Hinz Andreas, Friedrich Michael, Kuhnt Susanne, Zenger Markus, Schulte Thomas
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany.
Faculty of Applied Human Studies, University of Applied Sciences Magdeburg and Stendal, Stendal, Germany.
Eur J Cancer Care (Engl). 2019 Jan;28(1):e12952. doi: 10.1111/ecc.12952. Epub 2018 Oct 18.
The objective of this study was to analyse whether general self-efficacy and resilient coping are negatively impacted when people are sick with cancer (compared with people from the general population), and whether these resource variables predict quality of life outcomes in that patient group. A sample of 959 patients recruited in an oncologic rehabilitation clinic was examined once while hospitalised and once again six months thereafter. The outcome variables were quality of life (EORTC QLQ-C30) and distress (PHQ-4). The resource variables were self-efficacy (General Self-Efficacy Scale) and resilient coping (Brief Resilient Coping Scale). Representative samples of the general population served as controls. Self-efficacy (d = 0.08) and resilient coping (d = 0.28) were only slightly lower in the patients' sample than in the general population. Both resource variables were associated with quality of life, but self-efficacy (and not resilient coping) was the only independent predictor of quality of life functioning scales and distress scores when the baseline values of the dependent variables were also taken into account. Strengthening patients' belief in their own ability to cope with the disease may help them retain and/or regain a higher level of quality of life.
本研究的目的是分析当人们患癌症时（与普通人群相比），一般自我效能感和韧性应对是否会受到负面影响，以及这些资源变量是否能预测该患者群体的生活质量结果。对在肿瘤康复诊所招募的959名患者样本在住院期间进行了一次检查，并在六个月后再次进行检查。结果变量为生活质量（欧洲癌症研究与治疗组织核心问卷QLQ-C30）和痛苦程度（患者健康问卷-4，PHQ-4）。资源变量为自我效能感（一般自我效能量表）和韧性应对（简易韧性应对量表）。普通人群的代表性样本作为对照。患者样本中的自我效能感（d=0.08）和韧性应对（d=0.28）仅略低于普通人群。两个资源变量均与生活质量相关，但在考虑因变量的基线值时，自我效能感（而非韧性应对）是生活质量功能量表和痛苦程度评分的唯一独立预测因素。增强患者应对疾病能力的信念可能有助于他们保持和/或重新获得更高水平的生活质量。
