乳腺癌化疗患者的应对方式及其心理干预效果研究

Study of coping style and psychological intervention on breast cancer patients with chemotherapy response

目的调查乳腺癌化疗患者的应对方式,探讨应对方式与生命质量的关系及心理干预对策。方法选取乳腺癌化疗患者84例,随机分为对照组和干预组。对照组进行常规护理,干预组采用常规护理+心理干预(个别干预和团体干预相结合)。应用医学应对方式问卷(MCMQ)测评两组患者应对方式,将所得数据进行比较,评价患者的应对方式状况,分析干预组应对方式与生命质量的关系。结果应对方式两组患者在屈服、回避维度得分差异有统计学意义(P<0.01),面对维度得分差异无统计学意义(P>0.05);心理干预后干预组与对照组比较在面对、回避应对及应对总分得分,差异有统计学意义(P<0.01,P<0.05);进一步做干预组应对方式与生命质量相关分析,生命质量与积极"面对"应对维度呈正相关,与回避维度呈负相关。结论乳腺癌化疗患者应对方式消极被动,应给予针对性的心理干预,促使患者采取积极的应对方式,从而提高生命质量。

Objective To investigate the coping styles of breast cancer chemotherapy patients, to discuss the relationship between coping styles and life quality and psychological intervention countermeasures. Methods 84 cases breast cancer chemotherapy patients were selected and randomly divided into control group and intervention group. The patients in control group were carried out common nursing, intervention group patients were carried out common nursing and psychological intervention （individual intervention and team intervention）. Medical coping modes questionnaire （MCMQ） was used to assessment the coping styles of the patient in two groups, and the differences were compared, and also to analysis the relations between coping styles and life quality. Results The difference between the two groups in the dimension score of yielding and avoiding were statically significant （ P 〈 0.01 ）, and there was no statically significant in facing dimension （ P 〉 0.05 ） ; After psychological intervention, the difference between the two groups in the dimension score of facing, avoiding and the total score were statically significant （ P 〈 0.01, P 〈 0.05 ）. Life quality was positively correlated to positive facing; life quality was negatively correlated to avoiding. Conclusion The coping styles of breast cancer chemotherapy patients were passive, it should be given corresponding psychological intervention, and encourage patients to take positive coping styles, so as to improve their life quality.