[1]陈晨,陈园园,刘欣怡,等.肺癌患者疾病获益感影响因素的结构方程模型构建[J].军事护理,2022,39(06):39-43.[doi:10.3969/j.issn.1008-9993.2022.06.010]
　CHEN Chen,CHEN Yuanyuan,LIU Xinyi,et al.Construction of Structural Equation Model for Influencing Factors of Benefit Finding in Patients with Lung Cancer[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(06):39-43.[doi:10.3969/j.issn.1008-9993.2022.06.010]
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肺癌患者疾病获益感影响因素的结构方程模型构建
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年06期
页码:
39-43
栏目:
论著
出版日期:
2022-06-15

文章信息/Info

Title:
Construction of Structural Equation Model for Influencing Factors of Benefit Finding in Patients with Lung Cancer
文章编号:
1008-9993(2022)06-0039-05
作者:
陈晨1; 陈园园1; 刘欣怡1; 谷薇娜2; 凡国华2; 祝娉婷1
(1.扬州大学 护理学院,江苏 扬州225009; 2.江苏省苏北人民医院 肿瘤科,江苏 扬州225001)
Author(s):
CHEN Chen1; CHEN Yuanyuan1; LIU Xinyi1; GU Weina2; FAN Guohua2; ZHU Pingting1
(1.School of Nursing, Yangzhou University, Yangzhou 225009, Jiangsu Province,China; 2.Department of Oncology,Northern Jiangsu People's Hospital, Yangzhou 225001,Jiangsu Province,China)
关键词:
肺癌;  疾病获益感;  心理韧性;  社会支持;  应对方式;  疾病感知
Keywords:
lung cancer;  benefit finding;  resilience;  social support;  coping;  illness perception
分类号:
R473.73
DOI:
10.3969/j.issn.1008-9993.2022.06.010
文献标志码:
A
摘要:
目的 探讨肺癌患者疾病获益感的影响因素,构建结构方程模型,为探索疾病获益感的干预模式奠定基础。方法 2020年7月至2021年2月,便利抽样法选取扬州市两所三级甲等医院的肺癌患者301名为研究对象,采用一般资料调查表、疾病获益感量表、心理韧性量表、社会支持评定量表、医学应对方式问卷及简易疾病感知问卷对其进行调查。结果 肺癌患者疾病获益感总分为(61.43±7.43)分。心理韧性总分为(54.16±11.97)分,社会支持总分为(44.61±6.01)分,应对方式中面对、回避、屈服维度评分分别为20(17,22)、18(17,19)、10(9,11)分,简易疾病感知总分为(42.24±6.15)分。疾病获益感总分与心理韧性、社会支持、应对方式中面对得分均呈正相关,与应对方式中屈服、疾病感知得分均呈负相关(均P<0.05)。社会支持对疾病获益有正向效应,其次为心理韧性,应对方式中面对对疾病获益感有直接效应,疾病感知对疾病获益感有负向效应。结论 肺癌患者疾病获益感水平较低,应帮助其利用社会支持系统,增强其心理韧性,正确认知疾病并积极面对,从而提高获益感水平。
Abstract:
Objective To explore the influencing factors of benefit finding in patients with lung cancer and construct structural equation model,and to lay a foundation for exploring the intervention mode of benefit finding.Methods From July 2020 to February 2021,301 hospitalized patients with lung cancer in two tertiary A hospitals in Yangzhou were selected by convenience sampling method and a survey was conducted with general information questionnaire,benefit finding scale,the Connor-Davidson resilience scale,social support rating scale,medical coping modes questionnaire and brief illness perception questionnaire.Results The score of benefit finding of patients with lung cancer,psychological resilience,social support and simple benefit finding was(61.43±7.43),(54.16±11.97),(44.61±6.01),and(42.24±6.15)respectively.For coping style,the score of confrontation,avoidance and yielding was 20(17,22),18(17,19)and 10(9,11)respectively.The total score of benefit finding was positively correlated with psychological resilience, social support and confrontation in the coping style,and negatively correlated with the disease perception(all P<0.05).Social support had the strongest positive effect on benefit finding,followed by psychological resilience.Confrontation had the direct effect on benefit finding,while disease perception had a negative effect on benefit finding.Conclusions The level of benefit finding of patients with lung cancer is low.Medical staff should help them make good use of the social support system,enhance their psychological resilience,correctly and positively face the disease,so as to improve the level of benefit finding.

参考文献/References:

[1] SUNG H,FERLAY J,SIEGEL R L,et al.Global cancer statistics 2020:globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2021,71(3):209-249.
[2] MARTIN R E,LOOMIS D M,DEAN G E.Sleep and quality of life in lung cancer patients and survivors[J].J Am Assoc Nurse Pract,2021,34(2):284-291.
[3] HELGESON V S,REYNOLDS K A,TOMICH P L.A meta-analytic review of benefit finding and growth[J].J Consult Clin Psychol,2006,74(5):797-816.
[4] LIU Z,DOEGE D,THONG M S Y,et al.Distress mediates the relationship between cognitive appraisal of medical care and benefit finding/posttraumatic growth in long-term cancer survivors[J].Cancer,2021,127(19):3680-3690.
[5] ZIMMARO L A,DENG M,HANDORF E,et al.Understanding benefit finding among patients with colorectal cancer:a longitudinal study[J].Support Care Cancer,2021,29(5):2355-2362.
[6] MANNE S L,KASHY D A,VIRTUE S,et al.Acceptance, social support, benefit-finding,and depression in women with gynecological cancer[J].Qual Life Res,2018,27(11):2991-3002.
[7] 孙丽媛,梁小荣.疾病获益感在我国相关研究的文献计量学分析[J].中国当代医药,2020,27(29):159-162.
[8] 吴明隆.结构方程模型-AMOS的操作与应用[M].2版.重庆:重庆医科大学出版社,2010:4-5.
[9] 刘谆谆,张兰凤,GUDENKAUF L.癌症患者疾病获益感量表的跨文化调适[J].中华护理杂志,2015,50(5):561-566.
[10]于肖楠,张建新.自我韧性量表与Cornor-Davidson韧性量表的应用比较[J].心理科学,2007,(5):1169-1171.
[11]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,(2):98-100.
[12]沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000,(1):22-24.
[13]孙伟铭,楼青,袁也丰,等.简易版疾病认知问卷中文版在躯体化障碍患者中的应用[J].重庆医科大学学报,2015,40(8):1138-1142.
[14]谢艳秋.肺癌患者益处发现、症状负担与生活质量相关性研究[D].郑州:郑州大学,2020.
[15]李惠萍,杨娅娟,苏丹,等.应对方式在乳腺癌患者疾病感知和创伤后成长中的中介作用[J].中华行为医学与脑科学杂志,2016,25(8):698-702.
[16]LEVENTHAL H,LEVENTHAL E,CONTRADA R.Self-regulation,health,and behavior:a perceptual-cognitive approach[J].Psychol Health,2007,13(4):717-733.
[17]POPA-VELEA O,DIACONESCU L,JIDVEIAN POPESCU M,et al.Resilience and active coping style:effects on the self-reported quality of life in cancer patients[J].Int J Psychiatry Med,2017,52(2):124-136.
[18]YU M,SAMPSON M,LIU Y,et al.A longitudinal study of the stress-buffering effect of social support on postpartum depression:a structural equation modeling approach[J].Anxiety Stress Coping,2021,34(6):751-765.
[19]周美景,罗丹,林征,等.炎症性肠病患者自我管理行为的影响因素分析[J].中华护理杂志,2021,56(4):550-555.
[20]刘倩,于晓丽,费燕,等. 心理韧性和领悟社会支持在首发缺血性脑卒中患者感恩与健康促进行为间的中介效应[J].,2021,38(11):12-16.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-10-22 【 修回日期 】 2022-04-15
【 基金项目 】 国家自然科学基金(82174129); 江苏省研究生科研与实践创新计划(KYCX20_3006); 江苏省人兽共患病学重点实验室“护馨基金”(HX2002)
【 作者简介 】 陈晨,硕士在读,从事肿瘤心理护理研究
【 通信作者 】 祝娉婷,电话:0514-87978874
更新日期/Last Update: 2022-06-15