肺癌患者病耻感及社会支持与生活质量结构方程模型的构建  

The construction of structural equation model of stigma, social support and quality of life in patients with lung cancer

作　　者：任志玲 茅乃权[1] 甘海洁[2] 韦瑜群 韦巧玲 孙月 庞永慧[3] REN Zhiling;MAO Naiquan;GAN Haijie;WEI Yuqun;WEI Qiaoling;SUN Yue;PANG Yonghui(Department of Thoracic Surgery, Guangxi Medical University Affiliated Tumor Hospital, Naning, 530021, China)

机构地区：[1]广西医科大学附属肿瘤医院胸外科,南宁市530021 [2]广西医科大学附属肿瘤医院呼吸肿瘤内科,南宁市530021 [3]广西医科大学附属肿瘤医院护理专家督导组,南宁市530021

出　　处：《中国护理管理》2019年第5期701-705,共5页Chinese Nursing Management

基　　金：广西自然科学基金资助项目(2011GXNSFA018248);广西壮族自治区卫生和计划生育委员会立项科研课题(Z20180620)

摘　　要：目的 :分析肺癌患者病耻感、社会支持及生活质量现状,通过构建结构方程模型明确三个变量相互作用的关系。方法 :采用患者一般情况调查表、肺癌患者病耻感评价量表、社会支持评定量表及癌症治疗功能评价系统-肺癌模块,对2017年1-8月期间在某省级三级甲等肿瘤医院就诊的264名肺癌患者进行问卷调查。结果:肺癌患者病耻感总分为(71.11±14.91)分;社会支持总分为(39.10±11.53)分;生活质量总分为(85.39±23.48)分。病耻感与社会支持及生活质量均呈负相关(P<0.01)。结构方程模型结果显示:病耻感对生活质量有直接负向效应(β=-0.301,P<0.01)和间接负向效应(β=-0.100),社会支持对生活质量仅有直接正向效应(β=0.250,P<0.01)。结论 :肺癌患者病耻感处于中等偏高水平,临床医务工作者应采取有效措施降低肺癌患者病耻感水平,提高其社会支持水平,以达到提高患者生活质量的目的。Objective: To investigate the status of stigma, social support and quality of life in patients with lung cancer, and to establish a structural equation model to clarify the relationships between these three variables. Methods: A questionnaire survey was conducted among 264 lung cancer patients in a provincial tertiary cancer hospital from January to August in 2017. Cataldo Lung Cancer Stigma Scale, Social Support Rating Scale, and Functional Assessment of Cancer Therapy-Lung were included in the questionnaire. Results: The total score of stigma in lung cancer patients was (71.11±14.91);the total score of social support was (39.10±11.53);the total score of quality of life was (85.39±23.48). Stigma was negatively correlated with social support and quality of life (P<0.01). The results of structural equation modeling showed that stigma had a direct negative effect(β=-0.301, P<0.01) and an indirect negative effect (β=-0.100) on quality of life. Social support only had a direct positive effect on quality of life(β=0.250, P<0.01). Conclusion: The stigma of lung cancer patients was at medium to high level. Health care professionals should take effective measures to alleviate lung cancer patients* stigma and increase their social support level, so as to improve their quality of life.

关 键 词：肺癌 病耻感 社会支持 生活质量 结构方程模型 

分 类 号：R47[医药卫生—护理学]