摘要
目的调查原发性肝癌(PLC)患者希望水平、社会支持、应对方式的现状,并探讨社会支持在其中的中介效应,为提升患者希望水平作参考。方法采用便利抽样方法进行量表问卷调查,连续性选取2020年10月至2021年6月中国医科大学附属第一医院肝胆外科病房的PLC患者,选用Herth希望量表、社会支持量表、医学应对问卷量表及自行设计的一般资料调查表进行问卷的调查和收集。本研究共调查220例,发放后剔除无效问卷,最终有效样本为206份,问卷回收有效率为93.64%。结果PLC患者的希望水平呈中低等水平[(30.74±5.83)分]。希望水平总分及各维度、社会支持总分及各维度、面对应对方式维度,两两之间均成正相关(P<0.01);希望水平总分及各维度和社会支持总分及各维度,分别与回避、屈服两个维度成负相关(P<0.05,P<0.01)。应对方式通过社会支持的中介作用对希望水平产生间接预测效应(β=-0.191),中介效应量为48.1%,中介效应显著。结论PLC患者希望水平呈中低等水平,应对方式对PLC患者希望水平既有直接的预测作用,也可通过社会支持作为中介变量来控制患者的希望水平而产生间接作用。
Objective To investigate the current situation of hope level,social support and coping style of patients with primary liver cancer(PLC),and to explore the mediating effect of social support,so as to provide reference for improving the hope level of patients.Methods The convenience sampling method was used for the questionnaire survey.The patients in the hepatobiliary surgery ward of the First Affiliated Hospital of China Medical University from October 2020 to June 2021 were continuously selected.The Herth Hope Scale,Social Support Rating Scale,Medical Coping Modes Questionnaire and Self-designed General Information Questionnaire were used for the questionnaire survey and collection.A total of 220 cases were investigated in this study,and invalid questionnaires were excluded after distribution.The final effective samples were 206,and the effective rate of questionnaire recovery was 93.64%.Results The hope level of PLC patients was at the medium and low level[(30.74±5.83)points].The total score and each dimension of hope level,the total score and each dimension of social support,and the dimension of face coping style were positively correlated with each other(P<0.01).The total score and each dimension of hope level and the total score and each dimension of social support were negatively correlated with the two dimensions of avoidance and submission respectively(P<0.05,P<0.01).Coping style had an indirect preditive effect on the hope leve1 through the intermediary role of social support(β=-0.191),the amount of mediating effect was 48.1%,and the mediating effect was significant.Conclusion The hope level of PLC patients is at medium and low level.Coping style can not only directly predict the hope level of PLC patients,but also indirectly control the hope level of patients through social support as an intermediary variable.
作者
孙彬
赵海平
张娜
李金瑞
孟秋月
SUN Bin;ZHAO Hai-ping;ZHANG Na;LI Jin-rui;MENG Qiu-yue(Nursing School,China Medical University,The First Affiliated Hospital of China Medical University,Liaoning,Shenyang 110000,China;不详)
出处
《中国临床研究》
CAS
2022年第7期1027-1032,共6页
Chinese Journal of Clinical Research
关键词
原发性肝癌
希望水平
应对
回避
屈服
Primary liver cancer
Hope level
Coping
Avoidance
Submission
