口腔颌面肿瘤病人主要照顾者应激与应对方式现状分析  

Analysis of stress and coping style of caregivers with oral and maxillofacial tumor

作　　者：张金凤 洪淑文 朱燕 ZHANG Jin-feng;HONG Shu-wen;ZHU Yan(Department of Oral and Maxillofacial Head and Neck Oncology,The Ninth People′s Hospital Affiliated to Medical College of Shanghai Jiao Tong University,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海200011

出　　处：《蚌埠医学院学报》2021年第3期399-403,共5页Journal of Bengbu Medical College

摘　　要：目的:探讨应对方式对口腔颌面肿瘤病人照顾者应激水平的影响。方法:以157例口腔颌面-头颈肿瘤科住院治疗病人的主要照顾者作为研究对象,采用自制的一般资料问卷、亲属应激量表、特质应对方式问卷对调查对象的一般资料、应激水平以及应对方式进行调查。结果:口腔颌面-头颈肿瘤病人照顾者的亲属应激量表总分为0~30分;照顾者的积极应对分为10~47分;消极应对分为10~50分;照顾者的应激总分及三个因子分与其积极应对分呈明显负相关关系(P<0.01),与其消极应对分呈明显正相关关系(P<0.01);在照顾者应激总分的回归等式中,病人性别及主要照顾者的消极应对分、积极应对分、觉得自己是否有必要接受相关心理治疗共4个变量进入了回归等式(P<0.05~P<0.01)。结论:口腔颌面-头颈肿瘤病人主要照顾者的应对方式是其应激水平的影响因素,且其应对方式较消极,因此,应有针对性地改善其应对方式,以促进其自身及口腔颌面-头颈肿瘤病人的身心健康。Objective:To discuss the effect of coping style on stress level of caregivers of patients with oral and maxillofacial tumor.Methods:The main caregivers of 157 hospitalized patients in the department of oral and maxillofacial head and neck oncology were selected as the study subjects.The general information,stress level and coping style of the subjects were investigated using the self-made general information questionnaire,relatives stress scale(RSS)and trait coping style questionnaire.Results:The total score of RSS was 0-30 points,the score of positive coping of caregivers was 10-47 points,and the score of negative coping was 10-50 points.The total score of stress and three factors of caregivers were negatively correlated with the score of positive coping(P<0.01),and positively correlated with the score of negative coping(P<0.01).In the regression equation of caregivers′total score of stress,four variables including sex of patients and caregivers′negative coping score,positive coping score,whether it being necessary to accept psychotherapy,entered the regression equation(P<0.05 to P<0.01).Conclusions:The coping style of the main caregivers of patients with oral and maxillofacial head and neck tumor is the influencing factor of their stress level,and their coping style is relatively negative.Therefore,it is necessary to improve their coping style to promote the physical and mental health of themselves and the patients.

关 键 词：口腔颌面-头颈肿瘤 照顾者 应对方式 应激水平 

分 类 号：R739.8[医药卫生—肿瘤]