Background Breast cancer is one of the most common cancers in women, and its incidence seems to have gradually increased every year. During the treatment of breast cancer, patients suffer psychological morbidity, and ...Background Breast cancer is one of the most common cancers in women, and its incidence seems to have gradually increased every year. During the treatment of breast cancer, patients suffer psychological morbidity, and hope is one important factor in maintaining psychological health. Therefore, in this study, we investigated the level of hope in Chinese women with breast cancer during chemotherapy and confirmed the relationships among hope, coping style, and social support.Methods One hundred and fifty-nine inpatients with breast cancer who were undergoing chemotherapy in two affiliated hospitals of Harbin Medical University were recruited and investigated. Each patient completed the Herth Hope Index （HHI）, Jalowiec Coping Scale （JCS）, and the social support scale made by XIAO Shui-yuan, and provided general demographic data.Results The mean hope level of the 159 patients with breast cancer was 38.62±4.56. There was a statistical difference between the hope level and monthly income. Analysis of results from the Pearson test showed no relationship between the hope level and coping style; however, there were positive relationships between hope and optimism, hope and self-reliance, and hope and palliative coping styles. In contrast, negative relationships were found between hope and the fatalistic and emotional coping styles. The total score of hope and social support had significantly positive relationship for the three scales.Conclusions Patients with breast cancer achieved high levels of hope, with the level of hope being proportional to increase in the income. During chemotherapy, patients with breast cancer had adopted many coping styles.展开更多
目的:探讨以结局为导向的多元化康复护理对大面积烧伤患者创面愈合和外观接受度的影响。方法:选取2022年1月-2022年12月笔者医院收治的大面积烧伤患者101例,按简单随机分组法将入组患者分为观察组(n=51)和对照组(n=50),对照组给予常规...目的:探讨以结局为导向的多元化康复护理对大面积烧伤患者创面愈合和外观接受度的影响。方法:选取2022年1月-2022年12月笔者医院收治的大面积烧伤患者101例,按简单随机分组法将入组患者分为观察组(n=51)和对照组(n=50),对照组给予常规护理干预,观察组在对照组基础上给予以结局为导向的多元化康复护理,均持续护理至患者出院。比较两组创面愈合时间。于护理前后,比较两组心理弹性[心理韧性量表(Chinese version of resilience scale,CD-RISC)]、病耻感[社会影响量表(Social impact scale,SIS)]、社会支持度[社会支持评定量表(Social support revalued scale,SSRS)]、外观接受度[伤残接受度量表(Acceptance of disabilityscal,AODS)]和应对方式[心理特征应对量表(Trait coping style questionnaire,TCSQ)]评分。结果:观察组创面愈合时间显著短于对照组(P<0.05)。护理后,观察组坚韧性、力量性和乐观性等CD-RISC评分均高于对照组(P<0.05);观察组社会排斥、内在羞耻感、社会隔离和经济歧视等SIS评分均显著低于对照组(P<0.05);观察组AODS、SSRS和积极应对评分均显著高于对照组,消极应对评分低于对照组,差异均有统计学意义(P<0.05)。结论:以结局为导向的多元化康复护理有利于提高大面积烧伤患者心理弹性、外观接受度和社会支持水平,降低病耻感,改变应对方式,促使创面愈合。展开更多
文摘Background Breast cancer is one of the most common cancers in women, and its incidence seems to have gradually increased every year. During the treatment of breast cancer, patients suffer psychological morbidity, and hope is one important factor in maintaining psychological health. Therefore, in this study, we investigated the level of hope in Chinese women with breast cancer during chemotherapy and confirmed the relationships among hope, coping style, and social support.Methods One hundred and fifty-nine inpatients with breast cancer who were undergoing chemotherapy in two affiliated hospitals of Harbin Medical University were recruited and investigated. Each patient completed the Herth Hope Index （HHI）, Jalowiec Coping Scale （JCS）, and the social support scale made by XIAO Shui-yuan, and provided general demographic data.Results The mean hope level of the 159 patients with breast cancer was 38.62±4.56. There was a statistical difference between the hope level and monthly income. Analysis of results from the Pearson test showed no relationship between the hope level and coping style; however, there were positive relationships between hope and optimism, hope and self-reliance, and hope and palliative coping styles. In contrast, negative relationships were found between hope and the fatalistic and emotional coping styles. The total score of hope and social support had significantly positive relationship for the three scales.Conclusions Patients with breast cancer achieved high levels of hope, with the level of hope being proportional to increase in the income. During chemotherapy, patients with breast cancer had adopted many coping styles.
文摘目的:探讨以结局为导向的多元化康复护理对大面积烧伤患者创面愈合和外观接受度的影响。方法:选取2022年1月-2022年12月笔者医院收治的大面积烧伤患者101例,按简单随机分组法将入组患者分为观察组(n=51)和对照组(n=50),对照组给予常规护理干预,观察组在对照组基础上给予以结局为导向的多元化康复护理,均持续护理至患者出院。比较两组创面愈合时间。于护理前后,比较两组心理弹性[心理韧性量表(Chinese version of resilience scale,CD-RISC)]、病耻感[社会影响量表(Social impact scale,SIS)]、社会支持度[社会支持评定量表(Social support revalued scale,SSRS)]、外观接受度[伤残接受度量表(Acceptance of disabilityscal,AODS)]和应对方式[心理特征应对量表(Trait coping style questionnaire,TCSQ)]评分。结果:观察组创面愈合时间显著短于对照组(P<0.05)。护理后,观察组坚韧性、力量性和乐观性等CD-RISC评分均高于对照组(P<0.05);观察组社会排斥、内在羞耻感、社会隔离和经济歧视等SIS评分均显著低于对照组(P<0.05);观察组AODS、SSRS和积极应对评分均显著高于对照组,消极应对评分低于对照组,差异均有统计学意义(P<0.05)。结论:以结局为导向的多元化康复护理有利于提高大面积烧伤患者心理弹性、外观接受度和社会支持水平,降低病耻感,改变应对方式,促使创面愈合。
基金supported by Sichuan Applied Psychology Research Center of Chengdu Medical College(Number:CSXL-23408)the Humanities and Social Science Research Planning Fund of the Ministry of Education of the People's Republic of China(22YJA630087).
