晚期乳腺癌保乳术后化疗患者希望水平与归因方式的相关性

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Abstract Objective To explore the relationship between the level of hope and the attribution mode of patients with advanced breast cancer after breast-conserving chemotherapy. Methods A total of 113 patients with advanced breast cancer after breast-conserving chemotherapy in the West China Hospital from January 2019 to January 2020 were prospectively selected as the research objects. Before chemotherapy, one month after chemotherapy, and three months after chemotherapy, hope level (assessed by Herth hope level scale) and attribution method (assessed by attributional style questionnaire [ASQ]) of patients were evaluated, the changes of hope level and attribution mode in patients were observed, and the relationship between hope level and attribution mode were analyzed. Results After one and three months of chemotherapy, the scores and total scores of the Herth hope level scale were higher than those before chemotherapy, while after three months of chemotherapy were higher than after one month of chemotherapy, and the differences were statistically significant (P ＜ 0.05). After one and three months of chemotherapy, the positive event scores of patients with advanced breast cancer after breast-conserving chemotherapy on the ASQ were higher than those before chemotherapy, while the negative event scores were lower than those before chemotherapy, and the differences were statistically significant (P ＜ 0.05). And after three months of chemotherapy, the positive event score on the ASQ was higher than that of chemotherapy for one month, while the negative event score was lower than that of chemotherapy for one month, and the differences were statistically significant (P ＜ 0.05). Correlation analysis results showed that the scores and total scores of the various dimensions of the herth hope level scale were positively correlated with the positive event scores in the ASQ (r ＞ 0, P ＜ 0.05), while it was negatively correlated with the negative event score in the ASQ of attribution (r ＜ 0, P ＜ 0.05). Conclusion For patients with advanced breast cancer after breast-conserving chemotherapy, the level of hope is gradually increasing, and the attribution method gradually tends to be positive. There is a clear correlation between the level of hope and the attribution mode of patient.

Key words： Advanced breast cancer Breast conserving surgery Chemotherapy Hope level Attribution mode

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	XIANG Yanjun1 TAN Mingying1▲ ZHANG Zhengfang2 PAN Wei3

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XIANG Yanjun1 TAN Mingying1▲ ZHANG Zhengfang2 PAN Wei3. Correlation between hope level and attribution mode of patients with advanced breast cancer after breast-conserving chemotherapy#br#[J]. 中国医药导报, 2021, 18(35): 113-116.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I35/113

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