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基于压力应对理论的二元应对干预对乳腺癌患者体像水平的影响

Effect of dyadic coping intervention on body image level of breast cancer patients based on stress coping theory

    摘要
  • 摘要:
    目的 构建基于压力应对理论的二元应对干预方案, 并探讨该方案对乳腺癌患者体像水平的影响。
    方法 选取2020年12月—2022年9月行手术及化疗的乳腺癌患者103例作为研究对象，将研究对象随机分为对照组51例和干预组52例。最终对照组纳入49例，干预组纳入48例。对照组行常规护理，干预组在对照组基础上给予基于压力应对理论的二元应对干预措施。干预前后，采用乳腺癌体像中文版量表(BIBCQ-C)、Olson婚姻质量调查问卷(ENRICH)、亲密关系支持量表(SIRRS)评价2组干预效果。
    结果 经4次干预后, 2组BIBCQ-C中疾病易感、身体羞耻、身体关注、透视维度得分及总分比较，差异有统计学意义(P < 0.05)。干预组的ENRICH、SIRRS各维度得分及总分高于对照组，差异有统计学意义(P < 0.01)。
    结论 基于压力应对理论的二元应对干预可提高乳腺癌患者体像水平，改善其婚姻质量并可提高配偶间亲密关系支持水平。

     

    Abstract:
    Objective To construct a dyadic coping intervention based on stress coping theory, and explore the effect of this scheme on the body image level of breast cancer patients.
    Methods A total of 103 breast cancer patients who underwent surgery and chemotherapy from December 2020 to September 2022 were selected as the study objects, and the subjects were randomly divided into control group (51 cases) and intervention group (52 cases). Finally, 49 cases were included in the control group and 48 cases in the intervention group. The control group received routine nursing, and the intervention group was given dyadic coping intervention measures based on stress coping theory on the basis of the control group. Before and after intervention, the Chinese version of Breast Cancer Body Image Scale (BIBCQ-C), Olson Marital Quality Questionnaire (ENRICH) and Intimate Relationship Support Scale (SIRRS)were used to evaluate the effect of intervention of the two groups.
    Results After 4 times of intervention, there were statistically significant differences in scores of disease susceptibility, body shame, body attention, perspective and total score of BIBCQ-C between the two groups (P < 0.05). The ENRICH and SIRRS scores and total score of the intervention group were significantly higher than those of the control group (P < 0.01).
    Conclusion Dyadic coping intervention based on stress coping theory can improve the body image level, marital quality and spousal intimate relationship support level of breast cancer patients.

     

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