients to face.

关 键 词：外阴癌 病耻感 自我效能 应对方式 相关性 

分 类 号：R737.35[医药卫生—肿瘤]