晚期乳腺癌保乳术后化疗患者希望水平与归因方式的相关性

Correlation between hope level and attribution mode of patients with advanced breast cancer after breast-conserving chemotherapy

目的探讨晚期乳腺癌保乳术后化疗患者希望水平与归因方式的关系。方法前瞻选择2019年1月至2020年1月四川大学华西医院113例晚期乳腺癌保乳术后化疗患者作为研究对象,在化疗前、化疗后1个月、化疗后3个月分别评估患者的希望水平(采用Herth希望水平量表评估)、归因方式[采用归因方式问卷(ASQ)评估],观察患者希望水平与归因方式的变化,并分析希望水平与归因方式的关系。结果化疗后1、3个月,Herth希望水平量表各维度评分及总分高于化疗前,且化疗后3个月高于化疗后1个月,差异有统计学意义(P<0.01)。化疗后1、3个月,晚期乳腺癌保乳术后化疗患者ASQ中正性事件评分高于化疗前,负性事件评分低于化疗前,差异有统计学意义(P<0.017);且化疗后3个月,ASQ中正性事件评分高于化疗后1个月,负性事件评分低于化疗后1个月,差异有统计学意义(P<0.05)。相关性分析结果显示,Herth希望水平量表各维度评分、总分与ASQ中正性事件评分呈正相关(r>0,P<0.05),与归因方式ASQ中负性事件评分呈负相关(r<0,P<0.05)。结论晚期乳腺癌保乳术后化疗患者,希望水平逐渐升高,归因方式逐渐倾向于积极,患者希望水平与归因方式之间存在明显相关性。

Objective To explore the relationship between the level of hope and the attribution mode of patients with advanced breast cancer after breast-conserving chemotherapy.Methods A total of 113 patients with advanced breast cancer after breast-conserving chemotherapy in the West China Hospital from January 2019 to January 2020 were prospectively selected as the research objects.Before chemotherapy,one month after chemotherapy,and three months after chemotherapy,hope level(assessed by Herth hope level scale)and attribution method(assessed by attributional style questionnaire[ASQ])of patients were evaluated,the changes of hope level and attribution mode in patients were observed,and the relationship between hope level and attribution mode were analyzed.Results After one and three months of chemotherapy,the scores and total scores of the Herth hope level scale were higher than those before chemotherapy,while after three months of chemotherapy were higher than after one month of chemotherapy,and the differences were statistically significant(P<0.05).After one and three months of chemotherapy,the positive event scores of patients with advanced breast cancer after breast-conserving chemotherapy on the ASQ were higher than those before chemotherapy,while the negative event scores were lower than those before chemotherapy,and the differences were statistically significant(P<0.05).And after three months of chemotherapy,the positive event score on the ASQ was higher than that of chemotherapy for one month,while the negative event score was lower than that of chemotherapy for one month,and the differences were statistically significant(P<0.05).Correlation analysis results showed that the scores and total scores of the various dimensions of the herth hope level scale were positively correlated with the positive event scores in the ASQ(r>0,P<0.05),while it was negatively correlated with the negative event score in the ASQ of attribution(r<0,P<0.05).Conclusion For patients with advanced breast cancer after breast-conserving chemotherapy,the level of hope is gradually increasing,and the attribution method gradually tends to be positive.There is a clear correlation between the level of hope and the attribution mode of patient.