中文摘要：

目的研究妇科癌症患者心理弹性状况及影响因素,为妇科癌症患者的心理康复提供依据。方法采用心理弹性量表（connor-davidson resilience scale,CD-RISC）、症状自评量表（symptom checklist 90,SCL-90）、艾森克人格问卷（Eysenck personality questionnaire,EPQ）、应对方式问卷对181例三甲医院的妇科癌症患者进行问卷调查。结果①妇科癌症患者心理弹性总分为60.09±19.38;坚韧性得分30.23±10.65,力量得分20.11±6.40,乐观性得分9.75±3.53。②心理弹性高分组在外向性、合理化得分上显著高于心理弹性低分组（P=0.000,P=0.026）,在神经质得分上显著低于心理弹性低分组（P=0.000）。③不同的医保状态下心理弹性有显著差异（P〈0.01）,心理弹性由高到低依次为商业保险〉职工医保〉新农合〉无保险。④心理弹性随着文化程度有增高的趋势,在CD-RISC总分（P=0.029）、坚韧性（P=0.046）及力量因子（P=0.016）上,小学文化程度者的心理弹性显著低于大专文化程度者的心理弹性。⑤不同年龄患者心理弹性没有显著差异（P〉0.05）,但在力量因子上,40～49岁组得分显著低于≥50岁组（P=0.047）。⑥心理弹性与外向性人格、合理化应对方式正相关（r分别是0.377、0.172,P〈0.05）,与神经质及退避负相关（r分别是-0.267、-0.154,P〈0.05）。结论妇科癌症患者心理弹性普遍较差,人格特征、应对方式、文化程度及医保类型是影响患者心理弹性的重要因素。

英文摘要：

Objective To investigate the resilience and related factors of gynecological cancer patients in order to provide a basis for their psychological rehabilitation.Methods One hundred and eighty-one patients with identified gynecologic cancer from 3 Three-A class hospitals in Chongqing were tested with Connor-Davidson resilience scale（CD-RISC）,Self-report Symptom Checklist 90（SCL-90）,Eysenck Personality Questionnaire（EPQ）,and Copying Style Questionnaire.Results ①The total score of resilience was 60.09±19.38,the score of tolerance was 30.23±10.65,the score of strength was 20.11±6.40,and the score of optimism was 9.75±3.53 for these gynecologic cancer patients.②Compared to the lower resilience group in the CD-RISC,the higher resilience group scored significantly higher in extraversion and rationalization（P0.05）,while significantly lower in the score of SCL-90 and neuroticism（P=0.000）.③ There existed significantly differences in CD-RISC for patient with difference medical insurance（P0.01）.The score of resilience from high to low was commercial insurance medical insurance for urban workers rural cooperative medical serviceno insurance in order.④The score of resilience was elevated with the increase of education level： college or above primary school.⑤ There existed no difference in CD-RISC for patient at difference ages（P0.05）.But compared to the ≥50 group,the 40 to 49 group scored significantly lower in the strength（P=0.047）.⑥Resilience had an obvious positive correlation with the extraversion（r=0.377,P0.05） and positive coping（r=0.172,P0.05）,and negative correlation with the neuroticism（r=-0.267,P0.05） and retreat（r=-0.154,P0.05）.Conclusion Gynecologic cancer patients have low resilience.Personality,coping style,level of education and types of medical insurance are important affecting factors for resilience.