摘要
目的:探讨自我效能感在肺癌术后病人恐惧疾病进展与创伤后应激障碍间的中介效应。方法:采用便利抽样法,选取2023年1月—4月天津市某三级甲等医院收治的290例原发性肺癌术后病人为研究对象,应用一般资料调查表、癌症自我管理效能感量表、恐惧疾病进展简化量表和创伤后应激障碍量表-民用版进行调查,并分析自我效能感、恐惧疾病进展及创伤后应激障碍三者之间的关系。结果:肺癌术后病人自我效能感得分为(100.50±22.90)分,恐惧疾病进展得分为(29.79±8.34)分,创伤后应激障碍得分为(30.68±11.41)分。创伤后应激障碍与自我效能感呈负相关(r=-0.364,P<0.001),与恐惧疾病进展呈正相关(r=0.504,P<0.001),自我效能感与恐惧疾病进展呈负相关(r=-0.281,P<0.001)。恐惧疾病进展对创伤后应激障碍的总效应为0.796[95%CI(0.667,0.925)],直接效应为0.724[95%CI (0.549,0.899)],间接效应为0.072[95%CI(0.011,0.131)],中介效应占总效应的9.05%。结论:恐惧疾病进展对肺癌术后病人的创伤后应激障碍有直接预测作用,自我效能感在恐惧疾病进展与创伤后应激障碍间发挥部分中介效应,医护人员应通过有针对性的干预措施降低病人的恐惧疾病进展水平,提升自我效能感,从而改善其创伤后应激状态。
Objective:To explore the mediating effect of self-efficacy between fear of progression(FoP)and post-traumatic stress disorder(PTSD)in patients after lung cancer surgery.Methods:From January to April 2023,290 primary lung cancer patients who received thoracoscopic surgery in a third grade-A hospital in Tianjin were selected by convenience sampling method and surveyed by using general information questionnaire,Strategies Used by People to Promote Health(SUPPH),Fear of Progression Questionnaire Short Form(FoP-Q-SF)and Post-Traumatic Stress Disorder Checklist-Civilian(PCL-C),and the relationships among self-efficacy,FoP and PTSD were analyzed.Results:The total score of SUPPH was(100.50±22.90),FoP-Q-SF was(29.79±8.34),and PCL-C was(30.68±11.41).PTSD was negatively correlated with self-efficacy(r=-0.364,P<0.001),while positively correlated with FoP(r=0.504,P<0.001),and self-efficacy was negatively correlated with FoP(r=-0.281,P<0.001).The total effect of FoP on PTSD was 0.796[95%CI(0.667,0.925)],the direct effect was 0.724[95%CI(0.549,0.899)],and the indirect effect was 0.072[95%CI(0.011,0.131)].The mediating effect accounted for 9.05%.Conclusions:FoP is a direct predictor of PTSD in patients undergoing lung cancer surgery,and self-efficacy plays a partial mediating role between FoP and PTSD.Medical staff should reduce patients′FoP and enhance their self-efficacy through targeted interventions to improve the post-traumatic stress state.
作者
刘丽峰
崔嘉
王海楠
孙潇楠
张方圆
LIU Lifeng;CUI Jia;WANG Hainan;SUN Xiaonan;ZHANG Fangyuan(Tianjin Medical University Cancer Institute&Hospital,National Clinical Research Center for Cancer/Key Laboratory of Cancer Prevention and Therapy,Tianjin/Tianjin’s Clinical Research Center for Cancer,Tianjin 300060 China)
出处
《全科护理》
2024年第12期2189-2193,共5页
Chinese General Practice Nursing
基金
天津市医学重点学科(专科)建设项目,编号:TJYXZDXK-011A。
关键词
肺癌
自我效能感
恐惧疾病进展
创伤后应激障碍
中介效应
lung cancer
self-efficacy
fear of disease progression
post-traumatic stress disorder
mediating effect
