摘要
目的分析恶性骨肿瘤患者主要照护者无法忍受不确定性及抑郁症状的现状并探讨其作用路径。方法选取2021年10月至2023年12月于徐州医科大学第二附属医院骨科收治的230例恶性骨肿瘤患者主要照护者为研究对象。采用基本信息问卷、无法忍受不确定性量表简版(IUS-12)、心理痛苦温度计(DT)、心理资本问卷(PCQ-24)及9条目患者健康问卷(PHQ-9)进行问卷调查,分析心理痛苦和心理资本在无法忍受不确定性与抑郁症状间的链式中介效应。结果恶性骨肿瘤患者主要照护者IUS-12总分为(32.13±6.55)分,DT总分为(5.34±2.46)分,PCQ-24总分为(84.22±11.39)分,PHQ-9总分为(9.69±2.24)分。IUS-12评分与DT、PHQ-9评分呈正相关(r=0.531、0.458,P<0.05),与PCQ-24评分呈负相关(r=-0.382,P<0.05);DT评分与PCQ-24评分呈负相关(r=-0.542,P<0.05),与PHQ-9评分呈正相关(r=0.586,P<0.05);PCQ-24评分与PHQ-9评分呈负相关(r=-0.512,P<0.05)。结构方程模型结果显示,χ^(2)/自由度=2.864、拟合优度指数=0.956、调整拟合优度指数=0.924、规准适配指数=0.983、比较拟合指数=0.982、近似误差均方根=0.048,说明模型的适配度良好。路径结果显示,无法忍受不确定性对抑郁症状的直接效应为0.362,心理痛苦和心理资本在两者间存在中介效应(P<0.05)。结论恶性骨肿瘤患者主要照护者无法忍受不确定性处于中高水平,抑郁症状显著,两者存在正相关关系。恶性骨肿瘤患者主要照护者无法忍受不确定性可直接作用于抑郁症状,也可通过心理痛苦、心理资本的中介作用间接影响抑郁症状。
Objective To analyze status quo of intolerance of uncertainty and depressive symptom of primary caregivers of patients with malignant bone tumors,and explore action path.Methods A total of 230 primary caregivers of patients with malignant bone tumors admitted to Department of Orthopedics in the Second Affiliated Hospital of Xuzhou Medical University from October 2021 to December 2023 were selected as the research objects.Basic information questionnaire,intolerance of uncertainty scale-12(IUS-12),distress thermometer(DT),psychological capital questionnaire(PCQ-24),and patient health questionnaire-9(PHQ-9)were used for questionnaire survey.Chain mediation effect of psychological pain and psychological capital between intolerance of uncertainty and depressive symptoms was analyzed.Results Total score of IUS-12 in primary caregivers of patients with malignant bone tumors was(32.13±6.55)points,total score of DT was(5.34±2.46)points,total score of PCQ-24 was(84.22±11.39)points,and total score of PHQ-9 was(9.69±2.24)points.IUS-12 score was positively correlated with DT and PHQ-9 scores(r=0.531,0.458,P<0.05),and negatively correlated with PCQ-24 score(r=-0.382,P<0.05).DT score was negatively correlated with PCQ-24 score(r=-0.542,P<0.05),and positively correlated with PHQ-9 score(r=0.586,P<0.05).PCQ-24 score was negatively correlated with PHQ-9 score(r=-0.512,P<0.05).The results of structural equation model showed thatχ^(2)/df=2.864,GFI=0.956,AGFI=0.924,NFI=0.983,CFI=0.982,RMSEA=0.048,indicated a good fit of the model.The path results showed that direct effect of intolerance of uncertainty on depressive symptom was 0.362,and there was mediating effect between psychological pain and psychological capital(P<0.05).Conclusion The intolerance of uncertainty in primary caregivers of patients with malignant bone tumors at a medium to high level,and depression symptoms are significant,with positive correlation between the two.The intolerance of uncertainty in primary caregivers of patients with malignant bone tumors can dire
作者
李蕊
宋红
张春艳
李一帆
刘海棠
LI Rui;SONG Hong;ZHANG Chunyan;LI Yifan;LIU Haitang(Department of Orthopaedics,the Second Affiliated Hospital of Xuzhou Medical University,Jiangsu Province,Xuzhou 221000,China;Department of Nursing,the Second Affiliated Hospital of Xuzhou Medical University,Jiangsu Province,Xuzhou 221000,China)
出处
《中国医药导报》
CAS
2024年第23期81-86,共6页
China Medical Herald
基金
江苏省徐州市科技医药卫生面上项目(KC23214)。
关键词
骨肿瘤
照护者
无法忍受不确定性
心理痛苦
心理资本
抑郁症状
路径
Bone tumors
Caregivers
Intolerance of uncertainty
Psychological pain
Psychological capital
Depressive symptoms
Path
