乳腺癌患者心理应对调节与生活质量相关分析

目的了解乳腺癌患者心理调节、应对方式与生活质量之间的相关性。方法采用病例对照研究方法,于2008年8月-2010年8月选择广东省广州市3家三级甲等医院确诊的女性乳腺癌患者进行调查,采用Pearson相关分析方法分析患者心理调节、应对方式及生活质量三者间相关性。结果病例组生活质量的"躯体良好和能力"与应对的"发泄"、"幻想"均呈负相关(P<0.05),生活质量的"心理良好"与应对的"幻想"、"回避与压抑"均呈负相关(P<0.05);对照组生活质量的"社会良好"与应对的"发泄"、 "幻想"、"屈服"均呈负相关(P<0.05),生活质量的"社会良好"与应对的"回避与压抑"呈正相关(r=0.259,P<0.05),生活质量的"心理良好"与应对的"屈服"呈正相关(r=0.268,P<0.05)。结论不同病程的乳腺癌患者采取不同的应对方式,长期存活者更倾向于积极乐观的应对调节。

Relationships between psychological adjustment, coping style and quality of life among breast cancer survivors

Objective To explore relationships between psychological adjustment,coping style and quality of life among breast cancer survivors.Methods With matched case-control method,128 female breast cancer patients were randomly recruited in three grade A class III hospitals from August 2008 to August 2010 in Guangzhou city,Guangdong province.Pearson correlation analysis was used to investigate the relationships between psychological adjustment,coping style and quality of life in the patients.Results In case group,there were inverse correlations between physical well-being and fantacy/abreaction and between psychologic well-being and fancy avoidance,oppression(P<0.05 for all).In control group,there were a significant inverse correlation between social well-being and abreaction(P<0.05) and significant positive correlations between social well-being and avoidance oppression(P<0.05) and between psycholic well-being and yielding(P<0.05).Conclusion There are correlations between coping styles and quality of life among different breast cancer patients.The long-term breast cancer survivors are more likely to have proper positive adjustment and coping style.