癌症患者自我感受负担与应对方式的相关性研究

Correlation Study of Cancer Patients' Self-burden Feeling and Coping Style

目的调查癌症患者的自我感受负担及其癌症应对方式,从而为患者个体"成为他人负担感受"的研究领域提供参考依据。方法 2015年3月至2016年9月,方便抽样法选取上海市某三级甲等医院住院治疗的癌症患者142例为研究对象。采用自行设计的一般资料问卷、自我感受负担量表、癌症应对方式量表对癌症患者进行调查。结果癌症患者自我感受负担总分为(87.77±24.42)分;癌症患者自我感受负担各维度从重到轻的排序依次为心理因素、经济负担、社会负担、家庭因素、情感负担、照顾体力负担;癌症患者应对方式各维度得分从高到低的排序依次为面对、回避与压抑、幻想、屈服、发泄;癌症患者自我感受负担总分与应对方式各维度呈正相关(P<0.01)。结论癌症患者普遍存在中等水平的自我感受负担;心理因素、经济负担、社会负担是癌症患者自我感受负担中主要的感受负担;"面对"是癌症患者最常采用的应对方式;癌症患者存在自我感受负担时采用多样性的应对方式。

Objective To investigate the correlation between cancer patients'self-perceived burden and methods of coping with cancer,so as to provide reference for study the topic of“being other people's burden".Methods By using convenience sampling method,142hospitalized cancer patients were selected and investigated by general questionnaire,self-perceived burden scale,the cancer coping modes questionnaire.Results The total score of self-perceived burden for cancer patients was(87.77±24.42).The following domains of self perceived burden were ranked from highest to lowest:psychological burden,economic burden,society burden,family burden,emotional burden,caring burden.The following domains of coping strategies were ranked from highest to lowest:encountering,evacuation,illusion,surrender,catharsis.The relationship between self perceived burden for cancer patients and coping strategies was positively correlated.(P<0.01).Conclusion Cancer patients have middle level of self perceived burden.Psychological burden,economic burden,society burden were the three most important sources of self perceived burden.Encountering was the most commonly used strategy for cancer patients.When cancer patients felt self-perceived burden,they applied different coping strategies.