Investigation And Analysis On Family Function,Coping Styles And Depression In Patients With Lung Cancer

Objective:To explore the condition and influence factors of family function of the patients with lung cancer;To explore the coping styles of the patients with lung cancer and their family members;To explore the correlativity among family function and coping styles;To explore the state of depression of the patients with lung cancer;To explore the correlativity among family function and depression.Methods:The present study used the mixed methods-combine questionary and interview.The data covered107patients with lung cancer who are in hospital in thoracic tumor department of three A-level hospitals in Beijing from October2011to February2012and their family members. The thesis examines the family function and its influence factors by questionary, APGAR, FAD and FBS; examines the coping styles by MCMQ and SCSQ;examines the depression by SDS.Entire data are statistical analyzed by the software SPSS.Besides,the qualitative study is used as supplementary by interviewing10members from5families.The data are collected and recoded according the rules of qualitative study,then integrate the data from the two parts.Results:1Assessment of family function:APGAR shows that the subjective evaluation of family function by patients themselves is good,93.5%patients agree that their family function are in good condition. Multidimensional assessment by FAD shows that the score of GF<boundary, the statistical meaning is significant (t=-2.745,P<0.05), the score of PS,CM,RL <boundary, the statistical meaning is significant (t=-5.715, P<0.01; t=-5.297,P<0.01t=-3.299,P<0.01>7the score of AI,BC>boundary,the statistical meaning is significant, there is no statistical meaning between the score of AR and boundary (t=0.996, P>0.05), it means that there is no declination and defect with the function of GF, PS,CM and RL;but the function of Al and BC are declination and defect;the function of AR is weaken.2The influence factors:it shows that the family income,family burden,age, marriage age,cultural,sex,whether the patient provide main financial support for family, and intimacy between family members,these all are the factors.3Coping styles and correlativity with family function:comparing score of avoiding and giving up of patients with normal score, the statistical meaning is significant (t=12.112, P<0.01; t=9.537, P<0.01); comparing score of positive and negative of family members with normal score, the statistical meaning is significant (t=3.771, P<0.01; t=-6.200, P<0.01); analysis of correlation shows that there is interaction between coping styles and family function (P<0.05).4Depression and correlativity with family function:the score of SDS with patients is higher than normal score, the statistical meaning is significant (t=8.469,P<0.01), analysis of correlation shows that there is negative-correlation between depression and family function (P<0.05).5The data from qualitative study shows agreement with the results of quantitative study in some aspects.Conclusion:Some dimensions of family function of patients with lung cancer are declination and defect,nurses should intervent by nursing measures with a purpose;also should pay attention to the families with adverse factors; besides,nurses coule try to help the family to improve the family function by changing their coping styles;and could help the patients to improve their mental health by improving their family function.In our nursing practice,we should take the family as our object,help the patients to improve their quality of life by improve their family function.