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目的探讨化疗期乳腺癌患者自我护理能力、希望水平与抑郁的相关性。方法选取2010年2月-2014年2月来该院进行化疗治疗乳腺癌的患者420例,采用一般自我效能量表(GSES)、希望水平量表(HHI)和自评抑郁量表(SDS)对患者的自我护理能力、希望水平和抑郁情况进行评分,研究患者自我护理能力、希望水平与抑郁的相关性。结果受试者HHI和GSES得分显著低于国内常模,差异有统计学意义(P<0.05),而SDS得分显著高于常模,差异有统计学意义(P<0.05)。经Pearson相关系数分析,患者的自我护理能力和希望水平与抑郁呈负性相关(P<0.05)。结论患者的自我护理能力和希望水平与抑郁呈负性相关,提高化疗期乳腺癌患者的自我护理能力、保持患者较好的希望水平将有助于避免抑郁的出现。
Objective To investigate the correlation between self-care ability, hope level and depression in patients with breast cancer during chemotherapy. Methods A total of 420 patients with breast cancer who underwent chemotherapy in this hospital from February 2010 to February 2014 were enrolled in this study. The general self-efficacy scale (GSES), hope level scale (HHI) and self-rating depression scale (SDS) Patients’ self-care ability, hope level and depression were scored to study the correlation between patient self-care ability, hope level and depression. Results The score of HHI and GSES was significantly lower than that of the national norm (P <0.05), while the score of SDS was significantly higher than that of norm (P <0.05). Pearson correlation coefficient analysis showed that patients’ self-care ability and hope level were negatively correlated with depression (P <0.05). Conclusion Patients’ self-care ability and hope level are negatively correlated with depression. Improving self-care ability of patients with breast cancer during chemotherapy and maintaining good hope level of patients will help prevent the occurrence of depression.