Skwirczyńska Edyta, Chudecka-Głaz Anita, Wróblewski Oskar, Tejchman Karol, Skonieczna-Żydecka Karolina, Piotrowiak Michał, Michalczyk Kaja, Karakiewicz Beata
Department of the History of Medicine and Medical Ethics, Pomeranian Medical University, Aleja Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
Department of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University, 70-204 Szczecin, Poland.
Cancers (Basel). 2023 Feb 24;15(5):1450. doi: 10.3390/cancers15051450.
The aim of this study was to analyze coping mechanisms and their psychological aspects during the treatment of neoplastic prostate hyperplasia. We have analyzed strategies and styles of coping with stress and self-esteem of patients diagnosed with neoplastic prostate hyperplasia. A total of 126 patients were included in the study. Standardized psychological questionnaires were used to determine the type of coping strategy by using the Stress Coping Inventory MINI-COPE, while a coping style questionnaire was used to assess the type of coping style by using the Convergence Insufficiency Symptom Survey (CISS). The SES Self-Assessment Scale was used to measure the level of self-esteem. Patients using adaptive strategies of coping with stress in the form of active coping, seeking support and planning had higher self-esteem. However, the use of maladaptive coping strategies in the form of self-blame was found to cause a significant decrease in patients' self-esteem. The study has also shown the choice of a task-based coping style to positively influence one's self-esteem. An analysis related to patients' age and coping methods revealed younger patients, up to 65 years of age, using adaptive strategies of coping with stress to have a higher level of self-esteem than older patients using similar strategies. The results of this study show that older patients, despite the use of adaptation strategies, have lower self-esteem. This group of patients should receive special care both from family and medical staff. The obtained results support the implementation of holistic care for patients, using psychological interventions to improve patients' quality of life. Early psychological consultation and mobilization of patients' personal resources may allow patients to change stress coping methods towards more adaptive forms.
本研究的目的是分析前列腺增生症治疗过程中的应对机制及其心理层面。我们分析了被诊断为前列腺增生症患者应对压力的策略和方式以及他们的自尊水平。共有126名患者纳入本研究。使用标准化心理问卷，通过压力应对量表MINI - COPE来确定应对策略类型，同时使用应对方式问卷，通过集合不足症状调查（CISS）来评估应对方式类型。使用SES自我评估量表来测量自尊水平。采用积极应对、寻求支持和规划等适应性应对压力策略的患者自尊水平较高。然而，发现采用自责这种适应不良应对策略会导致患者自尊水平显著下降。该研究还表明，选择基于任务的应对方式会对一个人的自尊产生积极影响。一项与患者年龄和应对方法相关的分析显示，65岁及以下的年轻患者采用适应性应对压力策略时的自尊水平高于采用类似策略的老年患者。本研究结果表明，老年患者尽管采用了适应策略，但其自尊水平较低。这组患者应得到家人和医护人员的特别关照。所得结果支持对患者实施整体护理，采用心理干预来改善患者生活质量。早期心理咨询和调动患者个人资源可能会使患者将压力应对方式转变为更具适应性的形式。
