埃及乳腺癌女性的应对策略

Coping strategies in egyptian ladies with breast cancer.

作者信息

Elsheshtawy Eman A, Abo-Elez Warda F, Ashour Hala S, Farouk Omar, El Zaafarany Maha I Esmael

机构信息

Psychiatry Department, Mansoura University, Egypt.

Surgical Oncology Unite, Oncology Center, Mansoura University, Egypt.

出版信息

Breast Cancer (Auckl). 2014 Jun 5;8:97-102. doi: 10.4137/BCBCR.S14755. eCollection 2014.

Abstract

INTRODUCTION

A diagnosis of breast cancer regardless of the stage can be stressful, impact multiple spheres of life, and disrupt physical status, emotional and spiritual well-being, and personal relationships for the patient and family. In order to adapt, the patient ought to employ certain coping mechanisms. Individuals with terminal illness who utilize coping strategies have better quality of life compared to those who do not.

PATIENTS AND METHODS

This study aimed to determine the strategies used by females with breast cancer to cope with such stress by using Brief COPE scale and the hospital anxiety and depression scale. The study included 56 female patients diagnosed with operable breast cancer at Mansoura Oncology Center before surgery.

RESULTS

Large proportion of patients used acceptance, religion, and emotional support in coping with the stress of having breast cancer. Patients with depressive symptoms scored significantly higher venting while those with anxiety scored higher positive reframing, planning, and venting.

CONCLUSION

Efforts should be made to encourage women with breast cancer to use coping strategies that have been found to be helpful (eg, acceptance, emotional support, distraction, and active coping strategies).

摘要

引言

无论处于何种阶段,乳腺癌的诊断都会给患者带来压力,影响生活的多个方面,并扰乱患者及其家人的身体状况、情绪和精神健康以及人际关系。为了适应这种情况,患者应该采用某些应对机制。与未采用应对策略的晚期疾病患者相比,采用应对策略的患者生活质量更高。

患者与方法

本研究旨在通过使用简易应对方式问卷(Brief COPE)和医院焦虑抑郁量表,确定乳腺癌女性患者应对此类压力所采用的策略。该研究纳入了56名在曼苏拉肿瘤中心术前被诊断为可手术乳腺癌的女性患者。

结果

很大一部分患者在应对乳腺癌压力时采用了接受、宗教信仰和情感支持的方式。有抑郁症状的患者在发泄方面得分显著更高,而有焦虑症状的患者在积极重新评价、计划和发泄方面得分更高。

结论

应努力鼓励乳腺癌女性患者采用已被证明有帮助的应对策略(如接受、情感支持、分散注意力和积极应对策略)。

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