应对方式在乳腺癌病人心理社会适应能力与创伤后成长的中介作用研究

Mediating effect of coping styles on psychosocial adaptability and post-traumatic growth in breast cancer patients

目的:探讨乳腺癌病人心理社会适应、应对方式与创伤后成长之间的关系及其内在作用机制。方法:采用便利抽样法选取2018年7月—2019年1月郑州市某三级甲等综合医院乳腺外科274例乳腺癌病人进行调查。采用乳腺癌病人心理社会适应问卷、医学应对问卷、创伤后成长量表(PTGI)分别测量乳腺癌病人的心理社会适应、应对方式及创伤后成长水平,并对结果进行统计分析。结果:心理社会适应及面对应对方式与创伤后成长得分呈明显正相关(r值分别为0.31、0.44,P<0.01);应对方式在心理社会适应与创伤后成长间存在部分中介作用,中介效应占总效应的25.00%。结论:乳腺癌病人的心理社会适应不仅会直接影响创伤后成长,也会通过应对方式间接影响创伤后成长。

Objective:To explore the relationship between psychosocial adaptability,coping styles and post-traumatic growth in breast cancer patient.Methods:A total of 274 cases of breast cancer patients in the department of breast surgery in a third grade A general hospital in Zhengzhou were selected and investigated by convenience sampling method from July 2018 to January 2019.Psychosocial Adaptation Questionnaire for Breast cancer patient(PSAQ-B),Medical Coping Modes Questionnaire(MCMQ),Posttraumatic Growth Inventory(PTGI)were used to measure the psychosocial adaptation,coping style and post-traumatic growth level of breast cancer patients,and the results were statistically analyzed.Results:The scores of psychosocial adaptation and coping style were positively correlated with the scores of post-traumatic growth score(r=0.31,0.44,P<0.01).Coping style partially played the mediated role between psychosocial adaptation and post-traumatic growth,accounting for 25.00%of the total effect.Conclusions:The psychosocial adaptation of breast cancer patients not only directly affected the post-traumatic growth,but also indirectly affected the post-traumatic growth through coping style.