[1]陈露露,彭李,唐棠,等.妇科癌症患者心理弹性及影响因素的研究[J].第三军医大学学报,2012,34(02):137-140.
 Chen Lulu,Peng Li,Tang Tang,et al.Resilience and related factors in gynecologic cancer patients[J].J Third Mil Med Univ,2012,34(02):137-140.
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妇科癌症患者心理弹性及影响因素的研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
34卷
期数:
2012年第02期
页码:
137-140
栏目:
论著
出版日期:
2012-01-30

文章信息/Info

Title:
Resilience and related factors in gynecologic cancer patients
作者:
陈露露彭李唐棠李敏
第三军医大学护理系心理学教研室;第三军医大学新桥医院妇产科
Author(s):
Chen Lulu Peng Li Tang Tang Li Min
Department of Psychology, School of Nursing, Third Military Medical University, Chongqing,400038; Department of Gynecology and Obstetrics, Xinqiao Hospital, Third Military Medical University, Chongqing, 400037, China
关键词:
心理弹性心理健康妇科癌症患者
Keywords:
resilience mental health gynecologic cancer patients
分类号:
R395.1;R173;R73
文献标志码:
A
摘要:
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(P<0.01),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(P>0.05),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,P<0.05),与神经质及退避负相关(r分别是-0.267、-0.154,P<0.05)。      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。
Abstract:
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 (P<0.05), 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 (P<0.01). The score of resilience from high to low was commercial insurance >medical insurance for urban workers > rural cooperative medical service>no 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(P>0.05). 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, P<0.05) and positive coping (r=0.172, P<0.05), and negative correlation with the neuroticism(r=-0.267, P<0.05) and retreat(r=-0.154, P<0.05).       Conclusion      Gynecologic cancer patients have low resilience. Personality, coping style, level of education and types of medical insurance are important affecting factors for resilience.

参考文献/References:

陈露露,彭李,唐棠, 等. 妇科癌症患者心理弹性及影响因素的研究[J].第三军医大学学报,2012,34(2):137-140.

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更新日期/Last Update: 2012-01-13