【摘要】 目的:探讨癌症患者应对方式与心理状况及其相关性,为癌症患者的心理护理提供理论依据。方法:采用特质应对方式问卷(TCSQ)、症状自评量表(SCL-9O)、抑郁自评量表(SDS)和焦虑自评量表(SAS)对60例癌症患者和30例健康对照进行测试,并分析癌症患者应对方式与心理状况的相关性。结果:癌症患者存在严重的心理问题。应对方式中,消极应对得分明显高于对照组(P<0.01),积极应对得分与对照组比较,差异无统计学意义(P>0.05)。癌症患者的SCL-90各因子分均明显高于对照组,突出表现在躯体化、焦虑、抑郁及精神病性四个方面。癌症组不仅SAS评分明显高于对照组(P<0.01),而且SDS评分也明显高于对照组(P<0.05),显示癌症患者有较多的抑郁、焦虑情绪反应。积极应对得分与SCL-90总分、总均分、阳性症状均分、强迫症状等因子及SAS、SDS评分呈负相关关系(P<0.05~0.005),消极应对得分与SCL-90(除阳性症状均分、躯体化、偏执因子外)及SAS、SDS评分呈正相关关系(P<0.05~0.005)。结论:癌症患者存在诸多方面的心理问题,应对方式是影响患者心理状况的重要因素。更多还原

【Abstract】 Objective:To explore the relationship between coping style and psychological status in patients with cancer.Method: Sixty patients with cancer and thirty healthy controls were administered with Trait Coping Style Questionnaire(TCSQ),Symptom Checklist 90(SCL-90),self-rating depression scale(SDS) and self-rating anxiety scale(SAS).Results: The patient had higher scores on negative coping style than the control(P<0.01),higher scores on SCL-90, distinctly in somatization,anxiety,depression,and psycho-disposition than the control,and higher scores on SAS and SDS than the control(P<0.05?-?0.01).There were negative correlations between positive coping style and psychological status(P<0.05?-?0.005),but positive correlations between negative coping style and psychological status((P<)0.05?-?0.005).Conclusion: The cancer patients have many psychologic problems,in which coping styles are the major factors.更多还原