乳腺癌术后患者自我效能感与应对方式对癌症复发恐惧的影响研究  

Influences of Self-Efficacy and Coping Styles on Fear of Cancer Recurrence in Postoperative Patients with Breast Cancer

作　　者：曾小红 陶琳 杨颖[2] 付岚[2] 李俊英 Zeng Xiaohong;Tao Lin;Yang Ying;Fu Lan;Li Junying(Department of Cancer Day-Care Unit,Cancer Center,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu 610041,Sichuan,China;Department of Cancer Day-Care Unit,Cancer Center,West China Hospital,Sichuan University,Chengdu 610041,Sichuan,China;Division of Thoracic Tumor Multimodality Treatment,Cancer Center,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西医院肿瘤中心肿瘤日间病房/四川大学华西护理学院,成都610041 [2]四川大学华西医院肿瘤中心肿瘤日间病房,成都610041 [3]四川大学华西医院肿瘤中心胸部肿瘤病房/四川大学华西护理学院,成都610041

出　　处：《肿瘤预防与治疗》2023年第8期688-696,共9页Journal of Cancer Control And Treatment

基　　金：四川大学华西护理学科发展专项基金项目立项资助课题(编号:HXHL19037)。

摘　　要：目的:调查乳腺癌术后患者癌症复发恐惧现状,并探讨其与自我效能感、应对方式的关系。方法:采用一般资料问卷、恐惧疾病进展简化量表(Fear of Progression Questionnaire-Short Form,FoP-Q-SF)、癌症自我管理效能感量表(Strategies Used by People to Promote Health,SUPHH)和医学应对方式问卷(Medical Coping Modes Questionnaire,MCMQ)对335例乳腺癌术后患者进行调查。结果:本研究发放335份调查表,最终回收有效问卷317份。317例乳腺癌术后患者FoP-Q-SF总分(32.89±8.22)分,SUPHH总分(91.63±21.51)分,MCMQ总分(46.04±4.77)分。乳腺癌术后患者复发恐惧与自我效能感的正性态度、自我解压和自我决策3个维度均呈负相关(r值分别为-0.213,-0.308,-0.241;P<0.05);与医学应对方式的面对策略和回避策略呈负相关,与屈服策略呈正相关(r值分别为-0.315,-0.120,0.363;P<0.05)。多元线性回归分析显示,年龄、家庭人均月收入、正性态度、自我减压、面对和屈服是乳腺癌术后患者复发恐惧的影响因素(t值分别为-2.206,-2.549,-2.624,-2.481,-4.476,4.848;P<0.05)。结论:自我效能感和应对方式与乳腺癌术后患者复发恐惧密切相关,建议医护人员在临床工作中注重提高患者的自我效能感,鼓励以积极的应对方式面对疾病,降低复发恐惧感。Objective:To investigate the fear of cancer recurrence in postoperative patients with breast cancer,and explore its relationship with self-efficacy and coping styles.Methods:A total of 335 breast cancer patients were investigated utilizing a general information questionnaire,Fear of Progression Questionnaire-short form(Fo P-Q-SF),Strategies Used by People to Promote Health(SUPHH)and Medical Coping Modes Questionnaire(MCMQ).Results:In this study,335 questionnaires were distributed,and 317 valid questionnaires were finally collected.The total scores of FoP-Q-SF,SUPHH and MCMQ were 32.89±8.22,91.63±21.51 and 46.04±4.77,respectively.Fear of cancer recurrence was negatively correlated to positive attitude,self-decompression,self-decision,confrontation and avoidance(r=-0.213,-0.308,-0.241,-0.315,-0.120,respectively;P 0.05 for all),and was positively correlated to resignation(r=0.363,P 0.050).Multiple linear regression analysis showed that age,monthly family income per capita,positive attitude,self-decompression,confrontation and resignation were the influencing factors of fear of cancer recurrence in postoperative patients with breast cancer(t=-2.206,-2.549,-2.624,-2.481,-4.476,4.848,respectively;P 0.05 for all).Conclusion:Self-efficacy and coping styles are closely related to the fear of cancer recurrence in postoperative patients with breast cancer.In order to alleviate patients'fear of cancer recurrence,medical staff should improve patients'self-efficacy,and encourage patients to face the disease in a positive coping style.

关 键 词：乳腺癌 癌症复发恐惧 自我效能 应对方式 

分 类 号：R737.9[医药卫生—肿瘤] R730.56[医药卫生—临床医学] R473.73