心理弹性训练对乳腺癌根治术后患者病耻应对方式的影响

目的:探讨心理弹性训练对乳腺癌根治术后患者病耻感和应对方式的影响。方法:将2019年1月1日～2020年6月30日乳腺癌根治术患者90例作为研究对象,随机分为对照组和观察组各45例;对照组采取常规护理,观察组采取心理弹性训练。比较两组护理前后心理状况采用心理弹性量表(CD-RISC)和焦虑自评量表(SAS)],病耻感采用社会影响量表(SIS)]和疾病应对方式采用医学应对量表(MCMQ)]。结果:护理后,观察组CD-RISC评分高于对照组(P<0.01),SAS评分低于对照组(P<0.01),病耻感程度低于对照组(P<0.05),应对方式评分优于对照组(P<0.05,P<0.01)。结论:对乳腺癌根治术患者实行心理弹性训练,有助于缓解患者负性情绪,降低患者病耻感,增强患者应对能力。

Effect of Mental Flexibility Training on Disease Shame and Coping Style in Patients with Breast Cancer Who Underwent Radi-cal Surgery

Objective:To explore the effect of mental flexibility training on disease shame and coping style in patients with breast cancer who underwent radical surgery.Methods:A total of 90 cases of patients with breast cancer who underwent radical surgery during January 1,2019 to June 30,2020 were selected as the research objects,and were randomly divided into the control group and the observation group with 45 cases each.The control group adopted routine nursing care,and the observation group adopted mental flexibility training.Comparisonwas made between the two groups before and after nursing on psychological status by the mental resilience scale(CD-RISC)and self-evaluation on anxiety scale(SAS),disease shame by the social impact scale(SIS)and disease response by medical coping questionnaire(MCMQ).Results:After nursing,the CD-RISC scores were higher in the observation group than those in the control group(P<0.01),the SAS scores were lower in the observation group than those in the control group(P<0.01),the degree of disease shame was lower in the observation group than that in the control group(P<0.05),the coping style scores were better than those in the control group(P<0.05,P<0.01).Conclusion:Application of mental flexibility training on disease shame and coping style in patients with breast cancer who underwent radical surgery can help to relieve patients′negative mood,reduce their disease shame,and enhance their coping capacity.