乳腺癌病人反刍性沉思水平及影响因素的调查分析

The level and influencing factors of rumination in patients with breast cancer

[目的]了解乳腺癌病人反刍性沉思现状,分析其影响因素。[方法]应用方便抽样方法抽取345例乳腺癌病人,采用一般人口学和疾病相关特征调查问卷、事件相关反刍性沉思问卷进行横断面调查。[结果]乳腺癌病人的反刍性沉思水平总分为(35.18±7.92)分,侵入性反刍性沉思为(16.53±4.72)分,目的性反刍性沉思为(18.41±6.50)分。文化程度、家庭月收入、病程和是否保留乳房可解释侵入性反刍性沉思总变异的46.5%;文化程度、病程、家庭月收入、患病后锻炼、家庭关系、是否保留乳房可解释目的性反刍性沉思总变异的66.4%。[结论]乳腺癌病人的反刍性沉思水平中等,临床工作中要关注文化程度低、病程短、家庭月收入低、家庭关系一般、患病后功能锻炼较少以及手术中没有保留乳房的乳腺癌病人,促进其目的性反刍性沉思,降低其侵入性反刍性沉思水平,为积极认知加工创造良好的条件,以促进病人的创伤后成长和身心康复。

Objective： To know about the status quo of rumination in patients with breast cancer and analyze its influencing factors. Methods： A total of 345 breast cancer patients were recruited by convenience sampling and they were investigated by demographic questionnaire, disease-related characteristics questionnaire, and Event- related Rumination Inventory（ERRI）. Results：The breast cancer patients’ total score of rumination was 35. 18± 7. 92,intrusive rumination score was 16. 53 ±4. 72,the purpose of rumination score was（18. 41 ± 6. 50）. Education, monthly family income, duration and whether to retain breast or not could explain 46. 5 % of total invasive rumination variation; educational level, duration, monthly family income, exercise after disease, family relationship, whether to keep the breast or not could explain 66. 4% of the total purpose of rumination variation. Conclusions： Patients with breast cancer had a moderate level of rumination. Clinical personnel should pay more attention to breast cancer patients with low level of education, short duration, low monthly family income, general family relationships, less functional exercise and no breast - conserving surgery so as to promote their purpose of meditation rumination,reduce their intrusive rumination level to create favorable conditions for active cognitive processing, in order to promote posttraumatic growth and the physical and psychological recovery.