Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom.
McGill University Health Centre, Montreal, Qubec, Canada.
J Surg Oncol. 2020 Jun;121(8):1266-1275. doi: 10.1002/jso.25915. Epub 2020 Mar 27.
This study explored psychological functioning and coping styles in adult patients with soft-tissue sarcoma who underwent surgical procedures in a single expert sarcoma medical center in Canada.
This is a qualitative study with three formats of data collection. The interview guide was based on theoretical health-related quality of life model. We began the investigation with 2 online and 2 in-person focus groups. Four individual semistructured interviews were added to further explore emerging themes. Data were analyzed using inductive thematic networks approach.
Twenty-eight adults (13 female, 24-75 years of age) participated. In the domain of psychological functioning we identified three main themes; changes in mood, worry, and body image concerns. In the domain of coping styles, we identified four adaptive coping styles; positive reframing and optimism, finding a purpose, being proactive, and using humor. Among the maladaptive coping styles, we found passive acceptance, and avoidance and denial.
Psychological well-being can be contingent on physical functioning and coping styles in adults with soft-tissue sarcoma. Both psychological and physical function impact quality of life. Patients with more physical limitations, psychological distress and maladaptive coping styles should be monitored for their well-being.
本研究探讨了在加拿大一家专业肉瘤医学中心接受手术治疗的软组织肉瘤成年患者的心理功能和应对方式。
这是一项定性研究，采用三种数据收集格式。访谈指南基于与健康相关的生活质量理论模型。我们首先进行了 2 次在线和 2 次现场焦点小组调查。为了进一步探讨新出现的主题，又增加了 4 次个体半结构式访谈。使用归纳主题网络方法进行数据分析。
28 名成年人（13 名女性，年龄 24-75 岁）参与了研究。在心理功能领域，我们确定了三个主要主题；情绪变化、担忧和身体形象问题。在应对方式领域，我们确定了四种适应性应对方式；积极的重新构建和乐观、寻找目标、积极主动和使用幽默。在适应不良的应对方式中，我们发现了被动接受、回避和否认。
软组织肉瘤成年患者的心理幸福感可能取决于身体功能和应对方式。心理和身体功能都影响生活质量。身体功能受限较多、心理困扰和适应不良应对方式的患者应监测其幸福感。
