乳腺癌改良根治术后患者自我接纳水平及其影响因素的研究

The status and influencing factors of self-acceptance in patients with modified radical mastectomy

目的:调查乳腺癌改良根治术后患者自我接纳与应对方式之间的关系,探究自我接纳的影响因素。方法:采用自我接纳问卷及医学应对方式问卷对190例乳腺癌改良根治术后患者自我接纳与应对方式进行调查,通过Pearson相关分析探究应对得分与自我接纳得分之间的相关性;采用多重线性回归分析患者自我接纳的影响因素。结果:乳腺癌改良根治术后患者自我接纳总分为(38.76±4.77)分;患者的面对应对方式与自我接纳呈正相关,回避应对方式与自我接纳呈负相关(P<0.05);多元回归分析结果显示,人均收入、是否为三阴型、面对及回避应对方式影响自我接纳水平(P<0.05)。结论:乳腺癌改良根治术后患者自我接纳水平有待提高,帮助她们采取更多面对应对方式,减少回避应对方式,可以改善其自我接纳水平。

Objective:To investigate the relationship between self-acceptance and coping style of patients with modified radical mastectomy,and explore the influencing factors of self-acceptance.Methods:Self-acceptance questionnaire and medical coping style questionnaire were used to investigate the self-acceptance and coping style in 190 patients with modified radical mastectomy.Pearson correlation analysis was used to explore the correlation between coping score and self-acceptance score.Multiple linear regression was used to analyze the influencing factors of self-acceptance among patients with modified radical mastectomy.Results:The total score of self-acceptance in patients with modified radical mastectomy was 38.76±4.77.The facing coping style was positively correlated with self-acceptance,while the avoidance coping style was negatively correlated with self-acceptance(P<0.05).The results of regression analysis showed that the influencing factors of self-acceptance were average monthly household income,whether it was triple-negative,coping style of facing and avoiding(P<0.05).Conclusion:The self-acceptance level of patients with modified radical mastectomy needs to be improved.Helping patients with modified radical mastectomy adopt more facing coping styles and reducing avoidance coping styles can improve their self-acceptance level.