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纸质出版:2012
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陈露露,彭李,唐棠,李敏.妇科癌症患者心理弹性及影响因素的研究[J].陆军军医大学学报(原第三军医大学学报),2012,34(02):137-140.
Chen Lulu,Peng Li,Tang Tang,Li Min.Resilience and related factors in gynecologic cancer patients[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(02):137-140.
目的 研究妇科癌症患者心理弹性状况及影响因素,为妇科癌症患者的心理康复提供依据。 方法 采用心理弹性量表(connor-davidson resilience scale,CD-RISC)、症状自评量表(symptom checklist 90,SCL-90)、艾森克人格问卷(Eysenck personality questionnaire
EPQ)、应对方式问卷对181例三甲医院的妇科癌症患者进行问卷调查。 结果 ①妇科癌症患者心理弹性总分为60.09±19.38;坚韧性得分30.23±10.65,力量得分20.11±6.40,乐观性得分9.75±3.53。②心理弹性高分组在外向性、合理化得分上显著高于心理弹性低分组(P=0.000,P=0.026),在神经质得分上显著低于心理弹性低分组(P=0.000)。③不同的医保状态下心理弹性有显著差异(P0.01),心理弹性由高到低依次为商业保险>职工医保>新农合>无保险。④心理弹性随着文化程度有增高的趋势,在CD-RISC总分(P=0.029)、坚韧性(P=0.046)及力量因子(P=0.016)上,小学文化程度者的心理弹性显著低于大专文化程度者的心理弹性。⑤不同年龄患者心理弹性没有显著差异(P0.05)
但在力量因子上,40~49岁组得分显著低于≥50岁组(P=0.047)。⑥心理弹性与外向性人格、合理化应对方式 正相关(r分别是0.377、0.172,P0.05),与神经质及退避负相关(r分别是-0.267、-0.154,P0.05)。 结论 妇科癌症患者心理弹性普遍较差,人格特征、应对方式、文化程度及医保类型是影响患者心理弹性的重要因素。
Objective To investigate the resilience and related factors of gynecological cancer patients in order to provide a basis for their psychological rehabilitation. Methods One hundred and eighty-one patients with identified gynecologic cancer from 3 Three-A class hospitals in Chongqing were tested with Connor-Davidson resilience scale (CD-RISC)
Self-report Symptom Checklist 90 (SCL-90)
Eysenck Personality Questionnaire (EPQ)
and Copying Style Questionnaire. Results ①The total score of resilience was 60.09±19.38
the score of tolerance was 30.23±10.65
the score of strength was 20.11±6.40
and the score of optimism was 9.75±3.53 for these gynecologic cancer patients. ②Compared to the lower resilience group in the CD-RISC
the higher resilience group scored significantly higher in extraversion and rationalization (P0.05)
while significantly lower in the score of SCL-90 and neuroticism (P=0.000). ③ There existed significantly differences in CD-RISC for patient with difference medical insurance (P0.01). The score of resilience from high to low was commercial insurance medical insurance for urban workers rural cooperative medical serviceno insurance in order. ④The score of resilience was elevated with the increase of education level: college or above primary school. ⑤ There existed no difference in CD-RISC for patient at difference ages(P0.05). But compared to the ≥50 group
the 40 to 49 group scored significantly lower in the strength(P=0.047).⑥Resilience had an obvious positive correlation with the extraversion(r=0.377
P0.05) and positive coping (r=0.172
P0.05)
and negative correlation with the neuroticism(r=-0.267
P0.05) and retreat(r=-0.154
P0.05). Conclusion Gynecologic cancer patients have low resilience. Personality
coping style
level of education and types of medical insurance are important affecting factors for resilience.
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