青年乳腺癌术后患者病耻感及应对方式与心理社会适应的相关性研究

Correlation research between stigma, coping style and psychosocial adjustment in young patients with breast cancer

目的探讨青年乳腺癌术后患者病耻感、应对方式与心理社会适应三者之间的关系,以及不同应对方式在病耻感与心理社会适应间的中介效应。方法采用一般资料问卷、社会影响量表(SIS)、医学应对方式问卷(MCMQ)和乳腺癌心理社会适应问卷调查在青岛大学附属医院就诊的292例青年乳腺癌术后患者的病耻感、应对方式和心理社会适应水平。结果青年乳腺癌术后患者病耻感与面对应对、心理社会适应均呈负相关(r=-0.687^-0.519,均P<0.01),与屈服应对和回避应对均呈正相关(r=0.426~0.500,均P<0.01);心理社会适应与面对应对呈正相关(r=0.594,P<0.01),与屈服应对和回避应对均呈负相关(r=-0.643^-0.519,均P<0.01);面对应对和回避应对在病耻感和心理社会适应之间起部分中介作用,中介效应占比分别为32.86%、18.81%。结论青年乳腺癌术后患者病耻感、应对方式与心理社会适应密切相关,护理人员应引导患者采取积极的应对方式,降低患者的病耻感,提高其心理社会适应能力,帮助患者尽快回归正常生活。

Objective To investigate the relationship of stigma, coping style and psychosocial adjustment in young patients with breast cancer after operation, and the mediating effect of different coping style between stigma and psychosocial adjustment. Methods The general information questionnaire, Social Impact Scale (SIS), Medical Coping Style Questionnaire (MCMQ) and psychosocial adjustment questionnaire for breast cancer were used to investigate the stigma, coping style and psychosocial adjustment of 292 young patients with breast cancer after operation in the affiliated hospital of Qingdao University. Results There was a negative correlation between stigma and confrontation coping, psychosocial adjustment(r=-0.687--0.519, all P<0.01), but a positive correlation with yield coping and avoidance coping (r=0.426-0.500, all P<0.01).There was a positive correlation between psychosocial adjustment and confrontation coping(r=0.594, P<0.01), and was a negative correlation between psychosocial adjustment and avoidance copying, yield copying(r=-0.643--0.519, all P<0.05). The mediating effects of confrontation coping and avoidance coping were 32.86% and 18.81% respectively. Conclusions The stigma and coping style of young patients with breast cancer after operation were closely related to psychosocial adjustment. Nursing staff should guide the patients to adopt positive coping style, reduce the stigma, promote the psychosocial adjustment, and help the patients to return to normal life as soon as possible.