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心理弹性对原发性脑肿瘤患者应对策略的影响

The Influence of Resilience on the Coping Strategies in Patients with Primary Brain Tumors.

作者信息

Liang Shu-Yuan, Liu Hui-Chun, Lu Yu-Ying, Wu Shu-Fang, Chien Ching-Hui, Tsay Shiow-Luan

机构信息

College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.

Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2020 Feb;14(1):50-55. doi: 10.1016/j.anr.2020.01.005. Epub 2020 Jan 26.

DOI:10.1016/j.anr.2020.01.005
PMID:31996321
Abstract

PURPOSE

The purpose of this study was to assess the amount of variance in the coping strategies of patients with brain tumors that could be accounted for by resilience.

METHODS

This cross-sectional survey involved 95 patients who had experienced surgical, chemotherapy, or radiotherapy therapies for their brain tumors at least 1 month before data collection. The investigator collected data using the scales of the Ways of Coping Checklist-Revised and Resilience Scale. Data were analyzed using descriptive statistics, t tests, analysis of variance, Pearson product-moment correlation, and hierarchical multiple regression.

RESULTS

The results revealed that resilience was significantly positively associated with patients' problem-focused coping (r = .65, p < .001) and total coping (r = .49, p < .001). In addition, resilience accounted for 27% (R = .27, p < .001) and 16% (R = .16, p < .001) of the distinct variances in predicting patients' problem-focused coping and total coping.

CONCLUSION

The current results provide evidence to support the importance of resilience in shaping the coping strategies of relevant patients. As resilience shows a crucial element in patient coping with brain tumors, health team members should develop and employ appropriate strategies to improve the resilience of patients with brain tumors.

摘要

目的

本研究旨在评估脑肿瘤患者应对策略中可由心理韧性解释的变异量。

方法

这项横断面调查纳入了95例在数据收集前至少1个月已接受脑肿瘤手术、化疗或放疗治疗的患者。研究者使用修订版应对方式清单量表和心理韧性量表收集数据。数据采用描述性统计、t检验、方差分析、Pearson积差相关和分层多元回归进行分析。

结果

结果显示,心理韧性与患者以问题为中心的应对方式(r = 0.65,p < 0.001)和总体应对方式(r = 0.49,p < 0.001)显著正相关。此外,心理韧性在预测患者以问题为中心的应对方式和总体应对方式时,分别解释了27%(R = 0.27,p < 0.001)和16%(R = 0.16,p < 0.001)的独特变异。

结论

目前的结果提供了证据,支持心理韧性在塑造相关患者应对策略中的重要性。由于心理韧性在患者应对脑肿瘤方面显示出关键作用,医疗团队成员应制定并采用适当策略来提高脑肿瘤患者的心理韧性。

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