癌症患者与幸存者之间感知压力、应对方式、生活质量及绝望感的比较研究
A Comparative Study on Perceived Stress, Coping, Quality of Life, and Hopelessness between Cancer Patients and Survivors.
作者信息
Ravindran Ottlingam Somasundaram, Shankar Athira, Murthy Tejus
机构信息
Department of Psychiatry, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Department of Clinical Psychology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
出版信息
Indian J Palliat Care. 2019 Jul-Sep;25(3):414-420. doi: 10.4103/IJPC.IJPC_1_19.
BACKGROUND AND AIM
Cancer patients and survivors need to cope with many physical and emotional stressors. This cross-sectional study compared the perceived stress, coping, quality of life (QOL), and hopelessness between cancer patients and cancer survivors and examined the relationship of perceived stress with coping, QOL, and hopelessness in cancer patients and cancer survivors.
MATERIALS AND METHODS
Using a purposive sampling technique, this study was conducted in the Medical Oncology Department of a multi-specialty tertiary care teaching hospital between February and May 2018. Thirty participants (15 cancer patients and 15 cancer survivors) in the age range of 30-60 years took part in the study. Both groups were assessed by the following instruments: Perceived Stress Scale, Coping Checklist, Quality of Life-Cancer, and Beck Hopelessness Scale.
RESULTS
Cancer patients are using maladaptive coping strategies and experiencing psychological distress with reduced QOL than cancer survivors. Furthermore, hopelessness was positively correlated with QOL among cancer survivors.
CONCLUSIONS
Cancer patients are found to be distressed and hopeless with significant reductions in their QOL.
背景与目的
癌症患者及其幸存者需要应对诸多身体和情感方面的压力源。这项横断面研究比较了癌症患者与癌症幸存者之间的感知压力、应对方式、生活质量（QOL）及绝望感，并探讨了癌症患者和癌症幸存者中感知压力与应对方式、生活质量及绝望感之间的关系。
材料与方法
采用立意抽样技术，于2018年2月至5月在一家多专科三级护理教学医院的肿瘤内科开展本研究。30名年龄在30至60岁之间的参与者（其中15名癌症患者和15名癌症幸存者）参与了研究。两组均通过以下工具进行评估：感知压力量表、应对方式清单、癌症生活质量量表和贝克绝望量表。
结果
与癌症幸存者相比，癌症患者采用适应不良的应对策略，并经历心理困扰，生活质量降低。此外，癌症幸存者中的绝望感与生活质量呈正相关。
结论
研究发现癌症患者感到痛苦和绝望，其生活质量显著下降。
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