Effect of self-management on the psychological distress and coping style in postoperative gastric cancer patients
10.3760/cma.j.issn.1674-2907.2012.13.017
- VernacularTitle:自我管理对胃癌患者术后心理困扰及应对方式的影响
- Author:
Dan WU
1
;
Zeng-Zeng WEI
;
De-Quan WU
;
Yong-Hong ZHANG
;
Zong-Yan LU
Author Information
1. 安徽医科大学第二附属医院
- Keywords:
Gastric cancer;
Self-management;
Psychological distress;
Coping style
- From:
Chinese Journal of Modern Nursing
2012;18(13):1540-1543
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of self-management on the psychological distress and coping style in postoperative gastric cancer patients.Methods Totals of 87 gastric cancer patients were randomly divided into control group(n =43 ) and intervention group ( n =44 ).The control group received the routine care and the intervention group received self - management.Distress Management and Cancer Coping Modes Questionnaire were used to investigate the psychological distress and coping style of patients in the second day after operation and the day before discharge,respectively.Results There was no difference in the general information,distress and coping style between the two groups (P ＞ 0.05 ).After the intervention,psychological distress scores of the intervention group was lower than that of the control group [ ( 3.27 ± 1.85 ) vs (4.03 ±1.83)],and the difference was statically significant (t =-2.117,P ＜0.05).In the dimension of coping style,confrontation scores in the intervention group was higher than that in the control group [ ( 19.86 ± 3.97 )vs ( 17.48 ± 3.33 ) ],and the difference was statistically significant ( t =4.301,P ＜ 0.01 ).Avoidance and suppression,resignation and fantasy scores in intervention group were lower than those in the control group [ ( 10.16 ±3.277) vs ( 11.40 ±2.642),(8.15 ±2.542) vs (8.75 ±2.564),(6.71 ±2.494) vs (8.36 ±2.386),respeetively],and the difference was statistically significant (t =-2.334,-1.069,-3.621,respectively ;P ＜ 0.05 ).Conclusions Self-management can alleviate postoperative distress and improve the coping style of gastric cancer patients afer operation.
