The Relationships With The Hope Level, Selfesteem And Subjective Well-being Of Cervical Cancer

Objective: Base on the view of positive psychological, this paper research on cervical cancer patients to investigate and analysis the cervical cancer patients’ curren station of subjective well-being and the level of hope and self-esteem, to illuminate the relation between the hope level, self-esteem level and their subjective well-being, to further investigate the influence factors to patients’ subjective well-being. Method: By using the convenience sampling method, taking the Questionnaire of ordinary data, Memorial University of Newfoudland Scale of Happiness(MUNSH), Herth Hope Index(HHI), The self-Esteem Scale(SES), we cond ucted questionnaire survey with 236 cervical cancer cases. Using SPSS17.0 statistical software for statistical analysis, Statistical methods include: t test, Anova, Pearson correlation analysis, multiple regression analysis, etc.Results: 1.subjective well-being, hope, and the level of self-esteem of cervical cancer patients The subjective well-being of cervical cancer patients’ total score is 28.19±7.28, positive emotional score is 7.70±2.30, negative emotional score is 4.33±2.21, positive experience score is 7.42±2.91, negative experience score is 6.57±3.10. The total hope level score is 31.5±5.24, lowest mark is 20, highest score is 40; There is a significant difference between the levels of different age, marital status, disease clinical stage and hope(P<0.05). The self-esteem level score is 28.32±4.912, Low self-esteem level has 87 cases(accounted for 36.8%), Middle self-esteem level has 75 cases(accounted for 31.8%), High self-esteem level has 74 cases(accounted for 31.4%).2.The relationships with the hope level, self-esteem and subjective well-being of cervical cancer patients Overall level of hope were positively correlated with subjective well-being, the correlation coefficient of 0.351(P < 0.01), and positive experience dimension were positively correlated,the correlation coefficient of 0.365(P < 0.01), and negatively correlated with negative emotions, negative experience dimension the correlation coefficient of 0.159 and 0.267 respectively(P<0.01); The overall self-esteem levels were positively correlated with subjective well-being the correlation coefficient of 0.288(P<0.01), and positive experience dimension were positively correlatedthe correlation coefficient of 0.269(P<0.01), and negatively correlated with the negative emotions, negative experience dimension the correlation coefficient of-0.255 and-0.162 respectively(P<0.05); Hope levels in three dimensions and subjective well-being were positively correlated with positive experience dimension the correlation coefficient of 0.130, 0.138 and 0.166 respectively(P<0.05); Positively correlated relationship between self-esteem level and hope level the correlation coefficient of 0.247(P<0.01). 3.The influence factors to subjective well-being of cervical cancer patients The differences of positive emotions, positive experience dimension due to the different of age and place of residence(P<0.05); different degree of cultural performance lead to positive experience dimension differences(P<0.05); The treatment of different stages have significant differences in four dimensions(P<0.05); Subjective well-being scores in "chemotherapy" phase were higher than " pre-operation" phase and "postoperative chemotherapy before " phase(P<0.05); No tumor metastasis in patients with positive emotion, positive experience in score significantly higher than that of patients with metastatic tumor(P<0.05); there is a difference in different times of cervical cancer patients(P<0.05); The score of patient subjective well-being’positive emotion and positive experience in phase I is higher than in phase II-III and IV, negative emotion is lower than patients in phase II-III and IV. Residence, treatment stage, metastasis, hope the level of self-esteem affected on the subjective well-being of cancer patients, subjective well-being were negatively correlated with diseases which are transferred and family relationships,the correlation coefficient of-3.324 and-2.305 respectively(P < 0.05), and has positive correlation with residence,treatment phase,hope and self-esteem the correlation coefficient of 2.245, 7.420, 3.947 and 2.123 respectively(P<0.05).Conclusion: 1.The level of hope,self-esteem and subjective well-being of cervical cancer are at the medium level, improving the self-esteem of patients is beneficial for the promotion of hope level and subjective well-being. 2.Overall hope,self-esteem level positive emotion and positive experience have a positive correlation with subjective well-being, and also have a positive prediction for subjective well-being. 3.The factors, include age, education level, place of residence, the treatment phase, whether metastatic disease or not, tumor stage and so on, all have a significant impact on subjective well-being. Whether metastatic disease or not and family relationship correlate with subjective well-being negatively, place of residence and the treatment phase positively correlate with subjective well-being.