Operating Room, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, China.
Chin Med J (Engl). 2010 Sep;123(17):2331-5.
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.
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.
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.
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.
乳腺癌是女性最常见的癌症之一，其发病率似乎每年都在逐渐增加。在乳腺癌的治疗过程中，患者会遭受心理困扰，而希望是保持心理健康的一个重要因素。因此，在本研究中，我们调查了中国乳腺癌化疗患者的希望水平，并确定了希望、应对方式和社会支持之间的关系。
在哈尔滨医科大学的两所附属医院中招募了 159 名正在接受化疗的乳腺癌住院患者进行调查。每位患者都完成了赫特希望指数（HHI）、Jalowiec 应对量表（JCS）和肖水源的社会支持量表，并提供了一般人口统计学数据。
159 例乳腺癌患者的平均希望水平为 38.62±4.56。希望水平与月收入之间存在统计学差异。Pearson 检验结果分析显示，希望水平与应对方式之间没有关系；然而，希望与乐观、希望与自立、希望与姑息应对方式之间存在正相关关系。相反，希望与宿命论和情绪应对方式之间存在负相关关系。希望的总分与社会支持的三个量表均呈显著正相关。
乳腺癌患者的希望水平较高，且随着收入的增加，希望水平也随之增加。在化疗期间，乳腺癌患者采用了多种应对方式。
