乳腺癌患者围术期人格特质及医学应对方式的临床研究.pdfVIP

·486· 护士进修杂志2006年6月第 21卷第6期 · 论 著 · 乳腺癌患者围术期人格特质及医学应对方式 的临床研究 于轶群 肖兰香 郑春生 卢雪洁 (温州医学院附属第一医院肿瘤外科，浙江 温州 325000) 摘 要 目的探讨不向人格特质的乳腺癌患者手术前后采取应对方式的特点，为临床心理护理提供理论依 据。方法 采用艾森克人格问卷(EPQ)、医学应对方式问卷(MCMQ)分别对 84例乳腺癌患者的人格特质和应对方 式进行测评和分析。结果 本组患者手术前后人格特点表现内向、情绪较稳定，术前以“回避”应对方式为主，术后以 “面对”应对方式为主，但“屈服”应对方式分值一直处于中等水平，相关分析发现“面对”与EPQ—E呈正相关，而与 EPQ—N无相关性，“回避”与EPQ—E、N均无相关性，“屈服”与 EPQ—E呈负相关，与 EPQ—N呈正相关。结论 乳腺癌患者围术期采取的应对方式受人格因素影响，应根据其特点制定相应护理策略。 关键词 乳腺癌 围术期 人格特质 应对方式 护理 Clinical study on the coping style and personality for patients with breast cancer patients during operation period Yu Yiqun Xiao Lanxiang Zheng Chunsheng etc (Department of oncological Surgery，the first affiliated hospital of WenZhou medical college，WenZhou 325000) Abstract Objective To study the coping style and personality for patients with breast cancer during operation period，and to provide theoretic evidence for the clinical psychological nursing．Methods Eysenck Personality Ques— tionnaire(EPQ)and Medical Coping Method Questionnaire(MCMQ)were used to evaluate the personality features and coping styles for 84 patients with breast cancer during operation．Results Introversion and steady emotion OC— curred to 84 breast cancer patients during operation．“Facing’’coping style dominated before operation and“avoid— ance”coping style dominated after operation、However the grade of“obedience”coping style kept a middle level、 Relevant analysis showed“facing”was positively associated with EPQ—E but none associated with EPQ—N，“a— voidance”was none associated with EPQ—E．N．However“obedience”was negatively associated with EPQ—E and positively associated wi