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张婷, 李惠萍, 王德斌. 乳腺癌患者心理韧性及影响因素分析[J]. 中国公共卫生, 2015, 31(3): 263-267. DOI: 10.11847/zgggws2015-31-03-03
引用本文: 张婷, 李惠萍, 王德斌. 乳腺癌患者心理韧性及影响因素分析[J]. 中国公共卫生, 2015, 31(3): 263-267. DOI: 10.11847/zgggws2015-31-03-03
ZHANG Ting, LI Hui-ping, WANG De-bin. Psychological resilience and its influencing factors among breast cancer patients[J]. Chinese Journal of Public Health, 2015, 31(3): 263-267. DOI: 10.11847/zgggws2015-31-03-03
Citation: ZHANG Ting, LI Hui-ping, WANG De-bin. Psychological resilience and its influencing factors among breast cancer patients[J]. Chinese Journal of Public Health, 2015, 31(3): 263-267. DOI: 10.11847/zgggws2015-31-03-03

乳腺癌患者心理韧性及影响因素分析

Psychological resilience and its influencing factors among breast cancer patients

  • 摘要: 目的了解乳腺癌患者心理韧性的状况及影响因素。方法采用便利抽样法对381名乳腺癌患者使用一般资料调查问卷、心理韧性量表(RS-14)、多元领悟社会支持量表(PSSS)、自尊量表(SES)、一般自我效能感量表(GSES)、生活定向测验修订版(LOT-R)、健康相关坚韧性量表(HRHS)和个人掌控感量表(MSC)进行问卷调查。结果乳腺癌患者自我效能感、个人掌控感、自尊、乐观倾向、社会支持、坚韧性人格总均分分别为(2.68±0.46)、(15.23±3.98)、(21.35±3.40)、(17.45±3.23)、(73.50±7.89)、(103.73±9.00)分;乳腺癌患者心理韧性总均分为(76.82±10.90)分, 项目均分为(5.49±0.78)分, 处于中等偏上水平, 且不同居住地、职业状况、费用支付形式、疾病接触情况的乳腺癌患者心理韧性总均分差异有统计学意义(均P<0.05);相关分析显示, 心理韧性与自我效能感、个人掌控感、自尊、乐观、社会支持、健康坚韧性均呈正相关(r=0.105~0.608, 均P<0.01);回归分析显示, 疾病接触情况、费用支付形式、乐观倾向、社会支持、自我效能感和个人掌控感为乳腺癌患者心理韧性的主要影响因素。结论乳腺癌患者心理韧性有待进一步提高, 疾病接触情况、费用支付形式、乐观、社会支持、自我效能感和个人掌控感可能有助于心理韧性的发展。

     

    Abstract: ObjectiveTo investigate psychological resilience and its influencing factors among breast cancer patients.MethodsTotally 381 hospitalized breast cancer patients were recruited from 2 grade 3 hospitals in Anhui province and investigated with General Information Questionnaire,Resilience Scale(RS-14),Perceived Social Support Scale(PSSS),Self-Esteem Scale(SES),General Self-Efficacy Scale(GSES),Revised Life Orientation Test(LOT-R),Health-Related Hardiness Scale(HRHS),and Mastery Scale for Chinese version(MSC)from October 2013 through May 2014.ResultsThe average score of the participants was 2.68±0.46 for self-efficacy,21.35±3.40 for self-mastery,15.23±3.98 for self-esteem,17.45±3.23 for optimistic tendency,73.50±7.89 for social support,103.73±9.00 for hardiness personality,and 76.82±10.90 for resilience,respectively.The level of psychological resilience among the patients belongs to superior middling,with an average overall score of 5.49±0.78.There existed a difference in RS-14 scores among the patients with different living residence,education level,status of employment,form of payment,and disease cognition(all P<0.01).Univariate analysis indicated that the RS-14 scores were positively correlated with scores of SES,GSES,PSSS,LOT-R,HRHS and MSC(r=0.105-0.608, all P<0.01).The results of multivariate linear regression analysis showed that disease cognition,form of payment,optimism,social support,self-efficacy,and self-mastery were main influencing factors of psychological resilience among the patients.ConclusionThe level of psychological resilience should be enhanced among breast cancer patients and disease cognition,form of payment,optimism,social support self-efficacy,and self-mastery are related to psychological resilience among breast cancer patients.

     

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