摘要
目的探究胃癌根治术后患者正念水平、疾病不确定感、消极应对方式与复发恐惧的相关性,了解正念水平影响复发恐惧的内在机制。方法本研究为横断面研究。2019年1月至2021年3月,采用便利抽样法选取中国人民解放军海军军医大学第一附属医院227例胃癌根治术患者为研究对象,采用一般资料调查表、正念注意觉知量表、恐惧疾病进展简化量表、疾病不确定感量表、简易应对方式问卷对其进行问卷调查,分析患者正态水平、疾病不确定感、消极应对方式、复发恐惧之间的相关性,并进行中介模型检验。结果回收有效问卷207份,有效回收率为91.19%(207/227)。Pearson相关性分析显示,正念水平与疾病不确定感、消极应对方式、复发恐惧均呈负相关(r=-0.176、-0.269、-0.480,均P<0.01),疾病不确定感、消极应对方式与复发恐惧呈正相关(r=0.433、0.420,均P<0.01);中介模型检验表明,正念水平对复发恐惧有显著直接效应(效应值为-0.220),疾病不确定感与消极应对方式在正念水平与复发恐惧之间的部分中介效应显著(效应值为-0.036、-0.030),且疾病不确定感与消极应对方式的链式中介作用也显著(效应值为-0.006)。结论正念水平不仅能够对胃癌根治术后患者复发恐惧产生直接影响,还可分别通过疾病不确定感、消极应对方式与疾病不确定感→消极应对方式的链式中介作用间接影响复发恐惧。
Objective To explore the relationship between the level of mindfulness,illness uncertainty,negative coping style and fear of recurrence in patients after radical resection of gastric cancer,and to understand the internal mechanism of how mindfulness affects the fear of recurrence.Methods This was a cross sectional survey.From January 2019 to March 2021,the convenience sampling method was used to select 227 patients undergoing radical gastric cancer surgery in the Affiliated Hospital of Naval Medial University of Chinese PLA as the research objects.The general information questionnaire,Mindfulness Attention and Awareness Scale,Fear of Disease Progression Simplified Scale,Mishel′s Illness Uncertainty Scale and Simplified Coping Style Questionnaire were used for questionnaire surveys.The relationship between the level of mindfulness,illness uncertainty,negative coping style and fear of recurrence was explored and the model was tested.Results The returned questionnaires were 207 with a recovery rate of 91.19%(207/227).Pearson correlation analysis showed that the level of mindfulness was negatively correlated with illness uncertainty,negative coping style,and fear of recurrence(r=-0.176,-0.269,-0.480,all P<0.01).Illness uncertainty,negative coping styles were positively correlated with fear of recurrence(r=0.433,0.420,both P<0.01).The mediation model test showed that mindfulness had a significant direct effect on fear of relapse(effect value was-0.220),illness uncertainty and negative coping styles had significant partial mediating effect between mindfulness level and fear of recurrence(effect value were-0.036,-0.030).And the chain mediating effect of illness uncertainty and negative coping style was also significant(effect value was-0.006).Conclusions The level of mindfulness can not only have a direct impact on the fear of recurrence in patients after radical gastrectomy,but also indirectly affect the fear of recurrence through the chain mediating effect of illness uncertainty,negative coping style,and disease unc
作者
周星星
王梦
颜哲
张闯
Zhou Xingxing;Wang Meng;Yan Zhe;Zhang Chuang(Department of Gastrointestinal Surgery,the Affiliated Hospital of Naval Medial University of Chinese PLA,Shanghai 200433,China;Outpatient Service,the Affiliated Hospital of Naval Medial University of Chinese PLA,Shanghai 200433,China)
出处
《中国实用护理杂志》
2023年第4期292-298,共7页
Chinese Journal of Practical Nursing
关键词
胃肿瘤
胃肿瘤根治术
正念水平
复发恐惧
疾病不确定感
消极应对
中介作用
Stomach neoplasms
Radical gastric cancer
Mindfulness level
Fear of recurrence
Illness uncertainty
Negative coping
Mediation
