Liu Zhunzhun, Zhang Lanfeng, Cao Yuerong, Xia Wenkai, Zhang Liying
Department of Nursing, The Affiliated Jiangyin Hospital of Southeast University Medical College, Jiangyin, 214400, Jiangsu, China.
Department of Nursing, Nantong Tumor Hospital, Nantong 226361, Jiangsu, China.
Eur J Oncol Nurs. 2018 Jun;34:15-20. doi: 10.1016/j.ejon.2018.03.001. Epub 2018 Mar 7.
To identify the relationship of medical coping styles and benefit finding in Chinese early-stage cancer patients by preliminary pilot study.
Three hundred and fifty one cancer patients were recruited from the Affiliated Jiangyin Hospital of Southeast University medical college and the Nantong Tumor Hospital in this study. Measurements were Chinese Benefit Finding Scale, Medical Coping Modes Questionnaire- Chinese version and Distress Thermometer. Regression analysis and pathway analysis were employed to identify the correlation of medical coping styles and benefit finding, and the mediating role of distress.
Hierarchical regression analyses showed that confrontation coping style explained 24% of the variance in benefit finding, controlling for demographics and medical variables. While confrontation and resignation coping styles explained 10% and 6% of variance in distress separately. Pathway analyses implied that distress was found to mediate the effect of confrontation coping style on benefit finding in our study.
Our study suggested an indirect association between medical coping styles and benefit finding, and a negative correlation of distress to medical coping styles and benefit finding. These results indicated that medical coping styles could influence benefit finding through distress.
通过初步的试点研究确定中国早期癌症患者的医学应对方式与益处发现之间的关系。
本研究从东南大学医学院附属江阴医院和南通肿瘤医院招募了351名癌症患者。测量工具包括中文版益处发现量表、医学应对方式问卷中文版和苦恼温度计。采用回归分析和路径分析来确定医学应对方式与益处发现之间的相关性，以及苦恼的中介作用。
分层回归分析表明，在控制人口统计学和医学变量后，面对应对方式解释了益处发现中24%的变异。而面对和屈服应对方式分别解释了苦恼中10%和6%的变异。路径分析表明，在本研究中苦恼被发现介导了面对应对方式对益处发现的影响。
我们的研究表明医学应对方式与益处发现之间存在间接关联，苦恼与医学应对方式和益处发现呈负相关。这些结果表明医学应对方式可通过苦恼影响益处发现。
