Asuzu Chioma Christie, Elumelu Theresa Nchekube
University of Ibadan, Department of Guidance & Counselling, Ibadan, Oyo-State, Nigeria.
University College Hospital, LMPC, Dept of Radiotherapy, Ibadan, Oyo-State, Nigeria.
Psychooncology. 2013 Oct;22(10):2306-12. doi: 10.1002/pon.3290. Epub 2013 May 28.
Cancer is often associated with a lot of pain and suffering. These suggest that coping with the symptoms, diagnosis and treatment of cancer is a major life stressor that is capable of influencing patients' quality of life (QoL).
The purpose of the study is to assess the relationship between cancer patients' QoL dimensions and coping strategies in the Radiotherapy Department of the University College Hospital Ibadan, Nigeria.
Data were collected on clinic days from all available and consenting cancer patients who were receiving treatment at the radiotherapy department. Participants were informed of their right to decline to fill the questionnaires.
In this study, 237 cancer patients participated. They had an age range of 15 to 95 years with a mean age of 49.91 years. There was significant inverse relationship between physical well-being with behavioural disengagement, venting, planning and self-blame (p < 0.05); social/family well-being has significant linear relationship with active coping, emotional support, positive reframing, instrumental support, acceptance and religion (p < 0.05); emotional well-being has significant inverse relationship with behavioural disengagement and self-blame (p < 0.05); functional well-being has significant linear relationship with active coping, instrumental support and acceptance (p < 0.05).
It is important to assess cancer patients for the kind of coping strategies they are adopting to use in coping with their cancer burden, thereby guiding against lower QoL due to negative coping strategies. Intervention programmes could be developed to help cancer patients adopt more positive and effective coping strategies to improve patients' QoL.
癌症常伴随着诸多痛苦。这些表明应对癌症的症状、诊断和治疗是一种主要的生活压力源,能够影响患者的生活质量(QoL)。
本研究的目的是评估尼日利亚伊巴丹大学学院医院放疗科癌症患者的生活质量维度与应对策略之间的关系。
在门诊日收集了所有在放疗科接受治疗且愿意参与的癌症患者的数据。告知参与者他们有权拒绝填写问卷。
在本研究中,237名癌症患者参与。他们的年龄范围为15至95岁,平均年龄为49.91岁。身体幸福感与行为脱离、发泄、计划和自责之间存在显著的负相关(p < 0.05);社会/家庭幸福感与积极应对、情感支持、积极重新评价、工具性支持、接受和宗教之间存在显著的线性关系(p < 0.05);情绪幸福感与行为脱离和自责之间存在显著的负相关(p < 0.05);功能幸福感与积极应对、工具性支持和接受之间存在显著的线性关系(p < 0.05)。
评估癌症患者所采用的应对策略类型以应对其癌症负担非常重要,从而防止因消极应对策略导致生活质量降低。可以制定干预计划来帮助癌症患者采用更积极有效的应对策略以提高患者的生活质量。