乳腺癌化疗患者预期性恶心呕吐与其自我效能感及应对方式的研究

Study on the relationship between expectancy of nausea and vomit and self-efficacy and coping styles among patients received chemotherapy

目的观察乳腺癌化疗患者预期性恶心呕吐发生情况与患者的一般自我效能感及应对方式之间的关系，为今后的心理治疗和干预提供依据。方法采取恶心呕叶调查表、一般自我效能感量表、特质应对方式问卷，对60例经过1-2个化疗周期的乳腺癌患者进行调查。结果发生预期性恶心呕吐患者占41．67％，其自我效能得分、积极应对得分均低于未发生的患者，消极应对得分高于未发生组（9〈0．01）。相关性分析发现，预期性恶心程度与自我效能及积极应对呈负相关（P〈0．05），与消极应对呈正相关（P〈0．05）。结论发生预期性恶心呕吐与患者自我效能感及应对方式有密切的关系，护理人员可运用此特点鼓励患者采用积极的应对方式来减轻预期性恶心呕吐的程度，提高其心理健康水平。

Objective To observe the relationship between expectancy of nausea and vomit and self- efficacy and coping styles among patients received chemotherapy, so as to provide the evidence for psychological therapy and intervention. Methods 60 cases under such condition were investigated with the Nausea and Vomit Questionnaire, General Self-Efficacy Scale and Trait Coping Style Questionnaire. Results 41.67% of the patients showed expectancy of nausea and vomit, whose score of self-efficacy and positive coping styles were lower than those with no expectancy of nausea and vomit, while the passive coping styles was higher. The degree of expectancy of nausea and vomit indicated the negative correlation with positive coping styles and the positive correlation with the netive coping styles. Conclusions There are close correlation between expectancy of nausea and vomit and patients self-efficacy. Nurses should eneourge the patients to lessen the degree of expectancy of nausea and vomit with potive coping styles, thereby to improve the levels of mental health.