CAJ | 학술논문

目的观察乳腺癌化疗患者预期性恶心呕吐发生情况与患者的一般自我效能感及应对方式之间的关系,为今后的心理治疗和干预提供依据.方法采取恶心呕吐凋查表、-般自我效能感量表、特质应对方式问卷,对60例经过1～2个化疗周期的乳腺癌患者进行调查.结果发生预期性恶心呕吐患者占41.67%,其自我效能得分、积极应对得分均低于未发生的患者,消极应对得分高于未生发生组(P<0.01).相关性分析发现,预期性恶心程度与自我效能及积极应对呈负相关(P<0.05),与消极应对呈正相关(P<0.05).结论发生预期性恶心呕吐与患者自我效能感及应对方式有密切的关系,护理人员可运用此特点鼓励患者采用积极的应对方式来减轻预期性恶心呕叶的程度,提高其心理健康水平.
목적 관찰유선암화료환자예기성악심구토발생정황여환자적일반자아효능감급응대방식지간적관계,위금후적심리치료화간예제공의거.방법 채취악심구토조사표、-반자아효능감량표、특질응대방식문권,대60례경과1～2개화료주기적유선암환자진행조사.결과 발생예기성악심구토환자점41.67%,기자아효능득분、적겁응대득분균저우미발생적환자,소겁응대득분고우미생발생조(P<0.01).상관성분석발현,예기성악심정도여자아효능급적겁응대정부상관(P<0.05),여소겁응대정정상관(P<0.05).결론 발생예기성악심구토여환자자아효능감급응대방식유밀절적관계,호리인원가운용차특점고려환자채용적겁적응대방식래감경예기성악심구협적정도,제고기심리건강수평.
Objective To observe the relationship between expectancy of nausea and vomit and self-efficacy and coping styles among patients received chemotherapy,so as to provide the evidence for psychological therapy and intervention.Methods 60 cases under such condition were investigated with the Nausea and Vomit Questionnaire,General Self-Efficacy Scale and Trait Coping Style Questionnaire.Results 41.67% of the patients showed expectancy of nausea and vomit,whose score of self-efficacy and positive coping styles were lower than those with no expectancy of nausea and vomit,while the passive coping styles was higher.The degree of expectancy of nausea and vomit indicated the negative correlation with positive coping styles and the positive correlation with the netive coping styles.Conclusions There are close correlation between expectancy of nausea and vomit and patients self-efficacy.Nurses should encourge the patients to lessen the degree of expectancy of nausea and vomit with potive coping styles, thereby to improve the levels of merital health.