乳腺癌病人焦虑、抑郁、应对方式与生命质量关系的研究

Research on relationship between anxiety,depression,coping style and life quality in breast cancer patients

[目的]探讨乳腺癌病人术后焦虑、抑郁情绪及应对方式对其生命质量的影响程度,为医护人员开展心理护理提供依据。[方法]采用乳腺癌病人生命质量测定量表、焦虑自评量表、抑郁自评量表和特质应对方式问卷对116例乳腺癌病人进行测试,并分析其相关性以及各因素对乳腺癌病人生命质量的影响程度。[结果]乳腺癌病人术后生命质量水平偏低;乳腺癌病人生命质量总分及各维度均与消极应对、焦虑、抑郁呈负相关,与积极应对呈正相关;消极应对、积极应对、焦虑、抑郁情绪均为乳腺癌病人生命质量的影响因素,共同解释乳腺癌病人生命质量的77%,而影响病人生命质量的关键因素则是消极应对。[结论]乳腺癌病人术后焦虑、抑郁情绪越严重,越是习惯采用消极应对方式的病人,其生命质量越差。建议医护人员加强对病人的心理疏导,鼓励病人积极应对各种应激,提高生活质量。

Objective：To probe into the influence of anxiety,depression,coping style on patients’life quality after breast cancer operation,and to provide a basis for medical personnel carrying out psychological nursing.Meth-ods：A total of 1 1 6 breast cancer patients received test by life quality scale,self rating anxiety scale,self rating depressive scale and trait coping style questionnaire.And correlations and the influence of various factors on breast cancer patients’life quality has analyzed.Results：The level of patients’life quality after breast cancer op-eration was low.There was a negative correlation between the total score of breast cancer patients’life quality, various dimensions and negative coping,anxiety,depression.While there was a positive correlation with positive coping.The negative coping,positive coping,anxiety,depression all were the influence factors of breast cancer patients’life quality.They interpretated the 77 percent of breast cancer patients’life quality.However the key influence factor of patients’life quality was negative coping.Conclusion：Patients’anxiety and depression after breast cancer operation are more serious and the more patients used to taking negative coping,patients’life qual-ity are more worse.It advises that medical staff should strengthen psychological counseling for patients,encour-age patients to actively respond to various stress and improve their life quality.