乳腺癌患者早期适应行为及影响因素  

Early adaptive behavior and influencing factors in breast cancer patients

作　　者：蔚茹[1] 罗稀[1] 王国蓉[1] 杨婧[1] 李娇 张晓璐 张甜 WEI Ru;LUO Xi;WANG Guorong;YANG Jing;LI Jiao;ZHANG Xiaolu;ZHANG Tian(Sichuan Cancer Hospital Research Institute,Chengdu,610042,China)

机构地区：[1]四川省肿瘤医院研究所,四川省成都市610042 [2]四川省四川大学华西医院

出　　处：《护理实践与研究》2023年第11期1579-1585,共7页Nursing Practice and Research

基　　金：2019年四川省科技计划项目(编号:2019YFS0296)。

摘　　要：目的了解患者在疾病早期阶段的成长性适应行为特点及影响因素。方法2019年1月—2022年1月对首次确诊接受治疗的乳腺癌患者采用创伤后成长量表(PTGI)、痛苦表露量表(DDI)、特质应对方式问卷(TCSQ)、领悟社会支持量表(PSSS)和医院焦虑抑郁量表(HADS)进行调查,了解乳腺癌患者在人际关系、欣赏生活、个人力量、新的可能性及精神改变等方面发展水平与影响因素。结果调查结果显示,乳腺癌患者的创伤后成长总分为64.14±15.08分。得分排列前三位的维度为人际关系维度3.54±0.80分,个人力量维度3.27±0.89分,欣赏生活维度3.21±0.86分;得分最低的维度为精神改变1.39±1.03分。多因素线性回归分析结果显示,患者的受教育程度、宗教信仰、痛苦表露指数、积极应对、消极应对、朋友支持、焦虑和抑郁是成长性适应行为的影响因素(P<0.05)。结论改变人际关系和增强个人力量是乳腺癌患者普遍采取的积极的疾病适应行为,但对未来发展机遇缺乏信心;应对方式、自我表露是促进成长适应的重要因素,可作为临床干预的切入点;与抑郁不同,一定水平焦虑情绪可促进成长。Objective To understand the behavioral characteristics and influencing factors of patients in the early stage of the disease.Methods From January 2019 to January 2022,breast cancer patients who were diagnosed for the first time and treated were investigated with the Post Traumatic Growth Scale(PTGI),The Distress Disclosure Index(DDI),Trait Coping Style Questionnaire(TCSQ),Perceived Social Support Scale(PSSS)and Hospital Anxiety Depression Scale(HADS)to understand the relationship,appreciation of life,personal strength The development level and influencing factors of new possibilities and mental changes.Results The total score of the breast cancer patients was 64.14±15.08 points.The top three dimensions were 3.54±0.80 points,personal strength 3.27±0.89 points,and appreciation life 3.21±0.86 points;the lowest score was 1.39±1.03 points.The results of multivariate linear regression analysis showed that educational attainment,religious belief,pain disclosure index,positive coping,negative coping,friend support,anxiety and depression were the influencing factors of growth adaptation behavior(P<0.05).Conclusion Changing interpersonal relationship and enhancing personal strength are common positive disease adaptation behaviors of breast cancer patients,but lack confidence in future development opportunities;coping style and self-disclosure are important factors to promote growth adaptation,which can be used as the entry point of clinical intervention;Unlike depression,a certain level of anxiety can promote growth.

关 键 词：乳腺癌 创伤后成长 疾病适应行为 成长视域 影响因素 

分 类 号：R47[医药卫生—护理学]