摘要
目的了解乳腺癌患者术后焦虑情绪的发生情况,并探讨自尊、应对方式和焦虑的关系。方法以自尊量表(SES)、医学应对方式问卷(MCMQ)及焦虑自评量表(SAS)对194例乳腺癌患者进行问卷调查,并列其中18例乳腺癌患者进行深度访谈。结果①焦虑发生率为27.83%。②面对、屈服得分与常模无显者差异,回避得分高于常模,具有统计学意义。③自尊与面对正相关,自尊与屈服、焦虑负相关,屈服与焦虑正相关。④屈服应对在自尊与焦虑间起部分中介作用,中介效应占总体效应的比例为47.00%。结论乳腺癌患者焦虑情绪的发生率较高,应对方式中的屈服维度在自尊与焦虑间起部分中介作用,临床护理中可以通过改进自尊水平和调整应对方式来缓解乳腺癌患者的焦虑情绪。
Objective To investigate the incidence of anxiety among patients with breast cancer having completed breast cancer surgey, and to explore the relationship among self- esteem,coping modes and anxiety. Methods The self-esteem scale（SES）, medical coping modes questionnaire （MCMQ） and self-rating anxiety scale（SAS） were used to investigate 194 patients with breast cancer,at the same time, in depth interview was held for 18 of them. Results ①The incidence of anxiety was 27. 83%. ②The scores of confronce and resignation showed no significant difference with norm of patients with cancer, while the scores of avoidance were higher than the norm. ③ Self-esteem was positively related to confronce, negatively related to resignation and anxiety. While resignation was significantly positive related to anxiety. ④Partial mediating effect of resignation between self-esteem and anxiety was significant, and the ratio of mediating effect to total effect was 47, 00%, Conclusion The incidence of anxiety among patients with breast cancer was quite high, and resignation coping acted as a mediator between self-esteem and anxiety. In order to release the anxiety of patients who suffered breast cancer, doctors and nurses can improve their self-esteem and help them adjust to adopt efficient coping modes in clinical nursing.
出处
《中国临床护理》
2012年第6期540-543,共4页
Chinese Clinical Nursing
基金
河南大学大学生创新性实验计划资助项目(11NB036)
关键词
乳腺癌
自尊
焦虑
应对方式
中介作用
Breast cancer
Self-esteem
Anxiety
Coping mode
Mediating effect
