摘要
目的:探讨中青年肺癌术后患者社会支持在自我调节疲劳与工作生活质量之间的中介作用。方法:采用便利抽样法,选取就诊于天津市某三级甲等肿瘤专科医院的中青年肺癌术后重返工作岗位时间≥1个月的患者为研究对象,采用一般资料调查表、自我调节疲劳量表、领悟社会支持量表及癌症患者工作生活质量量表对其进行调查,采用SPSS 22.0及Process插件,用Bootstrap法分析中青年肺癌术后患者社会支持在自我调节疲劳与工作生活质量间的中介作用。结果:224例中青年肺癌术后患者工作生活质量总分为(51.93±24.31)分。Pearson相关分析显示,中青年肺癌患者工作生活质量与自我调节疲劳呈负相关(r=-0.133,P<0.05)、与社会支持呈正相关(r=0.319,P<0.01)。中介效应分析显示,社会支持在自我调节疲劳与工作生活质量中起到完全中介作用,效应值为-0.251(P<0.05),95%置信区间为-0.529~-0.011,中介效应占总效应的34.813%。结论:中青年肺癌术后患者的工作生活质量水平有待提高,社会支持在自我调节疲劳和工作生活质量中起完全中介作用,家庭、社会及医护人员应尽早采取积极应对措施,开展个性化的延续护理措施,提高其工作生活质量。
Objective:To explore the mediating role of social support on self-regulated fatigue and quality of working life.Methods:Participants were selected from young and middle-aged postoperative lung cancer patients which returned to work for≥1 month in a cancer hospital with Grade A,Level 3 in Tianjin.This study was conducted using convenience sampling.Questionnaire survey was conducted using the general information questionnaire,Self-regulated Fatigue Scale,Perceived Social Support Scale,and Quality of Working Life Questionnaire for Cancer Survivors.The data analysis were performed by SPSS 22.0 and Process plug-in.Results:The mean score of Quality of Working Life Questionnaire for Cancer Survivors for all participants was 51.93±24.31.Pearson correlation analysis showed that the working life quality was negatively correlated with self-regulated fatigue(r=-0.133,P<0.05)and positively correlated with social support(r=0.319,P<0.01)in young and middle-aged lung cancer patients.Bootstrap analysis indicated that social support played a complete mediating role on self-regulated fatigue and working life quality,with a mediating effect size of-0.251(95%CI-0.529~-0.011;P<0.05).The intermediate effect accounted for 34.813% of the total effect.Conclusion:The quality of working life of young and middle-aged adults with postoperative lung cancer patients needed to be improved and social support can play a completely mediating role in self-regulated fatigue and working life quality.It's indicated that family,society and medical staff should actively take measures as soon as possible,and carry out personalized continuing nursing interventions to improve the quality of working life.
作者
李静
庞建美
温晓艳
张欣
张静
李燕
LI Jing;PANG Jianmei;WEN Xiaoyan;ZHANG Xin;ZHANG Jing;LI Yan(Tianjin Medical University Cancer Institute and Hospital,Tianjin 300060)
出处
《天津护理》
2024年第6期668-673,共6页
Tianjin Journal of Nursing
基金
天津市医学重点学科建设项目(TJYXZDXK-011A)
天津医科大学医院管理创新研究项目(2023YG12)。
关键词
肺癌
中青年
工作生活质量
自我调节疲劳
社会支持
Lung cancer
Young and middle aged adults
Quality of working life
Self-regulated fatigue
Social support
