【摘要】 目的:探讨乳腺癌术后化疗患者癌因性疲乏水平与应对方式的关系。方法:采用癌症疲乏量表和Jalow iec应对量表对396例乳腺癌术后化疗患者进行问卷调查,并分析其相关性。结果:乳腺癌术后化疗患者总疲乏发生率为96.97%,以中度疲乏最为明显;各维度疲乏发生率由高到低依次为躯体疲乏、情感疲乏、认知疲乏;乳腺癌术后化疗患者应对方式得分由高到低依次为乐观、勇敢面对、寻求支持、自我依赖、情感宣泄、逃避、听天由命、保守,其中应用最多的是乐观应对方式,应用最少的应对方式是情感宣泄;情感宣泄应对方式与癌因性疲乏各维度均呈正相关(P<0.01);乐观、勇敢面对、寻求支持、自我依赖、保守应对方式与情感疲乏呈负相关(P<0.05);乐观、寻求支持应对方式与躯体疲乏呈负相关(P<0.05);逃避、听天由命应对方式与总疲乏、躯体疲乏、认知疲乏维度均呈正相关(P<0.05)。结论:乳腺癌患者普遍存在癌因性疲乏,应引导患者更多地采用积极有效的应对方式,避免采用消极的应对方式,以增强患者的心理适应能力,减轻癌因性疲乏,提高患者生活质量。更多还原

【Abstract】 Objective To study the relevance between cancer related fatigue and coping styles in breast cancer patients after chemotherapy.Methods A survey was conducted in 396 patients with breast cancer after chemotherapy on cancer related fatigue scale and Jalowiec coping scale,and the relation was analyzed.Results The rate of overall fatigue in breast cancer patients was 96.97%,mostly moderate fatigue.The rate of fatigue dimensions from high to low was physical fatigue,feeling fatigue and cognitive fatigue,respectively.The score of coping styles in patients with breast cancer after chemotherapy from high to low was optimistic coping,facing bravely,support seeking,self-reliance,emotional catharsis,avoidance,fatalism,and conservation.The most widely used coping style was optimistic coping style,and the least was emotional catharisis.There was a positive correlation between coping style of emotional catharsis and cancer related fatigue of all dimensions(P<0.01).There was a negative correlation between emotional fatigue and optimistic,facing bravely,support seeking,self-reliance,or conservation(P<0.05).There was also a negative correlation between physical fatigue and optimistic or support seeking(P<0.05),but there was a positive correlation between avoidance or fatalism and the dimensions of general fatigue,physical fatigue,and cognitive fatigue(P<0.05).Conclusion There is prevalent cancer related fatigue in patients with breast cancer after chemotherapy.We should guide the patients to more active coping styles,to enhance the ability of psychological adaption in patients,reduce cancer related fatigue,and improve the quality of life.更多还原