Correlation research between stigma, coping style and psychosocial adjustment in young patients with breast cancer / 中国实用护理杂志

ABSTRACT

Objective To investigate the relationship of stigma, coping style and psychosocial adjustment in young patients with breast cancer after operation, and the mediating effect of different coping style between stigma and psychosocial adjustment. Methods The general information questionnaire, Social Impact Scale (SIS), Medical Coping Style Questionnaire (MCMQ) and psychosocial adjustment questionnaire for breast cancer were used to investigate the stigma, coping style and psychosocial adjustment of 292 young patients with breast cancer after operation in the affiliated hospital of Qingdao University. Results There was a negative correlation between stigma and confrontation coping, psychosocial adjustment(r=-0.687--0.519, all P＜0.01), but a positive correlation with yield coping and avoidance coping (r=0.426-0.500, all P＜0.01).There was a positive correlation between psychosocial adjustment and confrontation coping(r=0.594, P＜0.01), and was a negative correlation between psychosocial adjustment and avoidance copying, yield copying(r=-0.643--0.519, all P＜0.05). The mediating effects of confrontation coping and avoidance coping were 32.86% and 18.81% respectively. Conclusions The stigma and coping style of young patients with breast cancer after operation were closely related to psychosocial adjustment. Nursing staff should guide the patients to adopt positive coping style, reduce the stigma, promote the psychosocial adjustment, and help the patients to return to normal life as soon as possible.