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目的调查乳腺癌化疗患者的应对方式,探讨应对方式与生命质量的关系及心理干预对策。方法选取乳腺癌化疗患者84例,随机分为对照组和干预组。对照组进行常规护理,干预组采用常规护理+心理干预(个别干预和团体干预相结合)。应用医学应对方式问卷(MCMQ)测评两组患者应对方式,将所得数据进行比较,评价患者的应对方式状况,分析干预组应对方式与生命质量的关系。结果应对方式两组患者在屈服、回避维度得分差异有统计学意义(P<0.01),面对维度得分差异无统计学意义(P>0.05);心理干预后干预组与对照组比较在面对、回避应对及应对总分得分,差异有统计学意义(P<0.01,P<0.05);进一步做干预组应对方式与生命质量相关分析,生命质量与积极“面对”应对维度呈正相关,与回避维度呈负相关。结论乳腺癌化疗患者应对方式消极被动,应给予针对性的心理干预,促使患者采取积极的应对方式,从而提高生命质量。
Objective To investigate the coping style of breast cancer patients undergoing chemotherapy and to explore the relationship between coping style and quality of life and psychological interventions. Methods 84 cases of breast cancer chemotherapy patients were randomly divided into control group and intervention group. The control group received routine nursing, and the intervention group used routine nursing and psychological intervention (combination of individual intervention and group intervention). The medical coping style questionnaire (MCMQ) was used to measure the coping style of two groups of patients. The data were compared to evaluate the coping style of the patients. The relationship between coping style and quality of life was analyzed. Results Coping Style There was significant difference between the two groups in yield and avoidance dimensions (P <0.01), but there was no significant difference in the face dimension scores (P> 0.05). After psychological intervention, (P <0.01, P <0.05). There was a positive correlation between coping style and quality of life in the intervention group, and the quality of life was positively correlated with the active “face-to-face” coping style , And negatively correlated with the avoidance dimension. Conclusion The coping style of patients with breast cancer chemotherapy is negative and passive. Psychological intervention should be given to patients to promote positive coping style and improve their quality of life.