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影响脑肿瘤患者生活质量的心理韧性和应对策略

Resilience and Coping Strategies Influencing the Quality of Life in Patients With Brain Tumor.

作者信息

Pan Chiu-Ju, Liu Hui-Chun, Liang Shu-Yuan, Liu Chieh-Yu, Wu Wei-Wen, Cheng Su-Fen

机构信息

1 Cardinal Tien Hospital, New Taipei City, Taiwan.

2 Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

Clin Nurs Res. 2019 Jan;28(1):107-124. doi: 10.1177/1054773817714562. Epub 2017 Jun 28.

Abstract

The study purpose was to evaluate how much of the variance in quality of life (QOL) among Taiwanese patients with brain tumor could be accounted for by resilience and coping strategy. This cross-sectional study included 95 patients who had undergone a treatment of operations or chemotherapy or radiotherapy relevant to brain tumor after at least 1 month and completed the European Organization for Research and Treatment of Cancer QOL Questionnaire-Brain Cancer Module (EORTC QLQ-BN20), Resilience Scale (RS), and Ways of Coping Checklist-Revised (WCC-R). There was a significant negative correlation between resilience and future uncertainty QOL and motor dysfunction QOL. In addition, there was a significant positive correlation between the emotion-focused coping and future uncertainty QOL, as well as a significant negative correlation between problem-focused coping and motor dysfunction QOL. Resilience accounted for 4.8% and the emotion-focused coping accounted for 10.20% of the variance in separately predicting the future uncertainty QOL. This study highlights the potential importance of resilience and coping strategies in patients' QOL, which is relevant to brain tumor treatment.

摘要

本研究的目的是评估台湾脑肿瘤患者生活质量(QOL)的差异中,有多少可以由心理弹性和应对策略来解释。这项横断面研究纳入了95例患者,这些患者在接受与脑肿瘤相关的手术、化疗或放疗治疗至少1个月后,完成了欧洲癌症研究与治疗组织生活质量问卷-脑癌模块(EORTC QLQ-BN20)、心理弹性量表(RS)和应对方式问卷修订版(WCC-R)。心理弹性与未来不确定性生活质量和运动功能障碍生活质量之间存在显著负相关。此外,情绪聚焦应对与未来不确定性生活质量之间存在显著正相关,问题聚焦应对与运动功能障碍生活质量之间存在显著负相关。在分别预测未来不确定性生活质量方面,心理弹性占变异的4.8%,情绪聚焦应对占变异的10.20%。本研究强调了心理弹性和应对策略在患者生活质量中的潜在重要性,这与脑肿瘤治疗相关。

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