首页|中青年乳腺癌患者恐惧疾病进展与认知情绪调节方式、配偶支持感知的相关性

中青年乳腺癌患者恐惧疾病进展与认知情绪调节方式、配偶支持感知的相关性

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目的 探究中青年乳腺癌患者恐惧疾病进展与认知情绪调节方式、配偶支持感知的相关性,为临床制定针对性干预措施提供依据.方法 采用便利抽样法选取2021年3月至2022年4月河南省肿瘤医院收治的中青年乳腺癌患者为研究对象,采用一般资料调查问卷、恐惧疾病进展简化量表、中文版认知情绪调节问卷、配偶支持感知量表对患者进行调查.结果 225例患者恐惧疾病进展得分为(39.56±7.48)分、认知情绪调节方式得分为(122.39±16.71)分、配偶支持感知得分为(90.30±11.42)分;积极的认知情绪调节方式与配偶支持感知与恐惧疾病进展得分呈负相关(P<0.05),消极的认知情绪调节方式与恐惧疾病进展得分呈正相关(P<0.05);分层回归分析的总模型显示年龄、疾病分期、认知情绪调节方式、配偶支持感知可共同解释中青年乳腺癌患者恐惧疾病进展评分42.8%的变异.其中积极的认知情绪调节方式与配偶支持感知负向预测恐惧疾病进展,而消极的认知情绪调节方式可正向预测恐惧疾病进展.结论 中青年乳腺癌患者恐惧疾病进展情绪较严重,不同的认知情绪调节方式与配偶支持感知水平可对患者恐惧疾病进展情绪产生影响.护理人员可通过团体认知行为干预,促进患者采取积极的认知情绪调节策略,增强对配偶支持的感知能力,从而降低恐惧疾病进展情绪.
Correlation Between the Development of Fear Disease and Cognitive Emotional Regulation,Spouse Support Perception in Young and Middle Aged Breast Cancer Patients
Objective To explore the correlation between the fear of disease progression and cognitive emotion regulation,spouse support perception in young and middle-aged breast cancer patients,so as to provide evidence for clinical development of targeted interventions.Methods The convenience sampling method was used to select young and middle-aged breast cancer patients admitted to Henan Cancer Hospital from March 2021 to April 2022 as the research objects.The patients were investigated using general information questionnaire,fear disease progression simplified scale,the Chinese version of cognitive emotion regulation questionnaire and spouse support perception scale.Results The score of fear of disease progression in 225 patients was(39.56±7.48)points,the score of cognitive emotion regulation was(122.39±16.71)points,and the score of spouse support perception was(90.30±11.42)points.Positive cognitive emotion regulation was negatively correlated with spouse support perception and fear disease progression score(P<0.05),while negative cognitive emotion regulation was positively correlated with fear disease progression score(P<0.05).Hierarchical regression showed that age,disease stage,perception of spouse support and cognitive emotion regulation mode were the main factors affecting the fear of disease progression in young and middle-aged breast cancer patients(P<0.05),which explained 42.8%of the variation in the fear of disease progression score.Positive cognitive emotion regulation and spouse support perception negatively predict the development of fear disease,while negative cognitive emotion regulation can positively predict the development of fear disease.Conclusion Young and middle-aged patients with breast cancer have a serious fear of disease progression.Different cognitive emotion regulation modes and spouse support perception levels can affect patients'fear of disease progression.Nursing staff can promote patients to adopt positive cognitive emotion regulation strategies through group cognitive behavior intervention,enhance the perception of spouse support,and reduce the fear of disease progression.

breast cancerfear of disease progressioncognitive emotion regulationperception of spouse support

李雅丽、刘丹、任莹、张智卿

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河南省肿瘤医院乳腺七病区,河南郑州 450000

乳腺癌 恐惧疾病进展 认知情绪调节方式 配偶支持感知

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(1)
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