低龄妇科恶性肿瘤患者应对压力和领悟社会支持的调查研究

Associations Between Stress Coping Strategies and Perceived Social Support in Young Patients with Gynecologic Cancers

中文关键词:  妇科肿瘤 低龄妇女 压力应对 领悟社会支持

英文关键词:Gynecologic cancer Young women Coping with stress Perceived social support

中文摘要:

      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。

英文摘要:

      Objective To determine the associations between stress coping strategies and perceived social support in young patients with gynecologic cancers. Methods The study was conducted in young patients with gynecologic cancers who were admitted to the West China Second University Hospital, Sichuan University from January 2014 to January 2015. Data were collected using three questionnaires, tapping into clinical features, multidimensional scales of perceived social support (MSPSS), and coping strategies with stress 〔including effective coping ways (ECW) and ineffective coping ways (ICW)〕. Results A total of 236 patients completed the questionnaires. Those with a job, fare incomes, or higher levels of education were more likely to get higher total MSPSS scores and lower ICW scores compared with those unemployed, less than expenditures or primary school level (P<0.05). ECW scores increased with increasing levels of total MSPSS scores (r=0.247, P<0.05) and support from family (r=0.324, P<0.05), friends (r=0.172, P<0.05), and significant others (r=0.183, P<0.05). Conclusion Social support from family members is the main source of young women with gynecologic cancers in coping with stress.