摘要
目的 探讨应对方式在肺癌化疗患者疾病感知与心理社会适应之间的作用机制,为提高乳腺癌患者心理社会适应水平提供参考。方法 2021年6—9月,采用横断面调查方法,选取在郑州市3所三级甲等医院肿瘤科接受住院治疗的555例肺癌化疗患者,应用一般资料调查表、疾病感知问卷、疾病心理社会适应量表和癌症应对方式问卷对其进行调查。采用AMOS 24.0探究应对方式在肺癌化疗患者疾病感知与心理社会适应间的影响路径。结果555例肺癌化疗患者应对方式得分为(58.56±12.37)分,疾病感知得分为(47.63±9.57)分,心理社会适应得分为(52.51±13.17)分。应对方式与心理社会适应呈正相关(r=0.312,P<0.01),疾病感知与心理社会适应呈正相关(r=0.365,P<0.01);疾病感知对肺癌化疗患者心理社会适应既有直接效应(0.56)又有间接效应(0.21),总效应为0.77;应对方式对肺癌化疗患者心理社会适应只有直接效应(0.37)。结论 应对方式是肺癌化疗患者疾病感知与心理社会适应的中介变量,医护人员可以采取多种干预措施提高患者的应对水平,从而提高其心理社会适应水平。
Objective To explore the mechanism of coping styles between illness perception and psychosocial adaptation in lung cancer patients undergoing chemotherapy, so as to provide the reference for improving the level of psychosocial adaptation in patients with breast cancer.Methods From June 2021 to September 2021, 555 patients receiving chemotherapy for lung cancer in the oncology department of 3 Grade A hospitals in Zhengzhou City were selected as the research objects by using a cross-sectional survey method. The general datum questionnaire, illness perception questionnaire,illness psychosocial adjustment scale and cancer coping style questionnaire were used to investigate the patients. AMOS 24.0was used to explore the influence of coping style on disease perception and psychosocial adaptation in patients with lung cancer chemotherapy.Results The score of coping style of 555 patients receiving chemotherapy for lung cancer was(58.56± 12.37), the score of illness perception was(47.63 ± 9.57), and the score of psychosocial adaptation was(52.51 ± 13.17).The coping style was significantly positively correlated with psychosocial adaptation(r = 0.312, P < 0.01), and the illness perception was significantly positively correlated with psychosocial adaptation(r =0.365, P < 0.01). The illness perception had both direct effect(0.56) and indirect effect(0.21) on the psychosocial adaptation of patients undergoing chemotherapy for lung cancer, and the total effect was 0.77. The coping style had only a direct effect on the psychosocial adaptation of patients undergoing chemotherapy for lung cancer(0.37).Conclusion The coping style is a mediating variable between illness perception and psychosocial adaptation in patients with lung cancer chemotherapy. Medical staff can take a variety of interventions to improve the coping level of patients, so as to improve their psychosocial adaptation level.
作者
何瑾
李娜
史玉佳
HE Jin;LI Na;SHI Yu-jia(Henan Cancer Hospital/Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)
出处
《中国校医》
2022年第7期525-528,共4页
Chinese Journal of School Doctor
关键词
肺癌
应对方式
疾病感知
心理社会适应
lung cancer
coping style
illness perception
psychosocial adaptation
