甲状腺癌患者疾病应对方式与社会关系质量的相关性分析

目的：了解甲状腺癌患者疾病应对方式与社会关系质量的现状，探讨两者的相关性，为改善甲状腺癌患者的疾病应对方式提供依据。方法采用社会关系质量量表与中文版医学应对方式问卷对311例甲状腺癌患者进行问卷调查，比较不同临床特征甲状腺癌患者疾病应对方式的差异，并采用Pearson相关分析法和分层回归分析法探讨疾病应对方式和社会关系质量的关系。结果甲状腺癌患者疾病应对方式各维度评分分别为：面对（18．96±2．54）分，屈服（13．15±1．48）分，回避（17．76±2.23）分；社会关系质量各维度得分分别为：家庭亲密度（20．47±2．61）分，家庭承担（15．22±2．22）分，朋友关系（14．75±2．03）分，总分（50．44±5．51）分。 Pearson相关分析显示，甲状腺癌患者面对评分与社会关系质量总分和各维度得分均呈正相关（P＜0．05）；屈服和回避评分与社会关系质量总分和各维度得分均呈负相关（P＜0．05）；不同家庭收入、医疗费用支付方式、甲状腺癌病程、淋巴结转移组的患者面对、屈服、回避3种疾病应对方式比较，差异均有统计学意义（ P＜0．05）。分层回归分析显示，家庭收入、医疗费用支付方式、淋巴结转移和社会关系质量均为甲状腺癌患者疾病应对方式的预测因素（ P＜0．05）。结论甲状腺癌患者的疾病应对方式与社会关系质量具有相关性，应通过提高社会关系质量来改善应对方式。

Relationship between coping style and social relational quality in patients with thyroid carcinoma

Objective To investigate the coping style and social relational quality of patients with thyroid carcinoma, and analyze the relationship between them,so as to provide a new perspective to improve the coping style of patients with thyroid carcinoma.Methods 311 patients with thyroid carcinoma were surveyed by the Social Relational Quality Scale and the Medical Coping Style Questionnaire （ Chinese version） .The level of coping style was compared among the patients with different clinical features, and the pearson correlation analysis and multiple linear regression analysis were used to explore the relationship between coping style and social relational quality of patients with thyroid carcinoma.Results The scores of facing, yield and avoidance in the coping style were （18.96 ±2.54）, （13.15 ±1.48） and （17.76 ±2.23）, respectively.The scores of social relationship of family intimacy, family responsibility and friendship were （20.47 ±2.61）,（15.22 ± 2.22） and （14.75 ±2.03）, respectively.The total score of social relational quality was （50.44 ±5.51）.The score of facing was positively correlated with the total score and the each dimension score of social relational quality （P〈0.05）.The scores of yield and avoidance were negatively correlated with the total score and the each dimension score of social relational quality （ P〈0.05 ） .The differences of coping style in the patients with different family income, model of payment, course of disease and lymph node metastasis were significant （ P〈0.05）.Multiple linear regression analysis showed that the family income, payment method, lymph node metastasis and social relational quality were the predictors of coping style of patients with thyroid carcinoma（P〈0.05）. Conclusions The coping style was significantly correlated with social relational quality in patients with thyroid carcinoma.We should improve the coping style by improving the social relational quality.