青年原发性肝癌患者自我效能、应对方式对负性心理影响的路径分析  

The path analysis of the influence of young primary liver cancer patients′self efficacy and coping styles on negative mentality

作　　者：李红杰[1] 王艳红[1] 刘佳佳[1] 李素婷[1] 刘佳[1] 王晓鸽[1] 

机构地区：[1]河南省肿瘤医院介入科一病区,郑州450008

出　　处：《中华现代护理杂志》2016年第28期4035-4039,共5页Chinese Journal of Modern Nursing

摘　　要：目的：探索青年原发性肝癌患者自我效能、应对方式与负性心理的相互关系。方法采用横断面调查法,以焦虑抑郁量表（ HADS）、自我效能量表（ GSES）和医学应对方式问卷（ MCMQ）调查青年原发性肝癌患者203例。结果青年原发性肝癌患者焦虑阳性率为57.14％,抑郁阳性率为67.98％；路径分析显示：自我效能感对焦虑和抑郁情绪具有直接负向性效应（Sβ＝－0.452,－0.386；P〈0.05）,自我效能感对焦虑和抑郁情绪具有间接负向性效应（ Sβ＝－0.134,－0.120；P〈0.05）；应对方式对负性心理具有直接效应,其中面对应对维度对焦虑和抑郁具有直接负向性效应（Sβ＝－0.234,－0.244；P〈0.05）,屈服应对维度对焦虑和抑郁具有直接正向性效应（ Sβ＝0.222,0.176；P〈0.05）。结论青年原发性肝癌患者心理健康水平较低,自我效能感、面对应对和屈服应对是影响患者心理健康的重要因素。Objective To analyze the correlation among self efficacy, coping mode and negative mentality in youth with primary liver cancer.Methods Totally 203 young patients with primary liver cancer were investigated by adopting a cross-sectional survey method, and applying hospital anxiety and depression scale （HADS）, general Self efficacy scale （GSES） and medical coping modes questionnaire （MCMQ）.Results The positive rate of anxiety was 57. 14% in youth patients with primary liver cancer, and the positive rate of depression was 67.98%;the path analysis showed that self efficacy had a direct negative effect on depression and anxiety（ Sβ=-0. 452,-0. 386;P〈0. 05; self-efficacy had an indirect negative effect on depression and anxiety （ Sβ=-0.134,-0.120,P〈0.05） . The facing coping mode had a direct negative effect on depression and anxiety （Sβ=-0.234,-0.244;P〈0.05）; the yielding coping dimension had a direct positive effect on anxiety and depression（Sβ=0.222,0.176;P〈0.05）.Conclusions The psychological health of young patients with primary liver cancer are in low status. Self-efficacy, facing coping and yielding coping are the important factors which influence patients′mental health.

关 键 词：青年 肝癌 负性心理 自我效能 应对方式 路径分析 

分 类 号：R473.73[医药卫生—护理学]