本文選題：乳腺腫瘤 + 樂觀傾向��； 參考：《中國全科醫(yī)學(xué)》2016年23期

【摘要】：目的探討乳腺癌患者樂觀傾向、應(yīng)對(duì)方式與益處發(fā)現(xiàn)的關(guān)系以及應(yīng)對(duì)方式在樂觀傾向和益處發(fā)現(xiàn)間的中介效應(yīng)。方法采用方便抽樣方法,選取2014年10月—2015年6月安徽省某兩所醫(yī)院的乳腺癌患者。采用自行設(shè)計(jì)的一般人口學(xué)資料調(diào)查表進(jìn)行一般資料調(diào)查,采用生活定向測(cè)驗(yàn)修訂版、醫(yī)學(xué)應(yīng)對(duì)方式問卷和中文版益處發(fā)現(xiàn)評(píng)定量表,分別評(píng)估患者樂觀傾向水平、應(yīng)對(duì)方式和益處發(fā)現(xiàn)水平。結(jié)果共發(fā)放問卷276份,其中有效問卷260份,有效回收率為94.2%。乳腺癌患者樂觀傾向得分為(13.6±4.0)分,面對(duì)維度得分為(18.1±4.0)分,回避維度得分為(16.8±2.0)分,屈服維度得分為(9.2±2.9)分,益處發(fā)現(xiàn)得分為(46.8±14.0)分。Pearson相關(guān)分析結(jié)果顯示,樂觀傾向得分與益處發(fā)現(xiàn)得分呈正相關(guān)(r=0.631,P0.01);面對(duì)、回避維度得分與益處發(fā)現(xiàn)得分呈正相關(guān)(r=0.507、0.431,P0.01);屈服維度得分與益處發(fā)現(xiàn)得分呈負(fù)相關(guān)(r=-0.552,P0.01)。應(yīng)對(duì)方式(面對(duì)、回避、屈服)在樂觀傾向和益處發(fā)現(xiàn)之間起部分中介效應(yīng),其中面對(duì)應(yīng)對(duì)在樂觀傾向與益處發(fā)現(xiàn)的中介效應(yīng)占總效應(yīng)的20.15%(0.464×0.274/0.631×100%),回避應(yīng)對(duì)在樂觀傾向與益處發(fā)現(xiàn)的中介效應(yīng)占總效應(yīng)的13.33%(0.355×0.237/0.631×100%),屈服應(yīng)對(duì)在樂觀傾向與益處發(fā)現(xiàn)的中介效應(yīng)占總效應(yīng)的23.25%〔(-0.719)×(-0.204)/0.631×100%〕。結(jié)論乳腺癌患者益處發(fā)現(xiàn)與樂觀傾向、應(yīng)對(duì)方式相關(guān),同時(shí)應(yīng)對(duì)方式在樂觀傾向和益處發(fā)現(xiàn)之間起部分中介效應(yīng)。
[Abstract]:Objective to investigate the positive tendency of breast cancer patients, the relationship between coping style and benefit discovery, and the mediating effect of coping style between optimistic tendency and benefit discovery. Methods Breast cancer patients from two hospitals in Anhui Province from October 2014 to June 2015 were selected by convenient sampling method. The self-designed general demographic information questionnaire was used to investigate the general data, the revised version of the life orientation test, the medical coping style questionnaire and the Chinese version of the benefit discovery rating scale were used to assess the patients' optimistic tendency level, respectively. Level of response and benefit discovery. Results A total of 276 questionnaires were sent out, of which 260 were valid and the effective recovery rate was 94.2. The scores of optimistic tendency, face dimension, avoidance dimension and yield dimension were 13.6 鹵4.0, 18.1 鹵4.0, 16.8 鹵2.0 and 9.2 鹵2.9, respectively. Pearson correlation analysis showed that the benefit finding score was 46.8 鹵14.0. Positive correlation was found between positive tendency score and benefit discovery score (P 0.01); in face, avoidance dimension score was positively correlated with benefit discovery score (P 0.01); yield dimension score was negatively correlated with benefit discovery score (P 0.01). Coping styles (face, avoid, yield) play a partial intermediary effect between optimistic tendencies and the discovery of benefits. Among them, the intermediate effect of coping in the discovery of optimistic tendency and benefit accounted for 20.1515% of the total effect, 0.464 脳 0.274% 0.631 脳 100% of the total effect, 13.33% of the total effect of the intermediary effect of avoidance response in the discovery of optimistic tendency and benefit, and 0.355 脳 0.237% 0.631 脳 100% of the total effect, yielding to the intermediary effect of finding the positive tendency and benefit. It should account for 23.25% -0.719) 脳 -0.204% of the total effect and 0.631 脳 100% of the total effect. Conclusion the finding of breast cancer benefit is related to optimistic tendency and coping style, and coping style plays a part of mediating effect between optimistic tendency and benefit discovery.
【作者單位】： 安徽醫(yī)科大學(xué)護(hù)理學(xué)院;
【基金】：安徽省高校省級(jí)自然科學(xué)研究項(xiàng)目(KJ2013Z110) 安徽省第二批科技計(jì)劃項(xiàng)目(1303063025)
【分類號(hào)】：R473.73

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