摘要
目的探讨心理弹性在妇科癌症患者社会支持与疾病进展恐惧间的中介效应,为降低患者疾病进展恐惧水平提供参考。方法采用便利抽样选取2022年1—5月福建省3家三级甲等医院224例妇科癌症患者,采用10条目简易心理弹性量表、领悟社会支持量表和疾病进展恐惧简化量表进行调查,运用依次检验法中介模型分析。结果224例妇科癌症患者心理弹性、社会支持和疾病进展恐惧得分分别为(26.05±4.08)分、(63.96±10.37)分和(27.26±8.09)分。心理弹性与社会支持呈正相关(r=0.541,P<0.001),与疾病进展恐惧呈负相关(r=-0.486,P<0.001);社会支持与疾病进展恐惧呈负相关(r=-0.699,P<0.001)。社会支持直接影响妇科癌症患者疾病进展恐惧(β=-0.557),通过心理弹性间接影响疾病进展恐惧(β=-0.058),中介效应占总效应的9.43%。结论心理弹性在妇科癌症患者社会支持和疾病进展恐惧间起部分中介作用。医护人员应采取干预方案提高妇科癌症患者的心理弹性和社会支持,减轻疾病进展恐惧。
Objective To explore the mediating effect of mental resilience on the fear of disease progression in gynecological cancer patients,so as to provide a reference for improving the level of fear of disease progression.Methods A total of 224 patients with gynecological cancer from three tertiary hospitals in Fujian Province from January to May 2022 were selected by convenient sampling,and 10 simple psychological resilience scales,comprehension social support scales,and simplified fear of disease progression were used to investigate,and the sequential test method was used to analyze the mediation model.Results The average scores of psychological resilience,social support,and fear of disease progression in 224 patients with gynecological cancer were(26.05±4.08),(63.96±10.37)and(27.26±8.09),respectively.Resilience was positively correlated with social support(r=0.541,P<0.001)and negatively correlated with fear of disease progression(r=-0.486,P<0.001).Social support was negatively correlated with fear of disease progression(r=-0.699,P<0.001).Social support directly affected the fear of disease progression in gynecologic cancer patients(β=-0.557)and indirectly af⁃fected the fear of disease progression(β=-0.058)through psychological resilience,and the mediating effect accounted for 9.43%of the total effect.Conclusions Psychological resilience plays a part⁃mediating role in the mediating role between social support and fear of disease progression in patients with gynecological cancer.Healthcare workers should use interven⁃tion programs to improve psychological resilience and social support in gynecological cancer patients and improve fear of disease progression.
作者
吴秋贤
WU Qiuxian(Department of Surgical Nursing,Fujian Medical University Union Hospital,Fuzhou 350001,Fujian,China)
出处
《中国校医》
2023年第5期354-357,372,共5页
Chinese Journal of School Doctor
关键词
弹性
心理
社会支持
恐惧
生殖器肿瘤
女性
Resilience,Psychology
Social support
Fear
Genital neoplasms,Female
