肿瘤复发患者希望水平与应对方式的相关性研究

Correlation between Level of Hope and Coping Style in Patients with Tumor Recurrence

目的探究肿瘤复发患者希望水平与应对方式的关系。方法以2014年3月-2015年3月收治的肿瘤复发患者为研究对象,采用问卷调查方式调查患者的一般资料、希望水平和应对方式,并分析患者的希望水平及其与应对方式的相关关系。结果共纳入肿瘤复发患者431例,希望水平总分为(32.88±5.83)分,其中127例(29.47%)希望得分处于高等水平,277例(64.27%)处于中等水平,27例(6.26%)处于低等水平。多因素分析显示,应对方式、年收入是患者希望水平的促进因素,女性、婚姻状况差、教育水平低及肿瘤复发时间间隔长是抑制患者希望水平的因素。患者采取多种方式应对肿瘤复发,使用频率最高的应对方式为乐观,得分为(2.94±0.44)分,其次为保守(2.88±0.53)分、自我依赖(2.75±0.56)分、面对(2.73±0.55)分、听天由命(2.45±0.66)分、支持(2.41±0.52)分、逃避(2.15±0.42)分、情感(2.12±0.59)分。肿瘤复发患者希望水平总分与应对方式总分呈正相关关系(r=0.112),与乐观(r=0.170)、面对(r=0.166)和自我依赖(r=0.210)应对方式呈正相关关系(P<0.05);与情感、逃避、保守、支持及听天由命应对方式均无相关关系(P>0.05)。结论大多数肿瘤复发患者的希望水平处于中等水平和高等水平,乐观、面对和自我依赖应对方式能够提升患者的希望水平,临床医务人员应鼓励和指导患者多使用上述应对方式以提升患者的希望水平。

Objective To explore the correlation between the level of hope and coping style in patients with tumor recurrence.Methods Patients with tumor recurrence admitted to West China Hospital between March 2014 and March 2015 were enrolled as the research subjects.Questionnaire survey was used to collect general information of patients and their level of hope and coping style.Results Four hundred and thirty-one patients were enrolled in the study.The score of hope in patients with tumor recurrence was 32.88±5.83.Out of 431 patients,27（6.26%） had low level of hope,277（64.27%） medium level of hope and 127（29.47%） high level of hope.Multivariate analysis showed that the coping styles and income could enhance the level of hope,whereas being female,poor marital status,low educational level and long term of complete remission could suppress the level of hope in patients with tumor recurrence.Various coping styles were adopted by patients to cope with the tumor recurrence.Amongst all coping styles,optimism was adopted most frequently by patients,which had the highest score 2.94±0.44.The other coping styles adopted by patients ranked from high to low were conservation 2.88±0.53,self-reliance 2.75±0.56,confrontation 2.73±0.55,fatalism 2.45±0.66,support2.41±0.52,escape 2.15±0.42 and emotion 2.12±0.59,respectively.The level of hope had a positive correlation with the overall score of coping styles（r=0.112）,as well as optimism（r=0.170）,confrontation（r=0.166） and self-reliance（r=0.210）（P〈0.05）.However,the study showed that the level of hope had no correlation with emotion,escape,conservation,support and fatalism.Conclusions Most of the patients with tumor recurrence have medium and high level of hope.The coping styles of optimism,confrontation and self-reliance can enhance the level of hope in patients with tumor recurrence.Patients should be encouraged and guided by medical staff to adopt the above-mentioned coping styles to enhance the level of hope,through which to improve the quality of life of the patients with tumor recurrence.