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作 者:马莹 王璐[1] 孙明磊[1] 李光辉[1] MA Ying;WANG Lu;SUN Minglei;LI Guanghui(Department of Oral Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
机构地区:[1]郑州大学第一附属医院口腔科,郑州450000
出 处:《癌症进展》2025年第5期541-543,共3页Oncology Progress
基 金:河南省医学科技攻关计划(联合共建)项目(LHGJ20190272)。
摘 要:目的探讨口腔癌患者心理弹性现状及与应对方式的相关性。方法评价106例口腔癌患者的心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]及应对方式[医学应对方式问卷(MCMQ)],分析口腔癌患者心理弹性水平与应对方式的关系。结果口腔癌患者的CD-RISC总分为(59.43±6.44)分,心理弹性水平较低。口腔癌患者MCMQ量表中回避为(16.52±2.24)分,面对为(18.73±2.67)分,屈服为(8.55±1.54)分,应对方式较为消极。口腔癌患者CD-RISC量表各维度(坚韧性、力量性、乐观性)评分及总分与MCMQ量表中回避、屈服维度评分均呈负相关,与面对维度评分均呈正相关(P﹤0.01)。消极应对口腔癌患者的CD-RISC评分明显低于积极应对患者,差异有统计学意义(P﹤0.01)。Logistic回归分析发现,CD-RISC评分为口腔癌患者应对方式的影响因素(P﹤0.01)。结论口腔癌患者的心理弹性水平较低,与应对方式有关,患者倾向于选择积极应对可提高患者的心理弹性水平。Objective To investigate the status quo of mental resilience in patients with oral cancer and its correlation with coping styles.Method Mental resilience[Connor-Davidson resilience scale(CD-RISC)]and coping style[medical coping modes questionnaire(MCMQ)]of 106 patients with oral cancer were evaluated,and the relationship between mental resilience and coping styles was analyzed.Result The total score of CD-RISC in patients with oral cancer was(59.43±6.44)points,and the level of mental resilience was lower.In the MCMQ scale of oral cancer patients,avoidance score was(16.52±2.24)points,facing score was(18.73±2.67)points,yielding score was(8.55±1.54)points,and coping styles were relatively negative.The scores of all dimensions of CD-RISC scale(toughness,strength,optimism)and total score were negatively correlated with the avoidance and yield scores of MCMQ scale,and positively correlated with the face score of MCMQ scale(P<0.01).The CD-RISC score of patients with negative coping was significantly lower than that of patients with positive coping,and the difference was statistically significant(P<0.01).Logistic regression analysis showed that CD-RISC score was influential factor of coping style in patients with oral cancer(P<0.01).Conclusion The mental resilience of patients with oral cancer is low,which is related to coping style.Patients tend to choose positive coping can improve the mental resilience.
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