文章：

结直肠癌手术：心理社会因素的影响

Colorectal Cancer Surgery: Influence of Psychosocial Factors

原文发布日期：17 August 2023

DOI: 10.3390/cancers15164140

类型: Article

开放获取: 是

英文摘要：

(1) Background: In the treatment of colorectal cancer, it is important to consider different psychosocial factors. Our first objective was to measure the levels of perceived stress in subjects diagnosed with colorectal cancer awaiting potentially curative surgery. Also, we aimed to analyse what coping styles these patients used, how they perceived their illness, and the subsequent influence of these factors on their levels of stress. (2) Methods: Stress, coping styles and illness perception were assessed in a sample of 107 patients. The instruments used were the Perceived Stress Scale (PSS-14), the Stress Coping Questionnaire (SCQ) and the Brief Illness Perception Questionnaire (BIPQ-R). (3) Results: Patients using active coping styles have lower levels of perceived stress (p= 0.000;p= 0.002) than patients making use of passive coping styles (p= 0.000;p= 0.032;p= 0.001). A multi-linear regression model found that the perception of illness and the use of the negative approach coping style (p= 0.000;p= 0.001) influence an increase in perceived stress, and that a decrease in stress levels was influenced by the problem solving coping style (p= 0.001). (4) Conclusions: Based on our results, we recommend preventive interventions in care patients undergoing colorectal cancer surgery.

摘要翻译： 

(1) 背景：在结直肠癌治疗过程中，需综合考虑多种社会心理因素。本研究首要目标是测量确诊结直肠癌并等待潜在根治性手术患者的感知压力水平，同时分析患者采用的应对方式、疾病认知模式及其对压力水平的后续影响。(2) 方法：采用感知压力量表(PSS-14)、压力应对问卷(SCQ)和简明疾病认知问卷(BIPQ-R)对107例患者样本进行压力水平、应对方式及疾病认知评估。(3) 结果：采用积极应对方式患者的感知压力水平显著低于采用消极应对方式者(p=0.000;p=0.002 vs p=0.000;p=0.032;p=0.001)。多元线性回归模型显示：疾病负性认知(p=0.000)与消极趋近应对方式(p=0.001)会提升感知压力水平，而问题解决型应对方式(p=0.001)可显著降低压力水平。(4) 结论：基于研究结果，建议对接受结直肠癌手术的患者实施预防性心理干预。

原文链接：

Colorectal Cancer Surgery: Influence of Psychosocial Factors