| Objective:Through investigation,to understand the current situation of the psychological resilience,social support and coping styles of gastric cancer patients;to explore the correlation between psychological resilience,social support and coping styles of gastric cancer patients;to analyze the influencing factors of psychological resilience of gastric cancer patients;The patient’s psychological flexibility level,thereby improving their quality of life,and at the same time providing a theoretical basis for clinical medical workers to implement psychological nursing intervention.Methods:A convenient sampling method was adopted to select 210 cases from January2020 to January 2021 in the gastrointestinal surgery,gastroenterology,gastroenterology,oncology department and oncology department of the Affiliated Hospital of Yan’an University and Yan’an People’s Hospital.Gastric cancer patients were used as the research object,and the general survey,psychological resilience scale(CD-RISC),social support rating scale(SSRS),and medical coping style(MCMQ)scale were used to investigate gastric cancer patients.Use Epi Data3.1software to establish a database,and SPSS25.0 software for statistical data analysis and processing.The statistical methods used are:descriptive statistics using mean±standard deviation,median,interquartile range,frequency and percentage,etc.,independent samplet test,one-way analysis of variance,non-parametric Kruskal-Walis H Test,Pearson correlation analysis,Spearman correlation analysis and multiple linear regression.result:(1)The total psychological resilience score of gastric cancer patients is(55.26±7.99)points,which is at a low level and lower than the domestic norm.The scores of the three dimensions are as follows:the tenacity dimension(27.63±4.72)points,the self-strength dimension(18.85±2.60)points,and the optimism dimension(18.85±2.60)points.(2)The median total score of social support for patients with gastric cancer is36.00,which is at an intermediate level.The median objective support dimension was9.00 points,the median subjective support dimension was 21.00 points,and the median social support utilization was 6.00 points.(3)The total score of coping style of gastric cancer patients is(45.70±3.46)points,and all dimensions are higher than the domestic norm.The scores of each dimension are:face dimension(20.18±3.04)points,yield dimension(11.37±1.85)points,avoidance(16.70±1.88)points.(4)The results of single factor analysis showed that the psychological resilience level of gastric cancer patients has statistically significant differences in the scores of age,residence,marital status,medical payment method,education level,occupation,main caregivers,tumor pathological staging,and treatment methods.(P<0.05).(5)The results of correlation analysis showed that the total psychological resilience score of gastric cancer patients was positively correlated with the total score of social support(P<0.01,r_s=0.346),and the face dimension in the coping style was positively correlated with the total psychological resilience score(P<0.01,r=0.294),the yield dimension was negatively correlated(r=-0.295,P<0.01),and the avoidance dimension was negatively correlated with the total psychological resilience score(r=-0.187,P<0.05).(6)Multiple linear regression analysis showed that the main factors affecting the psychological resilience of gastric cancer patients were occupation,main caregiver,treatment method,yield response,and subjective support,which explained 60.3%of the variation of psychological resilience of gastric cancer patients.conclusion:(1)The psychological resilience of gastric cancer patients is at a low level,which is lower than the domestic norm.It is particularly important to improve the psychological resilience of gastric cancer patients;social support is at a medium level;gastric cancer patients face,yield,and avoid are all higher than the domestic norm,and coping styles Adopt more passive coping styles of avoidance and submission.(2)The psychological resilience of gastric cancer patients is positively correlated with social support,positively correlated with coping styles,and negatively correlated with submission and avoidance.(3)The main factors affecting the psychological resilience of gastric cancer patients are:occupation,main caregivers,treatment methods,yield response,and subjective support.(4)The more social support a patient with gastric cancer has,the better the level of psychological resilience,and the higher the level of psychological resilience by adopting a positive coping style(face). |