青年乳腺癌患者积极心理资本与应对方式的相关性

Correlation between the positive psychological capital in young patients with breast cancer and the coping modes

目的:调查青年乳腺癌患者积极心理资本及应对方式的临床现状,并探讨二者的相关性。方法:采用便利抽样的方法选择117名青年乳腺癌患者,以患者一般情况调查表、积极心理资本问卷(Positive Psychological Capital Questionnaire,PPQ)及医学应对方式问卷(Medical Copying Modes Questionnaire,MCMQ)进行调查,通过Pearson相关性分析及多元线性逐步回归分析探讨二者的相关性。结果:青年乳腺癌患者的积极心理资本得分为56~155(103.66±19.68),回避应对的得分明显高于国内常模,面对应对的得分明显低于国内常模(P<0.05);Pearson相关性分析结果显示积极心理资本总分及各维度得分与屈服应对呈负相关(r:-0.489^-0.381,P<0.01),与面对应对呈正相关(r:0.343~0.402,P<0.01);多元线性逐步回归分析结果显示心理资本对屈服应对具有独立的负性影响作用(R2=0.241,P<0.01),对面对应对具有独立的正性影响作用(R2=0.124,P<0.01)。结论:青年乳腺癌患者的积极心理资本相对较差,在医学应对方式上倾向于采取面对应对的方式,积极心理资本与其应对方式密切相关,提升积极心理资本有利于患者从正面应对疾病,避免采用屈服应对的方式。

Objective： To investigate the current clinical situation of the positive psychological capital in young patients with breast cancer and the copying modes, and to discuss the correlation between them. Methods： A total of 117 young breast cancer patients were selected via convenience sampling. Patients＇ general situation questionnaire, Positive Psychological Capital Questionnaire（PPQ）, and Medical Copying Modes Questionnaire（MCMQ） were applied to investigation. The correlation between the positive psychological capital and the coping modes was analyzed and discussed via Pearson correlation analysis and multiple linear stepwise regression analysis. Results： The score of positive psychological capital in young patients with breast cancer varied from 56 to 155, and the average score was 103.66±19.68. The score of avoidance coping was evidently higher than the domestic norm; the score of confrontation coping was evidently lower than the domestic norm; the differences were of statistical significance（P〈0.05）. As indicated by the results of Pearson correlation analysis, the total score of positive psychological capital and the scores of all dimensions were negatively correlated with yield coping（r：-0.489 to-0.381, P〈0.01）, and positively correlated with confrontation coping（r： 0.343 to 0.402, P〈0.01）. As indicated by the results of multiple linear stepwise regression analysis, psychological capital had independent negative influence on yield coping（R2=0.241, P〈0.01）, and had independent positive influence on confrontation coping（R2=0.124, P〈0.01）. Conclusion： The positive psychological capital in young patients with breast cancer is relatively poor, and the patients prefer confrontation coping method. Positive psychological capital is closely correlated with the coping methods. Therefore, to improve the positive psychological capital is conducive for patients to take positive coping modes against illness and avoid the yield coping mode.