论文部分内容阅读
目的探讨乳腺癌患者围手术期应对方式对生活质量的影响。方法选取2013年3月至2014年9月间手术治疗的乳腺癌患者80例,应用医学应对问卷(MCMQ)及生活质量量表(FACT-B)对患者术前、术后进行调查,探讨手术前后患者应对方式对生活质量的影响。结果 (1)3种应对方式中,面对和回避维度从术前至出院前是递增的,与出院前差异有统计学意义(P<0.05);而屈服维度呈递减趋势,与出院前差异有统计学意义(P<0.05)。生活质量方面,患者术前生存质量明显低于出院前,差异有统计学意义(P<0.05),其中5个相关维度中,社会家庭状况术前明显低于出院前,差异有统计学意义(P<0.05),其他4个维度差异无统计学意义(P>0.05)。(2)总体生活质量与面对维度和回避维度呈正相关(P<0.05),与屈服维度呈负相关(P<0.05);面对维度与社会/家庭状况、功能状况均呈正相关(P<0.05);回避维度与社会/家庭状况,功能状况呈正相关(P<0.05)。屈服维度与生理状况、情感状况、功能状况、附加关注呈负相关(P<0.05)。结论乳腺癌患者围手术期应对方式与生活质量相关,患者在不同时期可能表现出不同的应对方式。
Objective To investigate the effect of perioperative coping style on quality of life in patients with breast cancer. Methods Eighty patients with breast cancer surgically treated between March 2013 and September 2014 were enrolled in this study. Preoperative and postoperative examinations were performed using the Medical Resuscitation Questionnaire (MCMQ) and Quality of Life Scale (FACT-B) Impact of patient coping style on quality of life before and after treatment. Results (1) Among the three coping styles, the face-to-face and avoidance dimensions increased from preoperative to pre-discharge and were significantly different from those before discharge (P <0.05); while the yield dimensions showed a decreasing trend, There was statistical significance (P <0.05). Quality of life, preoperative quality of life was significantly lower than before discharge, the difference was statistically significant (P <0.05), of which five related dimensions, pre-family social conditions was significantly lower than before discharge, the difference was statistically significant ( P <0.05). There was no significant difference in the other four dimensions (P> 0.05). (2) There was a positive correlation between overall quality of life and face dimension and avoidance dimension (P <0.05), negative correlation with yield dimension (P <0.05), and face dimension positively correlated with social / family status and functional status (P < 0.05). The avoidance dimension was positively correlated with social / family status and functional status (P <0.05). There was a negative correlation between yield dimension and physiological status, emotional status, functional status and additional attention (P <0.05). Conclusion The perioperative coping style of breast cancer patients is related to quality of life. Patients may show different coping styles at different stages.