希望水平在宫颈癌患者术后生活质量和领悟社会支持间中介效应  

Mediating effect of hope level on correlation between perceived social support and quality of life among postoperative cervical cancer patients

作　　者：贡朋飞 夏百荣[2] 娄阁[2] 王文博[1] 张丽岩[1] 田雪[1] 梁晓梅[1] 周佳玮[1] 翟慧[1] 杨艳杰[1] 

机构地区：[1]哈尔滨医科大学医学心理学教研室,黑龙江哈尔滨150086 [2]哈尔滨医科大学附属肿瘤医院

出　　处：《中国公共卫生》2016年第7期965-967,共3页Chinese Journal of Public Health

摘　　要：目的了解宫颈癌患者术后生活质量状况,探讨希望水平、领悟社会支持和生活质量3者之间的关系以及希望水平在领悟社会支持和生活质量间的中介作用。方法选取哈尔滨医科大学附属肿瘤医院2014年11月至2015年11月收治的病理学诊断为宫颈癌患者265例作为调查对象,采用世界卫生组织生存质量评估简表、领悟社会支持量表和Herth希望量表对宫颈癌术后患者进行问卷调查。结果本次问卷调查的宫颈癌患者生活质量得分为(95.62±16.56)分,领悟社会支持得分为(67.48±10.58)分,希望水平得分为(37.36±4.17)分。领悟社会支持总分及各因子得分与希望水平总分、积极态度和积极行动均呈正相关(P<0.05),与生活质量总分呈正相关(P<0.05)。希望水平总分及各因子得分与生活质量总分均呈正相关(P<0.05)。分层回归分析显示,希望水平在宫颈癌患者领悟社会支持与生活质量间有部分中介作用,中介效应是0.09,相对中介效应为26.71%;希望水平是生活质量的重要保护因素。结论领悟社会支持既可以对生活质量产生直接作用,又可通过希望水平间接作用于生活质量。希望水平介导了领悟社会支持对生活质量的正面效应,对宫颈癌患者的生活质量起到了保护作用。Objective To explore the quality of life （ QOL）, relationships between hope level, perceived social sup- port and QOL, and mediating effect of hope level on the relationship between perceived social support and quality of life among postoperative cervical cancer patients. Methods Totally 280 pathologically diagnosed cervical cancer patients were recruited at Tumor Hospital of Harbin Medical University between November 2014 and November 2015 for a self- administered questionnaire survey. The survey was conducted during postoperative reexamination at outpatient clinic three months after hospital discharge with the World Health Organization＇s Quality of Life Questionnaire-Brief Version （WHOQOL-BREF） ,Perceived Social Support Scale （PSSS）, Herth Hope Index （HH1）, and a selfdesigned question- naire on demography information. Results For all the participants,the mean scores of WHOQOL-BREF, PSSS, and HH1 were 95.62 ± 16. 56,67.48 ± 10. 58 ,and 37.36 ±4. 17 ,respectively. The total score and all domain scores of PSSS were positively correlated with total score and domain scores of active attitude and action of HHI and overal score of QOL（P 〈 0.05 for all）. The total score and domain scores of HH1 positively correlated to the total score of QOL （ P 〈 0. 05 ）. The results of hierarchical regression analysis revealed a partial mediating effect of hope level on the correlation between per- ceived social support and QOL among the participants, with an effect magnitude of 0.09 and a relative effect ratio of 26. 71%. Hope level was an important protective factor for QOL. Conclusion Perceived social support has a direct influence and an indirect influcence mediated by hope level on quality of life among postoperative cervical cancer patients ; in addition, hope level mediates positive effect of perceived social support on quality of life and promotes quality of life among the patients.

关 键 词：宫颈癌 希望水平 领悟社会支持 生活质量 中介作用 

分 类 号：R737.33[医药卫生—肿瘤]