乳腺癌患者希望水平的影响因素及其与应对方式的关系

Influencing factors of the level of hope and correlation with coping style in breast cancer patients

目的探讨乳腺癌患者希望水平的影响因素及其与应对方式的关系。方法以连续的156例乳腺癌患者为研究对象。记录患者的一般资料，应用社会支持评定量表、Herth希望量表和医学应对量表评估社会支持水平、希望水平和患者的主要应对方式。结果研究对象的社会支持各维度评分分别为客观支持（10．2±3．4）分，主观支持（21．2±5．4）分，支持利用度（7．5±2．4）分，均高于国内常模的（9．3±2．5），（17．8±5．3），（6．9±0．7）分，差异有统计学意义（M分别为4．496，8．012，10．706；P〈0．05）。Herth希望量表总分为（33．9±4．6）分，149例（95．5％）属于中高水平。Logistic多元回归分析显示，年龄、社会支持、经济水平和文化程度是影响希望水平的独立因素。“面对”、“回避”、“屈服”的患者分别有63例（40．4％），53例（34．0％）和40例（25．6％）。Spearman秩相关分析发现，应对方式与希望水平呈正相关。结论乳腺癌患者的希望水平较高，有利于患者采取积极的应对方式。提高社会支持会进一步增加希望水平，改善其应对方式。

Objective To explore the factors affecting the level of hope and the correlation with coping style in breast cancer patients. Methods Totals of 156 consecutive patients with breast cancer were recruited and general information of them were recorded. Social Science Research Solutions, Herth Hope Index and Medial Coping Modes Questionnaire were used to assess the level of social support and hope and the patient＇ s primary coping style. Results The scores of social support of patients such as objective support [ （ 10.2 ± 3.4） vs （9.3 ±2.5） ~ ,subjective support[ （21.2 ±5.4） vs （17.8 ±5.3） ] ,support using[ （7.5 ±2.4） vs （6.9 ± 0.7） ] were higher than that of the national norm （ P 〈 0. 05 ）. The total score of Herth Hope Scale was （33.9 ±4.6）, and 149 cases （95.5%） belonged to a middle to high level. Logistic regression analysis showed that age, social support, economic level and education level were independent factors affecting the level of hope. The coping style of ＂confrontation＂, ＂avoidance＂ and ＂acceptance-resignation＂ were 63 cases （40.4%）, 53 cases （34.0%） and 40 cases （25.6%）. Spearman rank correlation analysis found that coping style was positively correlated with hope score. Conclusions Breast cancer patients have higher levels of hope, which help patients to take an active coping style. Increased social support will further improve the level of hope and coping style.