Correlation between Level of Hope and Coping Style in Patients with Tumor Recurrence_West China Medical Journal

Authors：

 JiaYi ,  ZhangXiaoxia , LiuQiongfang , FuLan , LiHuaming

Comprehensive Ward, Department of Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZhangXiaoxia, Email: zhangxiaoxia@scu.edu.cn

Keywords：

Tumor recurrence; Level of hope; Coping style

DOI：

10.7507/1002-0179.201600476

Video：

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Objective To explore the correlation between the level of hope and coping style in patients with tumor recurrence. Methods Patients with tumor recurrence admitted to West China Hospital between March 2014 and March 2015 were enrolled as the research subjects. Questionnaire survey was used to collect general information of patients and their level of hope and coping style. Results Four hundred and thirty-one patients were enrolled in the study. The score of hope in patients with tumor recurrence was 32.88±5.83. Out of 431 patients, 27 (6.26%) had low level of hope, 277 (64.27%) medium level of hope and 127 (29.47%) high level of hope. Multivariate analysis showed that the coping styles and income could enhance the level of hope, whereas being female, poor marital status, low educational level and long term of complete remission could suppress the level of hope in patients with tumor recurrence. Various coping styles were adopted by patients to cope with the tumor recurrence. Amongst all coping styles, optimism was adopted most frequently by patients, which had the highest score 2.94±0.44. The other coping styles adopted by patients ranked from high to low were conservation 2.88±0.53, self-reliance 2.75±0.56, confrontation 2.73±0.55, fatalism 2.45±0.66, support 2.41±0.52, escape 2.15±0.42 and emotion 2.12±0.59, respectively. The level of hope had a positive correlation with the overall score of coping styles (r=0.112), as well as optimism (r=0.170), confrontation (r=0.166) and self-reliance (r=0.210) (P < 0.05). However, the study showed that the level of hope had no correlation with emotion, escape, conservation, support and fatalism. Conclusions Most of the patients with tumor recurrence have medium and high level of hope. The coping styles of optimism, confrontation and self-reliance can enhance the level of hope in patients with tumor recurrence. Patients should be encouraged and guided by medical staff to adopt the above-mentioned coping styles to enhance the level of hope, through which to improve the quality of life of the patients with tumor recurrence.

Citation： JiaYi, ZhangXiaoxia, LiuQiongfang, FuLan, LiHuaming. Correlation between Level of Hope and Coping Style in Patients with Tumor Recurrence. West China Medical Journal, 2016, 31(10): 1730-1734. doi: 10.7507/1002-0179.201600476 Copy

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1. 劉志敏, 劉巍.惡性腫瘤患者社會心理問題的研究進展[J].臨床腫瘤學雜志, 2015, 20(1): 87-90.
2. 李娟, 商麗艷, 徐燕.腫瘤患者無進展生存期的研究進展[J].解放軍護理雜志, 2013, 30(8): 33-35, 53.
3. Pellino G, Sciaudone G, Candilio G, et al. Effect of surgery on health-related quality of life of patients with locally recurrent rectal cancer[J]. Dis Colon Rectum, 2015, 58(8): 753-761.
4. 吳俊, 吳勝其, 熊文婧, 等.住院乳腺癌患者生命質量與希望水平、應對方式的相關性[J].實用預防醫學, 2013, 20(4): 414-418.
5. Hasson-Ohayon I, Goldzweig G, Dorfman C, et al. Hope and social support utilisation among different age groups of women with breast cancer and their spouses[J]. Psychol Health, 2014, 29(11): 1303-1319.
6. 李靜, 劉佳.肝癌患者希望水平與焦慮抑郁及應對方式的相關性研究[J].護士進修雜志, 2014, 29(18): 1640-1642.
7. 張妮娜, 吳蓓雯, 楊玉華, 等.胃腸道癌癥患者希望水平與生活質量的相關性[J].解放軍護理雜志, 2009, 26(4): 20-23.
8. 程晶, 程淑平, 呂春梅.惡性骨腫瘤患者希望水平和人格特征及其與生活質量的相關性[J].現代臨床護理, 2015, 14(3): 5-8.
9. 樊曉意, 張艷, 胡紹毅.腫瘤患者護理研究進展[J].現代醫藥衛生, 2013, 29(20): 3092-3094.
10. 王明珠, 陳琪爾, 譚堅鈴.鼻咽癌患者放療期間希望水平與應對方式的相關性研究[J].護理實踐與研究, 2013, 10(11): 1-3.
11. 張靜, 李崢.癌癥首次手術后化療患者希望水平與應對方式、社會支持的關系[J].中華護理雜志, 2007, 42(7): 631-633.
12. Seyedrasooli A, Rahmani A, Howard FA, et al. Iranian cancer patient perceptions of prognosis and the relationship to hope[J]. Asian Pac J Cancer Prev, 2014, 15(15): 6205-6210.
13. 林小靜, 胡萍, 周宏, 等.乳腺癌患者希望水平的影響因素及其與應對方式的關系[J].中華現代護理雜志, 2014, 49(9): 993-996.
14. 李剛, 李麗萍.膀胱癌患者社會支持與希望相關性分析研究[J].中國醫藥科學, 2013, 3(5): 168-169.
15. Applebaum AJ, Stein EM, Lord-Bessen J, et al. Optimism, social support, and mental health outcomes in patients with advanced cancer[J]. Psychooncology, 2014, 23(3): 299-306.
16. 吳俊.住院乳腺癌患者生命質量及其與希望水平、應對方式相關性研究[D].衡陽:南華大學, 2013.

West China Medical Journal

Correlation between Level of Hope and Coping Style in Patients with Tumor Recurrence

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