宫颈癌患者应对方式与心理弹性关系及其作用分析  

Analysis of relationship between coping style and psychological resilience in patients with cervical cancer

作　　者：姜晓娟[1] 陈玲[2] 古力米热·乃扎尔[1] JIANG Xiaojuan;CHEN Ling;Gulimire Naizhaer(Department of Gynecology,the Affiliated Tumor Hospital of Xinjiang Medical University,Urumqi 830011,China;Department of Nursing,the Affiliated Tumor Hospital of Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学附属肿瘤医院妇科,乌鲁木齐830011 [2]新疆医科大学附属肿瘤医院护理部,乌鲁木齐830011

出　　处：《新疆医科大学学报》2022年第7期796-800,共5页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区创新基金项目(2021D01C405)。

摘　　要：目的分析宫颈癌患者应对方式与心理弹性的关系,并研究对其实施心理弹性发展模式的作用。方法选取2019年10月—2020年10月在新疆医科大学附属肿瘤医院就诊的宫颈癌患者102例,采用中文版医学应对方式问卷(Medical copingmodes questionnaire,MCMQ)和Connor-Davidson心理韧性量表(Connor-Davidson resilience scale,CD-RISC)评价患者应对方式与心理弹性,对患者实施心理弹性发展模式干预,比较实施前后患者的应对方式、心理弹性、自我效能和生活质量的变化情况。结果典型相关分析显示宫颈癌MCMQ量表中面对、逃避、屈服与CD-RISC量表中坚韧、自强、乐观有明显的正相关(r=0.711,P<0.001),MCMQ量表中面对与CD-RISC中坚韧、自强、乐观呈正相关;MCMQ量表中逃避、屈服与CD-RISC中坚韧、自强、乐观均呈负相关。心理弹性发展模式实施后,宫颈癌患者在面对项目中的维度评分较实施前增加,回避与屈服项目维度的评分较实施前降低,差异均有统计学意义(P<0.05);心理弹性发展模式实施后,宫颈癌患者在坚韧、自强、乐观项目的维度评分较实施前增加,差异均有统计学意义(P<0.05);心理弹性发展模式实施后,宫颈癌患者在主观感觉、生理领域、心理领域、社会关系领域项目的维度评分以及GSES评分均较实施前增加,差异均有统计学意义(P<0.05)。结论宫颈癌患者MCMQ量表中面对与CD-RISC量表的坚韧、自强、乐观呈正相关,逃避、屈服则与其呈负相关,对宫颈癌患者实施心理弹性发展模式可改善其应对方式和心理弹性,并能提高其自我效能感与生活质量,具有推广价值。Objective To analyze the relationship between coping style and psychological resilience in patients with cervical cancer,and to study the effect of implementing psychological resilience development model.Methods A total of 102 cervical cancer patients were treated and selected at hospital from October 2019 to October 2020.The Chinese version of Medical Coping Style Questionnaire(MCMQ)and Connor-Davidson Psychological Resilience Scale(CDRISC)were used to evaluate the patients'coping styles and psychological resilience.The patients were intervened in development model of psychological flexibility.The coping style,psychological resilience,self-efficacy and quality of life in patients before and after intervention were compared.Results Canonical correlation analysis showed cervical cancer MCMQ Facing,escaping and yielding in CD-RISC scale were positively correlated with tenacity,self-reliance and optimism(r=0.711,P<0.001).MCMQ scale was positively correlated with tenacity,self-improvement and optimism in CD-RISC.Avoidance and surrender in MCMQ scale were negatively correlated with tenacity,self-improvement,and optimism in CD-RISC.After the implementation of the psychological elasticity development model,face dimensionality score of the patient's MCMQ scale were increased,and the avoidance and yield dimensionality scores were decreased(P<0.05).After the implementation of psychological resilience development model,the scores of toughness,self-improvement and optimism on CD-RISC scale in patients were increased(P<0.05).After the implementation of psychological resilience development model,WHOQOL-BREF of the patient’s subjective feelings,physiological domains,psychological domains,social relations domains and general self-efficacy scale(GSES)scores were increased before(P<0.05).Conclusion MCMQ scale in patients of cervical cancer has a positive correlation with tenacity,self-improvement and optimism of CD-RISC scale,while avoidance and surrender are negatively correlated with it.Implementing the psychological resilienc

关 键 词：宫颈癌 心理弹性 应对方式 

分 类 号：R473.6[医药卫生—护理学]