孙秀丽

【摘要】 目的：探究自我感受負担对乳腺癌患者病耻感、创伤后成长及医学应对方式的影响。方法：选取2019年3月-2020年5月收治的120例乳腺癌患者为研究对象，将其根据自我感受负担（SPBS量表）的不同分为A组（轻度负担）、B组（中度负担）和C组（重度负担），每组40例。比较三组的病耻感（SIS）、创伤后成长（PTGI）及医学应对方式（MCMQ），并采用Spearman秩相关分析SIS、PTGI及MCMQ评分与社会支持程度的关系。结果：A组的SIS各项评分及MCMQ的回避和屈服评分均显著低于B组及C组，B组则均显著低于C组，A组的PTGI各项评分及MCMQ的面对评分均显著高于B组及C组，B组则均显著高于C组，差异均有统计学意义（P<0.05）。Spearman秩相关分析显示，SIS评分及MCMQ的回避和屈服评分与自我感受负担程度均呈正相关，PTGI量表评分及MCMQ的面对评分与自我感受负担程度均呈负相关（P<0.05）。结论：自我感受负担对乳腺癌患者病耻感、创伤后成长及医学应对方式的影响较大，应重视对乳腺癌患者上述方面的调控。

【关键词】 自我感受负担 乳腺癌 病耻感 创伤后成长 医学应对方式

Study on the Influence of Self-perceived Burden for Stigma， Posttraumatic Growth and Medical Coping Style of Patients with Breast Cancer/SUN Xiuli. //Medical Innovation of China， 2021， 18（23）： -178

[Abstract] Objective： To investigate the influence of self-perceived burden for stigma， posttraumatic growth and medical coping style of patients with breast cancer. Method： A total of 120 patients with breast cancer from March 2019 to May 2020 were chosen as the research objects， according to the self-perceived burden scale （SPBS）， they were divided into group A （light burden）， group B （moderate burden） and group C （severe burden）， with 40 cases in each group. The stigma （SIS）， post-traumatic growth inventory （PTGI） and medical coping modes questionnaire （MCMQ） were compared among the three groups， and Spearman rank correlation was used to analyze the relationship between SIS， PTGI and MCMQ scores and social support. Result： SIS scores， avoidance and yield scores of MCMQ in group A were significantly lower than those in group B and C， while those in group B were significantly lower than those in group C， PTGI scores and face scores of MCMQ in group A were significantly higher than those in group B and C， while those in group B were significantly higher than those in group C， the differences were statistically significant （P<0.05）. Spearman rank correlation analysis showed that SIS score and MCMQ avoidance and yield score were positively correlated with self-perceived burden， while PTGI scale score and face score of MCMQ were negatively correlated with self-perceived burden （P<0.05）. Conclusion： The self-perceived burden has a great influence on the post-traumatic growth of stigma and medical coping style of breast cancer patients， therefore， more attention should be paid to the regulation of these aspects.

[Key words] Self-perceived burden Breast cancer Stigma Posttraumatic growth Medical coping style

First-author’s address： Dalian Pulandian District Central Hospital， Dalian 116200， China

doi：10.3969/j.issn.1674-4985.2021.23.043

乳腺癌作为常见恶性肿瘤，对患者的危害显著，且危害涉及集体及心理等多个方面，而随着临床对患者作为整体进行干预需求的提升及对患者生存质量改善需求的提升，本类患者心理情绪及其他多个方面的干预研究不断增多[1-2]。而病耻感、创伤后成长及医学应对方式作为生存质量的组成部分及影响因素，其对患者的生活及治疗应对态度、方式等均有较大的影响，因此上述方面日益受到临床重视，也是临床亟待改善的方面。……