摘要
目的调查乳腺癌改良根治术患者的病耻感情况,并分析其与应对方式及自尊的相关性。方法于2015年1月-2017年2月,采用便利抽样法选择186例乳腺癌改良根治术后患者,用自行设计的一般资料调查问卷、社会影响量表、医学应对问卷、自尊量表进行调查。用Pearson相关分析法探讨乳腺癌患者病耻感与应对方式及自尊的相关性,用多元线性回归分析病耻感的影响因素。结果乳腺癌患者术后病耻感得分为(61.04±11.99)分,处于巾等水平;病耻感与面对型应对、自尊呈负相关(r值分别为-0.421、-0.574;P〈0.05),与屈服和回避型应对呈正相关(r值分别为0.564、0.414;P〈0.05)。多元线性回归分析结果显示,年龄、屈服型应对方式是病耻感的影响因素(β值为0.291、0.263;P〈0.05)。结论乳腺癌患者术后病耻感处于中等水平,需引起重视,护理人员应鼓励患者积极地面对困难与挑战,更多地与他人进行交流,同时应更加关注青壮年患者的心理状态。
Objective To explore stigma in patients after breast modified radical mastectomy, and analyze the correlation of stigma with coping style and self-esteem. Methods From January 2015 to February 2017, totally 186 patients after breast modified radical mastectomy were selected by convenience sampling method and investigated by self-designed general demographic questionnaire, Social Impact Scale, Medical Coping Modes Questionnaire and Self-Esteem Scale. Pearson correlation analysis was used to investigate the ton'elation of breast cancer patients' stigma with coping style and self-esteem, and multiple linear regression was adopted to analyze the influencing factors of stigma. Results Patients' stigma after surgery was (61.04 ± 11.99), which was at a moderate level. The stigma was negatively correlated with confrontation and self-esteem (r= -0.421, -0.574; P 〈 0.05), and positively correlated with resignation and avoidance (r=0.564, 0.414; P 〈 0.05). The result of multiple linear regression showed that age and resigned coping style were the influencing factors of stigma (β=0.291,0.263; P 〈 0.05). Conclusions The stigma of patients after breast modified radical mastectomy is at a moderate level, and should be paid attention. Nurses should encourage patients to face difficulties and challenges, and communicate with others actively. Besides, young adult patients should be taken into consideration.
出处
《中华现代护理杂志》
2018年第3期332-335,共4页
Chinese Journal of Modern Nursing
关键词
乳腺肿瘤
病耻感
应对方式
自尊
Breast neoplasms
Stigma
Coping style
Self-esteem