摘要
目的探讨应对方式在乳腺癌术后化疗患者需求对主观幸福感影响过程中的中介效应,为提高其主观幸福感提供依据。方法于2020年8月至12月,采用便利抽样法选取武汉大学人民医院、武汉大学中南医院、湖北省肿瘤医院共300名乳腺癌术后化疗患者为研究对象,以应激理论为理论框架,采用女性乳腺癌患者需求评估量表、医学应对方式问卷、总体幸福感量表进行问卷调查。结果本调查共发放问卷300份,回收问卷300份,实际有效问卷282份,有效回收率为94%。乳腺癌术后患者需求与面对、主观幸福感呈负相关,与回避、屈服呈正相关;面对与回避、屈服呈负相关,与主观幸福感呈正相关;回避与屈服呈正相关,与主观幸福感呈负相关;屈服与主观幸福感呈负相关(P<0.05)。面对应对和屈服应对在乳腺癌术后化疗患者需求和主观幸福感之间起部分中介效应(95%CI:-6.443~-0.760、-4.251~-0.837)。结论需求可以直接影响乳腺癌术后化疗患者主观幸福感,也可以通过面对和屈服间接影响主观幸福感。
Objective To explore the mediating effect of coping style in the influence of needs on subjective well-being in breast cancer patients undergoing chemotherapy,and to provide evidence for improving their subjective well-being.Methods From August to December 2020,a total of 300 breast cancer patients undergoing chemotherapy after breast cancer surgery were selected by convenience sampling method in Wuhan University People’s Hospital,Wuhan University Zhongnan Hospital,and Hubei Cancer Hospital.Taking stress theory as the theoretical framework,a questionnaire survey was conducted using the need assessment scale for female breast cancer patients,the medical coping style questionnaire,and the overall well-being scale.Results A total of 300 questionnaires were distributed in this survey,300 questionnaires were recovered,and 282 were actually valid,with an effective recovery rate of 94%.The needs of patients after breast cancer surgery were negatively correlated with facing and subjective well-being,and positively correlated with avoidance and yielding;facing was negatively correlated with avoidance and yielding,and positively correlated with subjective well-being;avoidance was positively correlated with yielding,and negatively correlated with subjective well-being;Yield was negatively correlated with subjective well-being(P<0.05).Facing coping and yielding coping played a partial mediating effect between the needs and subjective well-being of breast cancer patients undergoing chemotherapy after surgery(95%CI:-6.443 to-0.760,-4.251 to-0.837).Conclusion Needs can directly affect the subjective well-being of patients undergoing chemotherapy after breast cancer surgery,and can also indirectly affect their subjective well-being through confrontation and surrender.
作者
喻莹
万永慧
唐尧
YU Ying;WAN Yonghui;TANG Yao(The First Department of Oncology,Renmin Hospital of Wuhan University,Hubei Province,Wuhan430060,China)
出处
《中国医药导报》
CAS
2022年第21期53-56,69,共5页
China Medical Herald
基金
湖北省卫健委——武汉大学人民医院联合基金项目(LHHL2020YB-32)。
关键词
乳腺癌
需求
主观幸福感
应对方式
中介效应
Breast cancer
Needs
Subjective well-being
Coping style
Mediating effect
