鼻咽癌复发患者心理弹性与应对方式的相关性研究

The correlation study between resilience and coping styles of recurrence of patients with nasopharyngeal neoplasms

目的探讨鼻咽癌复发患者住院期间心理弹性水平与疾病应对方式的关系，为临床心理干预提供数据支持。方法采用自行设计的患者一般资料调查表、心理弹性量表（co—RISC）及应对方式量表对240例鼻咽癌复发的住院患者进行问卷调查。结果鼻咽癌复发患者心理弹性平均得分为（53．22±12．09）分，心理弹性水平与应对方式中的面对成正相关关系，P〈0．05，与应对方式中的屈服成负相关关系，P〈0．05，与应对方式中的回避成正相关关系，P〈0．05。结论鼻咽癌复发患者的心理弹性水平处于中等偏下水平，心理弹性水平对患者采取的疾病应对方式有显著的影响，同时应对方式是影响患者心理弹性的行为策略。临床上应采取有力措施提高患者的心理弹性水平，使患者采取积极的应对方式。

Objective To investigate the relationship between levels of psychological resilience and coping styles of the patients with recurrence of nasopharyngeal neoplasms during hospitalization, in order to provide scientific data about the clinical psychological intervention. Methods A total of 240 cases of hospitalized patients with recurrence of nasopharyngeal neoplasms were selected and measured with general information questionnaire which was self-designed, resilience scale （CD-RISC） and coping scale. Results Resilience average score of patients with recurrent nasopharyugeal neoplasms was （53.22 ± 12.09） points, the level of resilience was positively correlated with positive coping and avoidance coping,P〈0.05, and negatively correlated with the yield coping,P〈0.05. Conclusions The resilience levels in patients with recurrence of nasopharyngeal neoplasms is below the medium level, resilience have a significant impact on patients＇ coping styles, and coping styles is affecting the level of resilience. In clinical work, health care workers should take effective measures to improve the resilience of patients so that patients take positive coping with disease.