87例肺癌患者应对方式与心理障碍关系分析

Analysis on relationship between coping style and psychological obstacle of 87 patients with lung cancer

目的:探讨肺癌患者治疗过程中的应对方式特点及与心理障碍关系。方法:使用医学应对方式的量表(MCMQ)、Zung氏抑郁自评量表(SDS)、焦虑自评量表(SAS)对87例住院肺癌患者测定。结果:87例肺癌患者的面对、回避和屈服分值分别为16.28±2.16、14.94±3.07、16.67±2.43。性别、年龄的医学应对方式无差异(P>0.05)。抑郁和焦虑与屈服应对方式呈正相关,面对和回避呈负相关。结论:屈服的应对方式对癌症患者治疗、康复影响最大,因而消除心理障碍的护理工作在临床医学上显得极其重要。

Objective： To investigate the coping style during the course of treatment and relationship between coping style and psychological obstacle in the patients with lung cancer. Methads： 87 patients were tested with Medical Coping Modes Questionnaire （ MCMQ）, Zung Self-rating Depression Scale（SDS）and Self-Rating Anxiety Scale（SAS）. Results： The scores of confrontation, avoidance and resignation in 87 patients were 16.28± 2.16, 14. 945±3.07, 16.67±2.43 respectively. There were no relationship of sex, ages to coping style（P〉0.05）. There was a positive correlation between depression anxiety and resignation coping style, and a negative correlation between depression anxiety and coping style of confrontation, avoidance. Conclusion： Resignation coping style has significant influence on prognosis of patients with cancer. It is very important to dispel the psychological obstacle in clinical nursing practice.