癌症患者心理一致感的研究进展

doi:10.3761/j.issn.0254-1769.2022.16.017

摘要/Abstract

摘要：

心理一致感是指个体在面对内外环境刺激时所持有的普遍、持久和动态的信心。高水平的心理一致感可以促进癌症患者的身心健康，该文对癌症患者心理一致感现状、评估工具、影响因素及干预措施进行综述，以期为国内癌症患者心理一致感护理的研究与发展提供参考。

Abstract:

Sense of coherence refers to a universal，lasting and dynamic confidence held by individuals in the face of internal and external environmental stimuli. A high level of sense of coherence can promote the physical and mental health of cancer patients. However，the sense of coherence of most cancer patients is at a low level，which seriously affects the quality of life of cancer patients. This paper reviews the current situation，evaluation tools，influencing factors and intervention measures of sense of coherence of cancer patients，in order to provide references for the research and development of sense of coherence nursing care of cancer patients in China.

Key words: Cancer, Sense of Coherence, Review, Oncologic Nursing

齐昱涵, 付佳娜, 赵辉. 癌症患者心理一致感的研究进展[J]. 中华护理杂志, 2022, 57(16): 2030-2036.

QI Yuhan, FU Jiana, ZHAO Hui. Research progress on sense of coherence in cancer patients[J]. Chinese Journal of Nursing, 2022, 57(16): 2030-2036.

参考文献 56

[1]	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3):209-249.
[2]	宋鹏娟, 刘均娥, 陈少华, 等. 回归家庭干预对乳腺癌术后患者康复效果的影响[J]. 中华护理杂志, 2022, 57(2):133-139.
	Song PJ, Liu JE, Chen SH, et al. Effect of Return-to-Family intervention on rehabilitation efficacy of breast cancer patients[J]. Chin J Nurs, 2022, 57(2):133-139.
[3]	张贤贤, 张利霞, 贾智慧, 等. 夫妻自我表露在青年乳腺癌患者癌症复发恐惧干预中的应用研究[J]. 中华护理杂志, 2019, 54(11):1610-1614.
	Zhang XX, Zhang LX, Jia ZH, et al. Application and effect eva-luation of marital self-disclosure intervention on the fear of cancer recurrence in young breast cancer patients[J]. Chin J Nurs, 2019, 54(11):1610-1614.
[4]	Antonovsky A,. Health, Stress and Coping[M]. New York: Perspe-ctives on Mental and Physical Well-Being, 1979.
[5]	Al Maqbali M. Cancer-related fatigue:an overview[J]. Br J Nurs, 2021, 30(4):S36-S43.
[6]	Vähäaho N, Hakamies-Blomqvist L, Blomqvist C, et al. Sense of coherence as predictor of quality of life in early breast cancer patients[J]. Anticancer Res, 2021, 41(10):5045-5052.
[7]	Bonzanini LIL, Soldera EB, Ortigara GB, et al. Effect of the sense of coherence and associated factors in the quality of life of head and neck cancer patients[J]. Braz Oral Res, 2020, 34:e009.
[8]	Krebs J, Wasner S, Egloffstein S, et al. Resilience,fear of progression and psychosocial distress in patients with breast cancer and gynecological tumors seeking a second opinion[J]. Psychother Psychosom Med Psychol, 2019, 69(7):293-300.
[9]	Kim HS, Nho JH, Nam JH. A serial multiple mediator model of sense of coherence,coping strategies,depression,and quality of life among gynecologic cancer patients undergoing chemotherapy[J]. Eur J Oncol Nurs, 2021, 54:102014.
[10]	Zamanian H, Amini-Tehrani M, Mahdavi Adeli A, et al. Sense of coherence and coping strategies:how they influence quality of life in Iranian women with breast cancer[J]. Nurs Open, 2021, 8(4):1731-1740.
[11]	Drott J, Fomichov V, Börjeson S, et al. Sense of coherence and health-related quality of life in patients with neurotoxicity after cancer chemotherapy:assessment from a real-time mobile phone-based system[J]. Psychooncology, 2020, 29(1):107-113.
[12]	Krug K, Bossert J, Stooβ L, et al. Consideration of sense of coherence in a structured communication approach with stage IV lung cancer patients and their informal caregivers:a qualitative interview study[J]. Support Care Cancer, 2021, 29(4):2153-2159.
[13]	Harrop E, Noble S, Edwards M, et al. Managing,making sense of and finding meaning in advanced illness:a qualitative exploration of the coping and wellbeing experiences of patients with lung cancer[J]. Sociol Health Illn, 2017, 39(8):1448-1464.
[14]	Wei M, Guo LN, Zhu YR, et al. Type C personality and depression among newly diagnosed breast cancer patients:the mediating role of sense of coherence[J]. Neuropsychiatr Dis Treat, 2019, 15:3519-3529.
[15]	Liu H, Wang MF, Li XM, et al. Sense of coherence,psychological distress,and disability acceptance in colostomy cancer survivors[J]. West J Nurs Res, 2021, 43(12):1118-1124.
[16]	张宽新, 屈清荣, 石佩玉, 等. 叙事疗法对永久性肠造口患者病耻感影响的研究[J]. 中华护理杂志, 2019, 54(8):1125-1129.
	Zhang KX, Qu QR, Shi PY, et al. The effects of narrative therapy on stigma of patients with permanent stoma[J]. Chin J Nurs, 2019, 54(8):1125-1129.
[17]	Antonovsky A. Unraveling the mystery of health[M]. San Fran-cisco: Jossey-Bass, 1987.
[18]	Antonovsky A. The structure and properties of the sense of coherence scale[J]. Soc Sci Med, 1993, 36(6):725-733.
[19]	Flensborg-Madsen T, Ventegodt S, Merrick J. Why is Antono-vsky’s sense of coherence not correlated to physical health? Analysing Antonovsky’s 29-item Sense of Coherence Scale (SOC-29)[J]. Sci World J, 2005, 5:767-776.
[20]	Shiu AT. The significance of sense of coherence for the perceptions of task characteristics and stress during interruptions amongst a sample of public health nurses in Hong Kong:implications for nursing management[J]. Public Health Nurs, 1998, 15(4):273-280.
[21]	包蕾萍, 刘俊升. 心理一致感量表(SOC-13)中文版的修订[J]. 中国临床心理学杂志, 2005, 13(4):399-401.
	Bao LP, Liu JS. The reliability and validity of Chinese version of SOC-13[J]. Chin J Clin Psychol, 2005, 13(4):399-401.
[22]	包蕾萍, 刘俊升, 周颖. 心理一致感量表(SOC-13)的信、效度初步研究[J]. 中国心理卫生杂志, 2006, 20(5):299-301.
	Bao LP, Liu JS, Zhou Y. Reliability and validity of sense of coherence-13(SOC-13)[J]. Chin Ment Heal J, 2006, 20(5):299-301.
[23]	周厚余, 郑全全. 中国文化背景下心理一致感的潜结构研究[J]. 心理发展与教育, 2006, 22(2):104-107.
	Zhou HY, Zheng QQ. The latent structure of sense of coherence in Chinese cultural context[J]. Psychol Dev Educ, 2006, 22(2):104-107.
[24]	Ding Y, Bao LP, Xu H, et al. Psychometric properties of the Chinese version of Sense of Coherence Scale in women with cervical cancer[J]. Psychooncology, 2012, 21(11):1205-1214.
[25]	Schumacher J, Wilz G, Gunzelmann T, et al. The Antonovsky Sense of Coherence Scale. Test statistical evaluation of a representative population sample and construction of a brief scale[J]. Psychother Psychosom Med Psychol, 2000, 50(12):472-482.
[26]	Li WT, Leonhart R, Schaefert R, et al. Sense of coherence contributes to physical and mental health in general hospital patients in China[J]. Psychol Health Med, 2015, 20(5):614-622.
[27]	Leonhart R, Tang LL, Pang Y, et al. Physical and psychological correlates of high somatic symptom severity in Chinese breast cancer patients[J]. Psychooncology, 2017, 26(5):656-663.
[28]	Lundberg O, Peck MN. A simplified way of measuring sense of coherence experiences from a population survey in Sweden[J]. Eur J Public Health, 1995, 5(1):56-59.
[29]	Surtees P, Wainwright N, Luben R, et al. Sense of coherence and mortality in men and women in the EPIC-Norfolk United Kingdom prospective cohort study[J]. Am J Epidemiol, 2003, 158(12):1202-1209.
[30]	Togari T, Yamazaki Y, Nakayama K, et al. Development of a short version of the sense of coherence scale for population survey[J]. J Epidemiol Community Health, 2007, 61(10):921-922.
[31]	Schmuck J, Hiebel N, Rabe M, et al. Sense of coherence,social support and religiosity as resources for medical personnel during the COVID-19 pandemic:a web-based survey among 4 324 health care workers within the German Network University Medicine[J]. PLoS One, 2021, 16(7):e0255211.
[32]	Schmalbach B, Tibubos AN, Zenger M, et al. Psychometrische evaluation und normwerte einer ultrakurzform der sense of coherence scale “SOC-3”[J]. Psychother Psych Med, 2020, 70(2):86-93.
[33]	张静, 马小琴. 永久性结肠造口患者心理一致感水平调查分析[J]. 护理学杂志, 2013, 28(6):78-80.
	Zhang J, Ma XQ. Study on sense of coherence in patients with permanent colostomy[J]. J Nurs Sci, 2013, 28(6):78-80.
[34]	Nowicki A, Sianoszek P, Farbicka P. Sense of coherence and acceptance of the disease in patients with lung cancer during palliative chemotherapy[J]. Contemp Oncol (Pozn), 2019, 23(3):157-163.
[35]	Hu K, Eriksson M, Wengström Y, et al. Sense of coherence and risk of breast cancer[EB/OL].[2022-01-10]. https://elifesciences.org/articles/61469/.
[36]	Winger JG, Adams RN, Mosher CE. Relations of meaning in life and sense of coherence to distress in cancer patients:a meta-analysis[J]. Psychooncology, 2016, 25(1):2-10.
[37]	Vilela LD, Allison PJ. An investigation of the correlates of sense of coherence in a sample of Brazilians with head and neck cancer[J]. Oral Oncol, 2010, 46(5):360-365.
[38]	Tseng WT, Lee Y, Hung CF, et al. Stigma,depression,and an-xiety among patients with head and neck cancer[J]. Support Care Cancer, 2022, 30(2):1529-1537.
[39]	Hiensch AE, Bolam KA, Mijwel S, et al. Sense of coherence and its relationship to participation,cancer-related fatigue,symptom burden,and quality of life in women with breast cancer participating in the opti train exercise trial[J]. Support Care Cancer, 2020, 28(11):5371-5379.
[40]	刘欢. 大肠癌肠造口患者心理一致感与人格特征、应对方式的关系研究[D]. 延安: 延安大学, 2019.
	Liu H. Research on relationship among sense of coherence,personality traits and coping style in colostomy patients with colorectal cancer[D]. Yan’an: Yan’an University,2019.
[41]	魏苗, 刘延锦, 郭丽娜, 等. 初诊乳腺癌患者心理一致感在C型性格与抑郁间的中介效应分析[J]. 护士进修杂志, 2021, 36(2):97-102.
	Wei M, Liu YJ, Guo LN, et al. An analysis on mediating effect of sense of coherence between type C personality and depression in firstly diagnosed breast cancer patients[J]. J Nurses Train, 2021, 36(2):97-102.
[42]	Prieto-Callejero B, Rivera F, Andrés-Villas M, et al. Influence of the sense of coherence,the doctor-patient relationship,optimism and non-haematological adverse reactions on health-related quality of life in patients with breast cancer[J]. J Clin Med, 2019, 8(12): E2043.
[43]	王芹, 章新琼, 王秋萍, 等. 消化道癌症患者化疗期的症状群及其与心理一致感的关系[J]. 中国心理卫生杂志, 2017, 31(9):685-689.
	Wang Q, Zhang XQ, Wang QP, et al. Symptom cluster and sense of coherence in digestive tract cancer patients during chemotherapy[J]. Chin Ment Heal J, 2017, 31(9):685-689.
[44]	Qiu X, Zhang N, Pan SJ, et al. Sense of coherence and health-related quality of life in patients with brain metastases[J]. Front Psychol, 2020, 11:1516.
[45]	Zamanian H, Amini-Tehrani M, Jalali Z, et al. Stigma and qua-lity of life in women with breast cancer:mediation and moderation model of social support,sense of coherence,and coping strategies[J]. Front Psychol, 2022, 13:657992.
[46]	马兰, 钱琴, 詹丽丽. 认知行为疗法对乳腺癌患者创伤后成长的影响[J]. 护理管理杂志, 2017, 17(6):433-435.
	Ma L, Qian Q, Zhan LL. The effect of cognitive behavior the-rapy on posttraumatic growth of the breast cancer patients[J]. J Nurs Adm, 2017, 17(6):433-435.
[47]	李涵冰, 青晓, 王小清, 等. 家属同步阶段性认知疗法配合心理干预对乳腺癌患者家庭功能、希望水平、心理一致感及生活质量的影响[J]. 中国健康心理学杂志, 2019, 27(11):1729-1733.
	Li HB, Qing X, Wang XQ, et al. Effects of synchronous stage cognitive therapy of family members combined with psychological intervention on family function,hope level,sense of coherence and quality of life in patients with breast cancer[J]. China J Heal Psychol, 2019, 27(11):1729-1733.
[48]	Matousek RH, Dobkin PL. Weathering storms:a cohort study of how participation in a mindfulness-based stress reduction program benefits women after breast cancer treatment[J]. Curr Oncol, 2010, 17(4):62-70.
[49]	Kenne Sarenmalm E, Mårtensson LB, Andersson BA, et al. Mi-ndfulness and its efficacy for psychological and biological responses in women with breast cancer[J]. Cancer Med, 2017, 6(5):1108-1122.
[50]	吕阳, 李东艳, 董妞, 等. 团体接纳与承诺疗法对结直肠癌患者反刍性沉思和心理一致感的影响[J]. 中国健康心理学杂志, 2021, 29(7):1055-1059.
	Lü Y, Li DY, Dong N, et al. Effects of group acceptance and commitment therapy on ruminant contemplation and psychological coherence in patients with colorectal cancer[J]. China J Heal Psychol, 2021, 29(7):1055-1059.
[51]	Zimbardo P, Sword R, Sword R,. The time cure:overcoming PTSD with the new psychology of time perspective therapy[J]. Am J Fam Ther, 2012, 41(5):452-454.
[52]	李敏, 朱拉弟. 时间观疗法对早期胃癌病人反刍性沉思和心理一致感的影响[J]. 护理研究, 2020, 34(15):2795-2799.
	Li M, Zhu LD. Effect of time perspective therapy on rumination and sense of coherence in patients with early gastric cancer[J]. Chin Nurs Res, 2020, 34(15):2795-2799.
[53]	Mostowik J, Mielimᶏka M, Rutkowski K, et al. Time in the mental health context:neurotic symptomatology,defense mechanisms and the perception of time perspective among patients diagnosed with neurotic and personality disorders - a clinical study[J]. Psychol Rep, 2022, 125(1):232-255.
[54]	Bosman JT, Bood ZM, Scherer-Rath M, et al. The effects of art therapy on anxiety,depression,and quality of life in adults with cancer:a systematic literature review[J]. Support Care Cancer, 2021, 29(5):2289-2298.
[55]	Burns DS, Meadows AN, Althouse S, et al. Differences between supportive music and imagery and music listening during outpatient chemotherapy and potential moderators of treatment effects[J]. J Music Ther, 2018, 55(1):83-108.
[56]	Huss E, Samson T. Drawing on the arts to enhance salutogenic coping with health-related stress and loss[J]. Front Psychol, 2018, 9:1612.