首页|淋巴瘤患者抗逆力水平与心理弹性、家庭功能、应对方式的关系分析

淋巴瘤患者抗逆力水平与心理弹性、家庭功能、应对方式的关系分析

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目的 探讨淋巴瘤患者抗逆力水平与心理弹性、家庭功能、应对方式的关系.方法 选择2020年1月~2023年1月我院就诊的淋巴瘤患者125例患者作为研究对象,均发放中文版家庭抗逆力量表(FRAS-C)、心理弹性量表(CD-RISC)、家庭亲密度和适应性量表(FACESⅡ)以及医学应对方式问卷(MCMQ).分析淋巴瘤患者家庭抗逆力水平现状、影响因素,以及淋巴瘤患者抗逆力水平与心理弹性、家庭功能、应对方式评分的相关性.结果 不同性别、年龄、文化程度、婚姻状态、家庭结构的淋巴瘤患者FRAS-C总分相近(P>0.05),家庭月均收入>5000元、CD-RISC总分≥60分、FACESⅡ总分≥100分、MCMQ问卷面对维度总分≥15分的淋巴瘤患者FRAS-C总分高于家庭月均收入≤5000元、CD-RISC总分<60分、FACESⅡ总分<100分、MCMQ问卷面对维度总分8-15分的淋巴瘤患者,而MCMQ问卷回避、屈服维度总分≥15分的淋巴瘤患者FRAS-C总分低于MCMQ问卷回避总分8-15分、屈服维度总分7-15分的淋巴瘤患者(P<0.05).家庭月均收入≤5000元、CD-RISC总分<60分、FACESⅡ总分<100分、MCMQ问卷面对维度总分<15分,回避、屈服应对方式≥15分是影响淋巴瘤患者家庭抗逆力水平的独立危险因素(P<0.05).淋巴瘤患者家庭抗逆力水平与心理弹性、家庭功能、面对应对方式呈正相关(r=0.585、0.534、0.534,P<0.001),而回避、屈服应对方式与家庭抗逆力水平呈负相关(r=-0.474,-0.463,P<0.001).结论 淋巴瘤患者抗逆力水平较低,且抗逆力水平与其心理弹性、家庭功能、面对应对方式呈正相关,而回避、屈服应对方式与家庭抗逆力水平呈负相关关系.
Relationship between resilience level and psychological resilience,family function and coping styles in lymphoma patients
Objective To explore the relationship between resilience level and psychological resilience,family function and coping styles in patients with lymphoma.Methods A total of 125 lymphoma patients treated in the hospi-tal from January 2020 to January 2023 were selected as the research subjects.Chinese version of Family Resilience Scale(FRAS-C),Connor-Davidson Resilience Scale(CD-RISC),Family Cohesion and Adaptation Scale Ⅱ(FACES Ⅱ)and Medical Coping Modes Questionnaire(MCMQ)were administered to all patients.The status quo and influencing factors of family resilience level in patients with lymphoma and the correlation between family resilience level of lympho-ma patients and psychological resilience,family function and coping styles were analyzed.Results The total FRAS-C scores of lymphoma patients with different genders,ages,education levels,marital status and family structure were similar(P>0.05).The total FRAS-C score of lymphoma patients with average monthly family income>5000 yuan,to-tal score of CD-RISC≥60 points,total score of FACES Ⅱ≥100 points and total score of face dimension of MCMQ≥15 points was higher than that of patients with average monthly family income≤5000 yuan,total score of CD-RISC<60 points,total score of FACES Ⅱ<100 points and total score of facing dimension of 8-15 points of MCMQ,and the total FRAS-C score of lymphoma patients with total scores of avoidance and yielding of MCMQ questionnaire≥15 points was lower than that of lymphoma patients with total score of avoidance of 8-15 points and total score of yielding of 7-15 points(P<0.05).The average monthly family income≤5000 yuan,total score of CD-RISC<60 points,total score of FACES Ⅱ<100 points,total score of facing dimension of MCMQ<15 points and scores of avoidance and yielding≥15 points were the independent risk factors affecting the family resilience level of lymphoma patients(P<0.05).The family resilience level of lymphoma patients was positively correlated with psychological resilience,family function and facing coping style(r=0.585,0.534,0.534,P<0.001),while avoidance and yielding coping styles were negatively correlated with family resilience level(r=-0.474,-0.463,P<0.001).Conclusion The resilience level of lympho-ma patients is low,and the resilience level is positively correlated with psychological resilience,family function and facing coping style,while avoidance and yielding coping styles are negatively correlated with family resilience level.

LymphomaResiliencePsychological resilienceFamily functionCoping style

王婷、岳溪、严晓琴

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四川大学华西医院血液科/四川大学华西护理学院(成都,610041)

淋巴瘤 抗逆力 心理弹性 家庭功能 应对方式

四川省自然科学基金项目

2022NSFSC1463

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(5)