化疗期乳腺癌患者婚姻质量和社会支持的调查-中国医科大学.pdfVIP

中国医科大学学报 第39 卷 第1 期 2010 年1 月 40 · · Journal of China Medical University Vol.39 No.1 Jan. 2010 化疗期乳腺癌患者婚姻质量和社会支持的调查 郝兴华，王旭梅，夏静，邵云 （中国医科大学附属盛京医院心理科，沈阳110004） 摘要：目的 调查乳腺癌患者在化疗期婚姻质量、社会支持的特点及二者之间的关系。方法 将77 例乳腺癌患者分为化疗初 期组、化疗中期组和化疗末期组采用Olson 婚姻质量问卷和社会支持评定量表进行问卷调查。结果 患者婚姻质量的总分及 各因子分在化疗中期组最低。3 组相比，客观支持和支持利用度的均数均逐渐增高，化疗初期组与化疗末期组的客观支持分呈 显著性差异（P =0.009），化疗末期组的客观支持分高于化疗初期组。 在整体研究对象中，乳腺癌患者婚姻满意度与客观支持呈 显著性正相关（r =0.248，P =0.036），婚姻质量总分与主观支持呈显著正相关（r =0.286，P =0.015）。结论 化疗期乳腺癌患者婚 姻质量差，化疗中期组最差。主观支持、客观支持能改善患者的婚姻质量。 关键词：乳腺癌；婚姻质量；社会支持 中图分类号：R395.1 文献标志码：A 文章编号：0258-4646 （2010）01-0040-04 Marital Quality and Social Support Status of the Patients with Breast Cancer during the Period of Chemotherapy HAO Xing-hua ，WANG Xu-mei ，XIA Jing ，SHAO Yun （Department of Psychology，Shengjing Hospital ，China Medical University，Shenyang 110004，China） Abstract ：Objective To investigate the characteristics of marital quality and social support status of the patients with breast cancer during the period of chemotherapy and the correlation of both factors. Methods Seventy-seven patients with breast cancer were divided into begin－ ning-，middle- and final-staging groups of chemotherapy. And they were studied with Olson marital quality questionnaire and Social Support Rating Scale. Results The total scores of marital quality and other factors were the lowest in the mid-chemotherapy group. Among three groups ，the mean of the objective support and availability were gradually increased with the chemotherapy going. The score of objective sup－ port was higher in the final than beginning chemotherapy groups （P =0.009）. There was a positive correlation between marital satisfaction and the objective support （r =0.248，P =0.036），and between the total score of quality of marriage and subjective suppor