| Objective:To investigate the status of emotional regulation,cognitive function and coping style in breast cancer patients and the differences in different demographic characteristics,analyze the correlation,and explore the influence of the corresponding emotional regulation and cognitive function on the style,so as to provide the basis for formulating the health management model for breast cancer patients.Methods: A questionnaire about emotion regulation,cognitive function and medical coping style was conducted among 252 breast cancer patients who had informed consent and voluntarily participated in several community health service centers,3A hospitals and breast cancer hospitals in Yanbian area by convenience sampling.The collected data were processed and analyzed by SPSS26.0 statistical software.Inspection level set α=0.05.Results:(1)There were 252 subjects in this survey,all of whom were women with breast cancer,82(32.5%)aged 40-49 years,189(75.0%)with stage II breast cancer,178(70.6%)urban residents,215(85.3%)married,and 138(54.8%)with high school or above.159 employees(63.1%);The average monthly household income is over 5,000yuan(42.9%),227(90.1%)of Han nationality,148(58.7%)of premenopausal women,135(53.6%)of unfinished chemotherapy women,69(27.4%)of them have leisure and entertainment frequency at least once a month,and 144(57.1%)of them have a disease course within one year.(2)In the lower dimension of emotion regulation,the cognitive re-evaluation score was 31.88±9.41 and the expression inhibition score was 15.77±7.82;Cognitive reappraisal is different in age,place of residence,total monthly income of family,educational background,menstruation and time of cancer diagnosis(P< 0.05).The expression was inhibited in the differences of nationality,education background,menstruation,time of cancer diagnosis and chemotherapy(P<0.05)..(3)The total score of cognitive function of the subjects is(108.17±27.20),which is at a high level.There are differences in cognition in education level,total monthly income of family,premenopausal period,cancer stage,time of cancer diagnosis and chemotherapy,and the differences are statistically significant(P<0.05).(4)The lower dimensions of the medical coping style of the subjects include the score of facing dimension 20.81 4.27,the score of avoiding dimension 17.09 3.83 and the score of yielding dimension 8.24 2.96;Different ethnic groups,families’ total monthly income,menstruation,cancer stage,entertainment frequency and other general demographic characteristics have different medical coping styles,which is statistically significant(P<0.05).(5)In the lower dimension of coping style,face is positively correlated with cognitive reappraisal(r=0.47,P<0.001)and cognitive function(r=0.38,P<0.001),while expression inhibition(r=-0.0.26,P<0.001)is negatively correlated;Avoidance is negatively correlated with cognitive reappraisal(r=-0.40,P<0.001)and cognitive function(r=-0.55,P<0.001),while expression inhibition(r=0.40,P<0.001)is positively correlated.Yield was negatively correlated with cognitive reappraisal(r=-0.50,P<0.001)and cognitive function(r=-0.52,P<0.001),while expression inhibition(r=0.32,P<0.001)was positively correlated.(6)In the dimensions of coping style,the main influencing factors were menstruation,time of diagnosis of breast cancer,chemotherapy,cognitive reappraisal,expression inhibition and cognitive function,which accounted for34.3%.The main influencing factors of avoidance are nationality,educational background,total monthly income of family per capita,chemotherapy,time of diagnosis of breast cancer,menstruation,cognitive reappraisal,expression inhibition and cognitive function,which account for 41.6%.The main influencing factors of yield are education background,family average monthly income,cancer stage,time of diagnosis of breast cancer,menstruation,chemotherapy,cognitive reappraisal,expression inhibition and cognitive function,which explain 44%.Conclusion:(1)The subjects’ emotional regulation,coping style and cognitive function were in the middle level and above the middle level.Affected by education level,family monthly total income,premenopausal,cancer stage,cancer diagnosis time,chemotherapy.Coping styles included facing avoidance and yielding,in which facing was affected by menstruation and cancer;Avoidance was affected by ethnicity,family total monthly income,menstruation,and cancer staging;Submission was affected by menstruation,total monthly household income,and cancer stage.(2)The better the emotional adjustment and cognitive function of breast cancer patients,the easier it is for them to choose coping styles,and the less they choose avoidance and submission coping styles.(3)Faced with the influence of menstruation,time of breast cancer diagnosis,chemotherapy,cognitive reappraisal,expression inhibition and cognitive function;Avoid being influenced by nationality,education,occupation,total monthly income per capita of family,chemotherapy,time of diagnosis of breast cancer,menstruation,cognitive reappraisal,expression inhibition and cognitive function;Influenced by education,occupation,total monthly income per capita of family,cancer stage,time of diagnosis of breast cancer,menstruation,chemotherapy,cognitive reappraisal,expression inhibition and cognitive function. |
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