自我效能在宫颈癌患者家庭亲密度与适应性和益处发现间中介效应  

Mediating effect of self-efficacy on correlation between family adaptability,cohesion and benefit finding among cervical cancer patients

作　　者：张丽岩[1] 宋旭生 王文博[1] 张春阳[1] 周佳玮[1] 李煜 杨佳润 马靖松[1] 杨秀贤[1] 邱晓惠[1] 乔正学[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

出　　处：《中国公共卫生》2018年第1期111-113,共3页Chinese Journal of Public Health

摘　　要：目的了解宫颈癌患者益处发现的水平,并探讨自我效能、家庭亲密度与适应性和益处发现3者之间的关系以及自我效能在家庭亲密度与适应性和益处发现的中介作用。方法选取哈尔滨医科大学附属肿瘤医院2016年1—6月入院病理学诊断为宫颈癌、术后3个月的患者239例作为本次调查对象,应用自编一般人口学调查问卷、益处发现评定量表(BFS)、家庭亲密度与适应性量表中文版(FACESⅡ-CV)和一般自我效能感量表(GSES)对宫颈癌患者进行问卷调查。结果本次问卷调查的宫颈癌患者益处发现总分为(65.82±12.12)分,家庭亲密度与适应性总分为(122.08±17.37)分,自我效能总分为(31.57±5.94)分。家庭亲密度与适应性总分及各维度得分与自我效能总分和益处发现总分均呈正相关(P<0.01)。分层回归显示,自我效能在宫颈癌患者家庭亲密度与适应性和益处发现间起部分中介作用,中介效应为0.182,相对中介效应为43.6%。结论家庭亲密度与适应性既可以对益处发现产生直接作用,又可以通过自我效能间接作用于益处发现。自我效能介导了家庭亲密度与适应性对益处发现的正面效应,对宫颈癌患者的益处发现有保护作用。Objective To evaluate the level of benefit finding in cervical cancer patients, and to explore associations of self-efficacy, family adaptability, and cohesion with benefit finding and mediating effect of self-efficacy on correlation between family adaptability, cohesion and benefit finding among cervical cancer patients.Methods Totally 239 pathologically diagnosed cervical cancer patients were recruited at a tumor hospital in Herbin, Heilongjiang province between January 2016 and June 2016 for a self-administered questionnaire survey. The survey was conducted during postoperative reexamination at outpatient clinics three months after hospital discharge with Benefit Finding Scale （BFS）, Family Adaptability and Cohesion Evaluation Scale-Ⅱ-CV （FACES Ⅱ-CV）, General Self-Efficacy Scale （GSES）, and a self-designed questionnaire on demography information.Results For all the participants, the mean overall score of BFS, FACES Ⅱ-CV, and GSES were 65.82 ± 12.12, 122.08 ± 17.37, and 31.57 ± 5.94, respectively. The overall score and all domain scores of FACES Ⅱ-CV were positively correlated with overall score of GSES and overall score of BFS （P 〈 0.01 for all）. The results of hierarchical regression analysis revealed a practical mediating effect of self-efficacy on the correlation between family adaptability, cohesion and benefit finding among the participants, with a effect magnitude of 0.182 and a relative effect ratio of 43.6%. The self-efficacy was an important protective factor for benefit finding.Conclusion Family adaptability and cohesion has a direct influence and an indirect influence mediated by self-efficacy on benefit finding among postoperative cervical cancer patients; in addition, self-efficacy mediates positive effect of family adaptability and cohesion on benefit finding and promotes benefit finding among the patients.

关 键 词：宫颈癌 自我效能 家庭亲密度与适应性 益处发现 中介作用 

分 类 号：R181.37[医药卫生—流行病学]