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恶性肿瘤患者心理弹性与应对方式及生活质量的相关性

Correlations of resilience with coping styles and quality of life in patients with malignancies.

作者信息

Qin Xue-Jin, Kang Man-Man, Zhong Fei, Liu Jing-Jing, Zhu Zheng-Chun, Zhang Di, Han Ke

机构信息

Department of Oncology, Fuyang Hospital Affiliated to Anhui Medical University, Fuyang 236000, Anhui Province, China.

出版信息

World J Psychiatry. 2025 Apr 19;15(4):100573. doi: 10.5498/wjp.v15.i4.100573.

Abstract

BACKGROUND

Resilience is an individual's ability and psychological rebound capacity to adapt well after experiencing adversity, trauma, Patients with strong resilience can face illnesses actively.

AIM

To determine the association of resilience with coping styles and quality of life in patients with malignancies.

METHODS

This study included patients with malignant tumors who were hospitalized at Fuyang Hospital Affiliated to Anhui Medical University from March 2022 to March 2024. The Connor-Davidson Resilience Scale, Medical Coping Modes Questionnaire, Social Support Rating Scale, and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were utilized to assess patients' resilience, coping styles, social support, and quality of life, respectively. Pearson correlation analysis was conducted to assess the correlations.

RESULTS

A total of 175 patients with malignant tumors demonstrated no marked difference in terms of age, education level, employment status, monthly household income, and disease staging ( < 0.05). Further, patients with malignancies demonstrated scores of 17.49 ± 1.20, 17.27 ± 1.46, and 11.19 ± 1.29 points in terms of coping styles in confrontation, avoidance, and resignation dimensions, respectively. Subjective support, objective support, and support utilization scores in terms of social support were 10.67 ± 1.80, 11.26 ± 2.08, and 9.24 ± 1.14 points, respectively. The total resilience score and tenacity, self-improvement, and optimism dimension scores were positively correlated with the confrontation coping style score, whereas the total resilience score and tenacity and self-improvement scores were negatively associated with avoidance and resignation coping style scores ( < 0.05). The total resilience score and the tenacity dimension score were positively associated with physical, role, cognitive, emotional, and social functions, as well as global health status ( < 0.05), and were inversely related to fatigue, insomnia, and economic difficulties ( < 0.05).

CONCLUSION

The resilience of patients with malignancies is positively associated with the confrontation dimension in the coping style, the total and various social support domain scores, and the overall quality of life. Clinical medical staff need to pay attention to the effect of medical coping styles and social support on the resilience level of patients with malignancies to further improve their quality of life.

摘要

背景

心理弹性是个体在经历逆境、创伤后良好适应的能力和心理反弹能力,心理弹性强的患者能够积极面对疾病。

目的

探讨恶性肿瘤患者心理弹性与应对方式及生活质量的相关性。

方法

本研究纳入2022年3月至2024年3月在安徽医科大学附属阜阳医院住院的恶性肿瘤患者。分别采用康纳-戴维森心理弹性量表、医学应对方式问卷、社会支持评定量表和欧洲癌症研究与治疗组织生活质量核心问卷30项,评估患者的心理弹性、应对方式、社会支持和生活质量。采用Pearson相关分析评估相关性。

结果

共175例恶性肿瘤患者在年龄、文化程度、职业状况、家庭月收入和疾病分期方面差异无统计学意义(P>0.05)。此外,恶性肿瘤患者在面对、回避和屈服维度的应对方式得分分别为(17.49±1.20)分、(17.27±1.46)分和(11.19±1.29)分。社会支持的主观支持、客观支持和支持利用度得分分别为(10.67±1.80)分、(11.26±2.08)分和(9.24±1.14)分。心理弹性总分及坚韧、自强和乐观维度得分与面对应对方式得分呈正相关,而心理弹性总分及坚韧和自强得分与回避和屈服应对方式得分呈负相关(P<0.05)。心理弹性总分及坚韧维度得分与生理、角色、认知、情绪和社会功能以及总体健康状况呈正相关(P<0.05),与疲劳、失眠和经济困难呈负相关(P<0.05)。

结论

恶性肿瘤患者的心理弹性与应对方式中的面对维度、社会支持各领域总分及总体生活质量呈正相关。临床医务人员需关注医学应对方式和社会支持对恶性肿瘤患者心理弹性水平的影响,以进一步提高其生活质量。

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