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首页> 外文期刊>Applied nursing research: ANR >Uncertainty and quality of life of Malaysian women with breast cancer: Mediating role of coping styles and mood states
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Uncertainty and quality of life of Malaysian women with breast cancer: Mediating role of coping styles and mood states

机译：马来西亚女性患有乳腺癌的不确定性和质量：调解应对风格和情绪状态的角色

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Abstract Purpose This study aimed to investigate the relationship between uncertainty in illness and quality of life, and examine the mediating role of coping strategies and mood states in this relationship among breast cancer patients. Methods A convenience sample of 135 Malaysian women with breast cancer completed questionnaires measuring uncertainty in illness, mood states (i.e. anxiety and depression), quality of life, and copying styles. Results The results showed an inverse correlation between uncertainty and quality of life after controlling for the effects of age, cancer stage and time since diagnosis. Moreover, the negative association between illness uncertainty and quality of life was mediated by coping strategies and mood states. Conclusion The findings revealed that breast cancer patients experiencing a high level of uncertainty more likely use avoidant and less likely use active emotional coping strategies which in turn amplifies anxiety and depression and undermines their quality of life. While some interventions to reduce the adverse consequences of uncertainty are recommended, the findings indicated the need for targeted psychological interventions seeking to gradually shift cancer patients' coping strategies from avoidant to active emotional coping. Highlights ? Uncertainty was negatively correlated with QoL. ? Coping strategies and mood states mediated the uncertainty-QoL link. ? Uncertainty was related to more avoidant and less active coping strategies.
机译：摘要目的本研究旨在调查疾病和生活质量之间的不确定性之间的关系，并研究应对策略和情绪状态在乳腺癌患者这种关系中的调解作用。方法为135名马来西亚女性患有乳腺癌的方便样品完成了调查问卷，衡量疾病的不确定性，情绪状态（即焦虑和抑郁症），生活质量和复制风格。结果结果表明，在控制年龄，癌症阶段和时间效果后，不确定度和寿命质量之间的逆相关性。此外，通过应对策略和情绪状态介导的疾病不确定度和生活质量之间的负面关联。结论发现表明，乳腺癌患者患有高水平的不确定性更可能使用避免，并且不太可能使用主动情绪应对策略，这反过来放大焦虑和抑郁症，破坏了他们的生活质量。虽然建议一些干预措施，但是建议减少不确定性的不利后果的干预，但调查结果表明，需要有针对性的心理干预，寻求逐步转移癌症患者的应对策略，以免积极的情感应对。强调 ？不确定性与QOL负相关。还应对策略和情绪状态调解了不确定性 - QOL联系。还不确定性与更多避税和不太积极的应对策略有关。

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