2014年上海市1968例女性乳腺癌患者应对方式状况及与生命质量的关系

The coping styles and its relationship with quality of life among 1968 female breast cancer patients in Shanghai in 2014

目的 分析2014年上海市女性乳腺癌患者的应对方式及与生命质量的关系.方法 于2014年8月,采用方便抽样的方法,在上海市17个区县中分别抽取1~3个上海市癌症康复俱乐部下属的社区块组,在其各自的社区及附近三甲医院内张贴海报招募调查对象.纳入标准为：18~80岁女性;初次诊断或原发肿瘤为乳腺癌,并且已结束积极治疗（包括手术、放疗、化疗）;具备基本的阅读理解能力,无交流障碍;日常活动不受限制,无精神疾病或智力障碍.最终纳入2205例,问卷调查内容包括人口学特征、疾病特征,以及欧洲癌症研究与治疗组织生命质量核心量表、癌症应对方式量表共回收有效问卷1968份.比较不同人口学特征在积极应对与消极应对得分方面的差异,并分析调查对象应对方式与生命质量的关系.结果 1968例调查对象的年龄为（58.7±7.4）岁,BMI为（24.4±5.4）kg/m2;积极应对得分为2.04±0.41,消极应对得分为1.79±0.33;躯体功能、角色功能、认知功能、情绪功能、社会功能和总体健康状况得分分别为83.40±12.18、90.80±15.92、80.72±16.29、84.67±15.19、80.99±20.91、65.27±21.21.积极应对与躯体功能、情绪功能和总体健康状况均呈正相关,其相关系数分别为0.581（P=0.046）、0.593（P=0.045）和0.770（P〈0.001）;消极应对与角色功能、认知功能、情绪功能和社会功能均呈负相关,其相关系数分别为-0.672（P=0.021）、-0.815（P=0.005）、-0.121（P〈0.001）和-0.123（P〈0.001）.结论 2014年上海市部分女性乳腺癌患者主要采用积极的应对方式,且总体上积极应对与生命质量呈正相关,消极应对与生命质量呈负相关.

Objective To study the coping styles and its relationship with quality of life among part of the female breast cancer patients in Shanghai in 2014. Methods In August of 2014, 1-3 block groups affiliated to Shanghai Cancer Rehabilitation Club were selected from each of the 17 districts of Shanghai by convenient sampling method. Respondents were recruited from these block groups via putting up posters in the community or top three hospitals nearby. The inclusion criteria were as follows： female, aged from 18 to 80 years old; the initial diagnosis or primary tumor was breast cancer, and active treatments including surgery, radiotherapy and chemotherapy were finished; capable of basic reading and comprehension, and there was no communication disorder; daily activities were not limited, and with no mental disorder or dysgnosia. Totally 2205 respondents were included. Questionnaire survey was conducted to collect the information of demographic characteristics, disease characteristics, result of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire （EORTC QLQ-C30）, and result of the Ways of Coping Inventory-Cancer Version （WOC-CA）. 1968 valid questionnaires were withdrawn. The results of respondent characteristics and WOC-CA were under descriptive analysis, and the differences of coping styles among groups of different demographic characteristics were compared using t test. In addition, we analyzed the correlation between respondents＇ coping styles and quality of life using partial correlation analysis. Results The average age of the 1968 respondents was （58.7±7.4） years old, and BMI was （24.4± 5.4） kg/m2. The score of positive coping styles was 2.04±0.41, and the score of negative coping styles was 1.79 ± 0.33. The scores of Physical Functioning （PF）, Role Functioning （RF）, Cognitive Functioning （CF）, Emotional Functioning （EF）, Social Functioning （SF）, and Global Health （GH） were 83.40±12.18, 90.80± 15.92, 80.72 ± 16.29, 84.67 ± 15.19, 80.99 ± 20.91, 65.27 ± 21.21, respectively. Positive coping styles correlated with PF, EF, and GH positively, and the correlation coefficients were separately 0.581 （P=0.046）, 0.593 （P=0.045）, 0.770 （P〈0.001）. Negative coping styles correlated with RF, CF, EF, and SF negatively, and the correlation coefficients were separately - 0.672 （P=0.021）, - 0.815 （P=0.005）, - 0.121 （P〈0.001）, - 0.123 （P〈0.001）. Conclusion Part of the female breast cancer patients in Shanghai in 2014 mainly adopted positive coping styles, and in general the positive coping styles correlated with quality of life positively and negative coping styles correlated with quality of life negatively.