University of California, San Francisco.
Stanford University.
Oncol Nurs Forum. 2020 Sep 1;47(5):586-594. doi: 10.1188/20.ONF.586-594.
To evaluate the relationship between gender and coping strategies in patients with cancer undergoing chemotherapy in outpatient settings.
SAMPLE & SETTING: Women (N = 277) and men (N = 293) were recruited from two comprehensive cancer centers, one Veterans Affairs hospital, and four community-based oncology programs.
METHODS & VARIABLES: Coping data were obtained from patients with gastrointestinal (n = 412) or lung (n = 158) cancer through the Brief COPE scale.
In terms of engagement coping strategies, women reported higher scores for positive reframing, religion, and using instrumental support. Men reported higher scores for humor. In terms of disengagement coping strategies, women reported higher scores for denial, venting, and self-distraction. Men reported higher scores for substance use.
Gender-based stereotypes of emotional expectations may affect how patients express themselves and the ways in which support is offered. Clinicians should be aware of their own preconceived notions about sex and gender and reflect on how these may influence the psychosocial care they provide.
评估在门诊接受化疗的癌症患者中，性别与应对策略之间的关系。
从两个综合癌症中心、一个退伍军人事务医院和四个社区肿瘤学项目中招募了女性（N=277）和男性（N=293）患者。
通过 Brief COPE 量表从胃肠道（n=412）或肺部（n=158）癌症患者那里获得应对数据。
在参与应对策略方面，女性在积极重新评估、宗教和使用工具性支持方面的得分较高。男性在幽默方面的得分较高。在回避应对策略方面，女性在否认、发泄和自我分心方面的得分较高。男性在物质使用方面的得分较高。
对情绪期望的性别刻板印象可能会影响患者的表达方式以及提供支持的方式。临床医生应该意识到自己对性别的先入之见，并反思这些观念如何影响他们提供的社会心理护理。
