[1]石海宁,陈玲,周丽静,等.积极应对方式在乳腺癌术后患者自我效能感与恐动症间的中介效应[J].军事护理,2023,40(03):59-62.[doi:10.3969/j.issn.2097-1826.2023.03.014]
　SHI Haining,CHEN Ling,ZHOU Lijing,et al.Mediating Effect of Positive Coping Style between Self-Efficacy and Kinesophobia among Postoperative Breast Cancer Patients[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(03):59-62.[doi:10.3969/j.issn.2097-1826.2023.03.014]
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积极应对方式在乳腺癌术后患者自我效能感与恐动症间的中介效应
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年03期
页码:
59-62
栏目:
研究生毕业论文专栏
出版日期:
2023-03-15

文章信息/Info

Title:
Mediating Effect of Positive Coping Style between Self-Efficacy and Kinesophobia among Postoperative Breast Cancer Patients
文章编号:
2097-1826(2023)03-0059-04
作者:
石海宁1; 陈玲2; 周丽静2; 王黎3
(1.新疆医科大学 护理学院,新疆 乌鲁木齐 830011; 2.新疆医科大学附属肿瘤医院 护理部,新疆 乌鲁木齐 830011; 3.新疆医科大学附属肿瘤医院 乳腺外科)
Author(s):
SHI Haining1; CHEN Ling2; ZHOU Lijing2; WANG Li3
(1.School of Nursing,Xinjiang Medical University,Urumqi 830011,Xinjiang Uygur Autonomous Region,China; 2.Department of Nursing,Cancer Hospital Affiliated to Xinjiang Medical University,Urumqi 830011,Xinjiang Uygur Autonomous Region,China; 3.Department of Breast Surgery,Cancer Hospital Affiliated to Xinjiang Medical University)
关键词:
乳腺癌;  积极应对方式;  自我效能感;  恐动症;  中介效应
Keywords:
breast cancer;  positive coping style;  self-efficacy;  kinesophobia;  mediating effect
分类号:
R473.6
DOI:
10.3969/j.issn.2097-1826.2023.03.014
文献标志码:
A
摘要:
目的 探讨积极应对方式在乳腺癌术后患者自我效能感与恐动症间的中介作用。方法 采用便利抽样法于2021年12月至2022年7月选取新疆乌鲁木齐市某三级甲等医院乳腺外科的246例患者为研究对象,应用一般资料调查问卷、恐动症评分表、乳腺癌幸存者自我效能感量表和简易应对方式问卷对其进行调查,并分析积极应对方式、自我效能感与恐动症三者间的关系。结果 乳腺癌术后患者积极应对方式、自我效能感与恐动症之间存在相关性(P<0.01)。自我效能感对恐动症的总效应为-0.372(95%CI=-0.461～-0.284),直接效应为-0.205(95%CI=-0.282～-0.128),间接效应为-0.167(95%CI=-0.246～-0.105),中介效应占比45.16%。结论 自我效能感可通过积极应对方式间接影响恐动症,医护人员应提升乳腺癌术后患者的自我效能感,鼓励患者采取积极的应对方式,进而降低患者的恐动水平。
Abstract:
Objective To explore the mediating effect of positive coping style between self-efficacy and kinesophobia among postoperative breast cancer patients.Methods Convenient sampling was used to select 246 patients from the Department of Breast Surgery in a tertiary hospital in Urumqi City,Xinjiang from December,2021 to July,2022.The general information questionnaire,Kinesophobia Score Scale,Breast Cancer Survivor Self-efficacy Scale and Simplified Coping Style Questionnaire were used for investigation.The relationships among positive coping style,self-efficacy and kinesophobia were analyzed.Results There were correlations among positive coping style,self-efficacy and kinesophobia in postoperative breast cancer patients(P<0.01).The total effect of self-efficacy on kinesophobia was -0.372(95%CI=-0.461～-0.284),the direct effect was -0.205(95%CI=-0.282～-0.128),and the indirect effect was -0.167(95%CI=-0.246～-0.105).The mediating effect accounted for 45.16%.Conclusions Self-efficacy can indirectly affect kinesophobia through positive coping style.Medical staff should improve the self-efficacy of postoperative breast cancer patients and encourage them to adopt positive coping style,so as to reduce their level of kinesophobia.

参考文献/References:

[1] SUNG H,FERLAY J,SIEGEL R L.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] FEITOSA A S A,LOPES J B,BONFE E,et al.A prospective study predicting the outcome of chronic low back pain and physical therapy:the role of fear-avoidance beliefs and extraspinal pain[J].Rev Bras Reumatol Engl Ed,2016,6(5):384-390.
[3] 任鹏娜,张月,丁琳,等.运动恐惧在急性心肌梗死经皮冠状动脉介入治疗术后患者自我效能与运动依从性间的中介效应[J].解放军护理杂志,2022,39(1):21-24.
[4] 王亚欣,桑文凤,贾冠华,等.首发急性心肌梗死患者高水平恐动症形成原因的质性研究[J].护理学杂志,2022,37(7):23-25,37.
[5] 徐超,俞会新.残疾大学生心理资本对就业绩效的影响:就业能力与积极应对的链式中介作用[J].中国健康心理学杂志,2022,30(1):129-134.
[6] 吾超,李爽,李沛,等.应对方式在传染科护士自我效能感与职业成功间的中介效应[J].护理管理杂志,2021,21(12):856-860.
[7] 张素兰,王佳琪,赵娟,等.乳腺癌患者术后恐动症现状及影响因素研究[J].护理学杂志,2020,35(19):24-27.
[8] 刘贺,郑蔚,苏闪闪,等.夫妻疾病沟通问题和疾病接受度在乳腺癌术后患者自我感受负担和疏离感中的链式中介作用[J].军事护理,2022,39(11):53-56.
[9] KORI S H,MILLER R P,TODD D D.Kinesophobia:anewview of chronic pain behaviour[J].Pain Management,1990,1(3):35-43.
[10]胡文.简体中文版TSK和FABQ量表的文化调适及其在退行性腰腿痛中的应用研究[D].上海:第二军医大学,2012.
[11]CHAMPION V L,ZINER K W,MONAHAN P O,et al.Development and psychometric testing of a breast cancer survivor self-efficacy scale[J].Oncol Nurs Forum,2013,40(6):E403-10.
[12]刘延锦,王敏,董小方,等.中文版乳腺癌幸存者自我效能感量表信效度分析[J].中国全科医学,2016,19(27):3336-3340.
[13]FOLKMAN S,LAZARUS R S.Coping as a mediator of emotion[J].J Pers Soc Psychol,1998,54(3):466-475.
[14]解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998,6(2):53-54.
[15]夏青,肖凤凤,彭心雨,等.自主性感知在农村老年人死亡焦虑和自我养老能力间的中介作用[J].护理学报,2022,29(9):52-57.
[16]FRIEDBERG A,MALEFAKIS D.Resilience,trauma,and coping[J].Psychodyna Psychiat,2018,46(1):81-113.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-09-13 【 修回日期 】 2023-01-16
【 基金项目 】 新疆维吾尔自治区自然科学基金项目(2022D01 C284)
【 作者简介 】 石海宁,硕士在读,护士,电话:0991-7968030
【 通信作者 】 陈玲,电话:0991-79680301
更新日期/Last Update: 2023-03-15