自我隐瞒和自尊在结肠造口患者病耻感与社交回避及苦恼间的中介效应  

Self-concealment and self-esteem mediating the relationship between stigma and social avoidance and distress in colostomy patients

作　　者：王艳[1] 杨富国[1] 王淑云[2] 刘绍[1] 鞠陶然 马慧[1] 夏婷婷[1] 

机构地区：[1]青岛大学护理学院,山东青岛266000 [2]青岛大学附属医院崂山院区普外科

出　　处：《护理学杂志》2017年第12期76-78,共3页Journal of Nursing Science

摘　　要：目的探讨自尊、自我隐瞒在结肠造口患者病耻感和社交回避及苦恼之间的中介作用。方法采用社会影响量表、社交回避及苦恼量表、自我隐瞒量表和罗森伯格自尊量表对228例结肠造口患者进行调查,使用Mplus7.0建立中介作用模型。结果结肠造口患者的病耻感、自我隐瞒和自尊均对其社交回避及苦恼有直接影响,病耻感以自尊和自我隐瞒为中介变量,对社交回避及苦恼有间接影响,间接效应效果量为52.9%,通过自我隐瞒的效果量最大,为28.8%。结论结肠造口患者病耻感可分别通过自尊和自我隐瞒影响社交回避及苦恼;病耻感也通过自我隐瞒影响自尊,进而影响社交回避及苦恼行为。Objective To examine the mediating role of self-concealment and self-esteem on the association between stigma and social avoidance and distress in colostomy patients. Methods A total of 228 colostomy patients were invited to complete the Social Impact Scale （SIS）, Social A voidance and Distress Scale （SADS）, Self-Coneealment Scale （SCS） and Self-Esteem Scale （SES）. Mediating role modeling was performed with Mplus7.0 software. Results Stigma, self-concealment and self-esteem had direct effects on social avoidance and distress, and stigma had an in- direct effect on social avoidance and distress through self-concealment and self-esteem, with the indirect effect accounting for 52.9% of the va riance. The indirect effect through self-concealment was predominant, accounting for 28.8% of the variance. Conclusion Stigma affects social a voidance and distress via both self-concealment and self-esteem in colostomy patients, and stigma also has an influence on self-esteem through self-concealment, then affects social avoidance and distress.

关 键 词：结肠造口 病耻感 自尊 自我隐瞒 社交回避及苦恼 

分 类 号：R473.6[医药卫生—护理学] R395.1[医药卫生—临床医学]