乳腺癌术后患者心理弹性及其的影响因素分析.docVIP

乳腺癌术后患者心理弹性及其的影响因素分析 　　[摘要] 目的 ?θ橄侔┦鹾蠡颊叩男睦淼?性进行现状调查，并对其相关影响因素进行分析；为增强乳腺癌术后患者心理弹性、提高乳腺癌术后患者生活质量提供科学依据。 方法 采用横断面调查方法对惠州市某三甲医院肿瘤门诊的220例乳腺癌术后患者，应用一般情况调查表、心理弹性量表、一般自我效能感量表、家庭坚韧力量表、社会支持评定量表进行现状调查，分析影响乳腺癌术后患者心理弹性的相关因素。乳腺癌术后患者的心理弹性与自我效能感、家庭弹性力量、社会支持量采用Pearson相关分析，以心理弹性为因变量，单因素分析有统计学意义的变量纳入方程进行多元回归分析。 结果 乳腺癌术后患者心理弹性较差，其心理弹性与自我效能感（r=0.191，P0.01）、家庭弹性（r=0.478，P0.01）、社会支持（r=0.718，P0.01）呈正相关，多元线性回归分析显示肿瘤分期、辅助治疗疗程、术后参与锻炼强度、家庭坚韧力承担、控制两个维度、社会支持主观支持维度，6个因子进入回归方程，可解释乳腺癌术后患者心理弹性的60.1%。 结论 可通过对肿瘤分期等6个因素的干预增强乳腺癌术后患者心理弹性。 　　[关键词] 乳腺癌；心理弹性；影响因素；多元回归分析 　　[中图分类号] R473.73 [文献标识码] A [文章编号] 2095-0616（2017）20-24-06 　　Psychological resilience and its influencing factors in postoperative breast cancer patients 　　CHEN Wei1 WU Kusheng2 　　1.College of Nursing，Huizhou Health Sciences Polytechnic，Huizhou 516025，China；2.Department of Preventive Medicine，Medical College of Shantou Univerdity，Shantou 515041，China 　　[Abstract] Objective To investigate current situation of breast cancer patients in psychological resilience a scientific basis for enhancing the mental toughness of patients and improving their quality of life after breast cancer surgery. Methods 220 cases breast cancer patients from a Grade Ⅲ Level A hospital in Huizhou were selected to be investigated by cross-sectional study.General situation questionnaire， CD-RISC，GSES，Family Hardiness Index，SSRS were used to analyze the related influencing factors about psychological resilience of the postoperative breast cancer patients psychological.Psychological resilience and self-efficacy of postoperative breast cancer patients，family resilience and social support were included while doing Pearson correlation analysis.Regarding psychological resilience as the dependent variabie， multivariate regression analysis was performed by using the variables that were statistically significant in single factor analysis. Results After breast cancer，the patient has poor mental resilience；The results show that psychological resilience and self-efficacy of