摘要
目的调查胃癌患者术后创伤后应激障碍现状以及其与自我怜悯的关系;探讨身体快感与社会快感缺失在胃癌患者术后自我怜悯与创伤后应激障碍之间的中介效应关系。方法采用方便抽样的方法,对合肥市2所医院收治的胃癌术后患者251例进行一般资料、身体快感缺失、社会快感缺失、自我怜悯以及创伤后应激障碍调查,分析身体快感与社会快感缺失在胃癌患者术后自我怜悯与创伤后应激障碍之间的中介效应。结果本次调查的胃癌患者身体快感缺失得分为(44.35±3.15)分、社会快感缺失得分为(28.62±3.14)分、自我怜悯得分为(84.24±6.25)分、创伤后应激障碍得分为(60.54±6.09)分,自我怜悯与创伤后应激障碍之间呈显著负相关(P<0.01)。胃癌患者自我怜悯对创伤后应激障碍的直接效应为-0.439,总效应为-0.590,间接效应为-0.151,占总效应的25.59%,身体快感缺失中介效应为-0.082,占总效应的13.89%;社会快感缺失的中介效应为-0.069,占总效应的11.69%。结论胃癌患者术后存在自我怜悯缺失以及创伤后应激障碍的现象,自我怜悯缺失会加重其创伤后应激障碍,身体快感缺失以及社会快感缺失是胃癌患者术后自我怜悯以及创伤后应激障碍的中介变量。
Objective To investigate the status of post-traumatic stress disorder in patients with gastric cancer and its relationship with self-compassion and explore the mediating effect of analgesia of physical and social on self-compassion and post-traumatic stress disorder in patients with gastric cancer.Methods A convenient sampling method was used to investigate the general information,analgesia of physical and social,self-compassion,and post-traumatic stress disorder in patients with gastric cancer after surgery,and to analyze the mediating effect ofanalgesia of physical and social on self-compassion and post-traumatic stress disorder in patients with gastric cancer from two hospital in Hefei City.Results The score of self-compassion was(84.24±6.25),the score of post-traumatic stress disorder was(60.54±6.09),the score of revised physical anhedonia was(44.35±3.15),and the score of revised social anhedonia was(28.62±3.14)in gastric cancer patients.There was a significant negative correlation between self-compassion and post-traumatic stress(P<0.01).The analgesia of physical(β=0.322,t=2.683,P=0.008)and social(β=0.299,t=2.498,P=0.013)as mediators can affect self-compassion inverse prediction of post-traumatic stress disorder effect(β=-0.375,t=-6.237,P<0.01).The direct effect of gastric cancer patients'self-compassion on post-traumatic stress disorder is-0.439,the total effect is-0.590,the indirect effect is-0.151,accounting for 25.59%of the total effect.The mediating effect of analgesia of the physical is-0.082,accounting for 13.89%of the total effect.The mediating effect of analgesia of the social is-0.069,accounting for 11.69%of the total effect.Conclusion Lack of self-compassion and post-traumatic stress disorder are present in patients with gastric cancer.Lack of self-compassion may aggravate post-traumatic stress disorder.The analgesia of the physical and social are mediation variable on postoperative self-compassion and post-traumatic stress disorder in gastric cancer patients.
作者
陈丽
丁燕
Chen Li;Ding Yan(Operating Room,No.901 Hospital of the Joint Service Support Force of the People′s Liberation Army,Hefei 230031,China)
出处
《中国实用护理杂志》
2020年第29期2241-2245,共5页
Chinese Journal of Practical Nursing
基金
安徽省自然科学基金(1608085MH182)。
关键词
快感缺失
胃肿瘤
自我怜悯
创伤后应激障碍
中介效应
Analgesia
Gastric cancer
Self-compassion
Post-traumatic stress disorder
Mediating effect
