CAJ | 학술논문

目的探讨胃癌化疗期患者的应对方式在希望与心理困扰之间的中介作用.方法采用一般情况调查表、心理困扰管理量表、Herth希望量表、癌症应对方式问卷对181例胃癌化疗期患者进行调查,并用中介效应检验方法分析应对方式在希望与心理困扰之间关系的中介作用.结果心理困扰与希望呈负相关,r=-0.274,P＜0.01,与应对方式中“回避与压抑”“屈服”“幻想”“发泄”维度呈正相关,r=0.320、0.367、0.219、0.323,P值均＜0.01.“屈服”“幻想”“发泄”的应对方式在希望与心理困扰之间起部分中介作用.结论希望、应对方式对胃癌化疗期患者的心理困扰有一定的预测作用,希望水平低的患者倾向于使用“屈服”“幻想”“发泄”的应对方式,心理困扰水平较高.提示可以从管理希望水平和改善应对方式来对胃癌化疗期患者的心理困扰进行干预.
목적 탐토위암화료기환자적응대방식재희망여심리곤우지간적중개작용.방법 채용일반정황조사표、심리곤우관리량표、Herth희망량표、암증응대방식문권대181례위암화료기환자진행조사,병용중개효응검험방법분석응대방식재희망여심리곤우지간관계적중개작용.결과 심리곤우여희망정부상관,r=-0.274,P＜0.01,여응대방식중“회피여압억”“굴복”“환상”“발설”유도정정상관,r=0.320、0.367、0.219、0.323,P치균＜0.01.“굴복”“환상”“발설”적응대방식재희망여심리곤우지간기부분중개작용.결론 희망、응대방식대위암화료기환자적심리곤우유일정적예측작용,희망수평저적환자경향우사용“굴복”“환상”“발설”적응대방식,심리곤우수평교고.제시가이종관리희망수평화개선응대방식래대위암화료기환자적심리곤우진행간예.
Objective To explore the mediating effect of coping style on the relationship between hope and psychological distress among patients with gastric cancer undergoing chemotherapy.Methods The Distress Management,Herth Hope Index and Cancer Coping Modes Questionnaire were administered to 181 patients with gastric cancer undergoing chemotherapy.A mediation analysis was performed.Results Significant negative correlation was found between psychological distress and hope (r=-0.274,P＜0.05),while the correlation between psychological distress and avoidance and suppression,resignation,fantasy,catharses were positive (r=0.320,0.367,0.219,0.323,P＜0.01).Resignation,fantasy,catharses mediated partly the relationship between hope and psychological distress.Conclusions Hope,coping style have mediating effect on psychological distress.Hope that low levels of the patients tend to use resignation,fantasy,catharses coping style,thereby increasing the psychological distress.It's a reminder that managing hope level and improving the coping style can manage psychological distress of patients with gastric cancer undergoing chemotherapy.