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男性对泌尿生殖系统癌的应激应对反应。

Stress-coping response to genitourinary carcinoma in men.

作者信息

Scott D W, Oberst M T, Bookbinder M I

出版信息

Nurs Res. 1984 Nov-Dec;33(6):325-9.

PMID:6567863
Abstract

In this descriptive study of 30 men with chronic genitourinary cancer, subjects were found to have minimal emotional distress in response to a periodic diagnostic procedure (cystoscopy). State anxiety levels and critical thinking ability measured preprocedure were not significantly different from levels obtained six to eight weeks postprocedure in subjects with negative biopsy results. Routine hospitalization for diagnostic monitoring was found, during COPE interview (Weisman & Worden, 1976), to be less stressful than regular work or financial and family concerns. Subjects with higher concurrent life stress had higher state anxiety and achieved less resolution of problems. Although anxiety levels for the group were within normal limits, 33% of the sample were categorized as having high anxiety on at least one testing occasion. This high-anxiety group had more severe behavioral responses, including feelings of depression, helplessness, and inability to set priorities.

摘要

在这项针对30名慢性泌尿生殖系统癌症男性患者的描述性研究中,研究对象在接受一项定期诊断程序(膀胱镜检查)时,发现其情绪困扰极小。活检结果为阴性的患者,术前测量的状态焦虑水平和批判性思维能力与术后六至八周测得的水平无显著差异。在应对访谈(韦斯曼和沃登,1976年)中发现,因诊断监测而进行的常规住院压力小于日常工作或财务及家庭问题带来的压力。同时承受较高生活压力的患者状态焦虑水平更高,解决问题的能力也更弱。尽管该组的焦虑水平处于正常范围内,但33%的样本在至少一次测试中被归类为高焦虑。这个高焦虑组有更严重的行为反应,包括抑郁、无助感以及无法确定优先事项。

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