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目的明确在低龄妇科恶性肿瘤患者中处理压力的方式是否与领悟社会支持有关。方法纳入在2014年1月至2015年1月期间于某大学附属妇产儿童医院就诊的年轻妇科恶性肿瘤患者为研究对象,使用调查问卷收集患者资料,包括一般资料调查问卷、多维领悟社会支持量表(MSPSS)、应对压力方法量表〔包括有效应对方式(ECW)和无效应对应方式(ICW)〕。结果总计纳入236例低龄妇科恶性肿瘤患者。在年轻妇科恶性肿瘤患者中,收支平衡者与收入拮据者相比、初中及以上文化者与小学文化程度者相比、就业者与非就业者相比,前者MSPS总分更高,ICW评分更低(P<0.05)。随着MSPSS总分(r=0.247,P<0.05)以及来自家庭(r=0.324,P<0.05)、来自朋友(r=0.172,P<0.05)和其他重要人士(r=0.183,P<0.05)评分的增加,ECW的评分相应增加。结论对于低龄妇科恶性肿瘤患者来说,来自家庭成员的社会支持是应对压力的主要来源。
Objective To clarify whether the way to deal with stress in younger patients with gynecological malignancies is related to the realization of social support. Methods Patients with young gynecological malignant tumors who visited a maternal and child hospital attached to a university from January 2014 to January 2015 were enrolled in the study. The questionnaires were used to collect patient information, including general information questionnaire and multi-dimensional perception of social support (MSPSS), Coping with Stress Methods Scale (ECW and ICW). The results included a total of 236 cases of young patients with gynecological malignancies. In young patients with gynecologic malignancies, compared with income-earners, junior middle school and above culture-educated people have higher MSPS scores than those with primary school education, and those with ICW score Lower (P <0.05). With the scores of MSPSS (r = 0.247, P <0.05) and those from family (r = 0.324, P <0.05), from friends (r = 0.172, P <0.05) and other important persons ) Score increased, ECW score increased accordingly. Conclusion For younger patients with gynecologic malignancies, social support from family members is the main source of stress.