Influencing factors of the level of hope and correlation with coping style in breast cancer patients

Abstract

Objective To explore the factors affecting the level of hope and the correlation with coping style in breast cancer patients. Methods Totals of 156 consecutive patients with breast cancer were recruited and general information of them were recorded. Social Science Research Solutions, Herth Hope Index and Medial Coping Modes Questionnaire were used to assess the level of social support and hope and the patient＇ s primary coping style. Results The scores of social support of patients such as objective support [ （ 10.2 ± 3.4） vs （9.3 ±2.5） ~ ,subjective support[ （21.2 ±5.4） vs （17.8 ±5.3） ] ,support using[ （7.5 ±2.4） vs （6.9 ± 0.7） ] were higher than that of the national norm （ P 〈 0. 05 ）. The total score of Herth Hope Scale was （33.9 ±4.6）, and 149 cases （95.5%） belonged to a middle to high level. Logistic regression analysis showed that age, social support, economic level and education level were independent factors affecting the level of hope. The coping style of ＂confrontation＂, ＂avoidance＂ and ＂acceptance-resignation＂ were 63 cases （40.4%）, 53 cases （34.0%） and 40 cases （25.6%）. Spearman rank correlation analysis found that coping style was positively correlated with hope score. Conclusions Breast cancer patients have higher levels of hope, which help patients to take an active coping style. Increased social support will further improve the level of hope and coping style. Key words: Breast cancer; Social support; Level of hope; Coping style