农民乳腺癌化疗患者疾病应对方式的现状及强化护理宣教的影响

The clinical study of intensive care treatment effect on coping style in illness of peasant with mammary cancer patients

目的测评农民乳腺癌化疗患者的疾病应对方式,探讨强化护理对其影响。方法将我院化疗的农民乳腺癌患者随机分成宣教组和常护组,并与非农民乳腺癌患者(对照组)作对照,宣教组除接受常规护理外,另接受针对农民乳腺癌患者的强化护理,共12周。在入选时和第12周评价应对方式。结果农民乳腺癌患者在听天由命和逃避方面得分显著高于对照组(P<0.05);在第12周后宣教组和常护组比较,寻求支持、情感宣泄、听天由命和逃避量表的得分差异有统计学意义(P<0.05)。结论农民乳腺癌患者多采用逃避和听天由命的疾病应对方式,强化护理宣教可有效改善其疾病应对方式。

Objective To know the present situation of coping style in illness of peasants who suffered from mammary cancer, and explore the effect of intensive care treatment on coping style in illness. Methods All of 123 peasant patients suffered mammary cancer were randomized into the compared group and the obseaved group, 61 patients who were not peasants were enrolled to compare the coping style with the peasant patients. The obseaved group accepted routine care and intensive care for 12 months, the compared group were given routine care only. Coping styles were evaluated at 12 weeks during the intervention. Results The the coping styles of fatalistic coping and evasive coping were significantly high in peasant patients. After 12 month intensive care, the coping styles which including emotive coping, fatalistic coping, evasive coping and seek help coping changed significantly in the obseaved group. Conclusion Fatalistic coping and evasive coping are the most common coping styles of peasant mammary cancer patients, intensive care is a good mothod to improve the coping styles of these patients.