Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland.
Department of Economic and System Analyses, National Institute of Public Health-NIH-National Research Institute, 00-791 Warsaw, Poland.
Int J Environ Res Public Health. 2021 Nov 29;18(23):12603. doi: 10.3390/ijerph182312603.
Cancer is associated with discomfort and many changes in patients' lives to which they must adapt. The main objective of the study was to assess the use of the mini-MAC questionnaire scale among persons diagnosed with malignant cancer and to develop standards allowing differentiation of patients with diagnosed cancer in terms of their style of adjustment to the disease. The mini-MAC questionnaire is a widely used tool in assessing coping strategies among cancer patients. Sten standards have been developed to determine the level of results on the questionnaire scales in the low-average-high categories. The study included 1187 patients diagnosed with malignant cancer who are covered by outpatient care at the Maria Sklodowska-Curie Institute-Oncology Center in Warsaw. The questionnaire concerning mental adjustment to cancer was used (mini-MAC). Patients with cancer most often adopt strategies of fighting spirit and positive reevaluation. The variables that differentiate the results most significantly include gender, presence of metastasis, and the state of undergoing chemotherapy. The mini-MAC questionnaire should be a tool for psycho-oncological diagnosis of patients' attitudes towards cancer. The obtained results indicate that cancer patients are characterized by their constructive style of adjustment to the disease.
癌症会给患者带来不适和生活上的诸多改变,他们必须适应这些改变。本研究的主要目的是评估在诊断出患有恶性癌症的人群中使用 mini-MAC 问卷量表的情况,并制定标准,根据患者对疾病的适应方式对其进行区分。mini-MAC 问卷是评估癌症患者应对策略的常用工具。已经制定了严格的标准来确定问卷量表在低、平均、高三个类别中的得分水平。该研究纳入了 1187 名在华沙玛丽亚·斯克沃多夫斯卡-居里肿瘤学中心接受门诊治疗的恶性癌症患者。使用了癌症心理调整问卷(mini-MAC)。癌症患者最常采用的策略是斗志和积极的重新评估。最能显著区分结果的变量包括性别、是否存在转移以及是否正在接受化疗。mini-MAC 问卷应该是对患者对待癌症的态度进行心理-肿瘤学诊断的工具。研究结果表明,癌症患者的特点是他们对疾病的建设性适应方式。