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目的了解乳腺癌患者心理调节、应对方式与生活质量之间的相关性。方法采用病例对照研究方法,于2008年8月—2010年8月选择广东省广州市3家三级甲等医院确诊的女性乳腺癌患者进行调查,采用Pear-son相关分析方法分析患者心理调节、应对方式及生活质量三者间相关性。结果病例组生活质量的“躯体良好和能力”与应对的“发泄”、“幻想”均呈负相关(P<0.05),生活质量的“心理良好”与应对的“幻想”、“回避与压抑”均呈负相关(P<0.05);对照组生活质量的“社会良好”与应对的“发泄”、“幻想”、“屈服”均呈负相关(P<0.05),生活质量的“社会良好”与应对的“回避与压抑”呈正相关(r=0.259,P<0.05),生活质量的“心理良好”与应对的“屈服”呈正相关(r=0.268,P<0.05)。结论不同病程的乳腺癌患者采取不同的应对方式,长期存活者更倾向于积极乐观的应对调节。
Objective To understand the correlation between psychological adjustment, coping style and quality of life in patients with breast cancer. Methods A case-control study was conducted. From August 2008 to August 2010, we selected female breast cancer patients diagnosed in three Grade-3 hospitals in Guangzhou City, Guangdong Province for investigation. Pear-son correlation analysis was used to analyze the psychological adjustment, Coping style and quality of life. Results There was a negative correlation between quality of life and ability of the body and quality of life in the case group and those of the venting and the fantasy of coping (P <0.05), quality of life “Fantasy ”, “avoidance and depression ” were negatively correlated (P <0.05); the quality of life of the control group “social good” and “vent”, “fantasy There was a positive correlation between quality of life, ”social goodness“ and ”avoidance and repression“ of ”quality of life“ (r = 0.259, P <0.05) Mental well ”was positively correlated with coping “ yield ”(r = 0.268, P <0.05). CONCLUSIONS: Breast cancer patients of different durations adopt different coping strategies and long-term survivors prefer to be positive and optimistic coping strategies.