宫颈癌放疗期患者希望水平在心理痛苦与生命质量之间的中介效应  

The mediating effect of hope between psychological distress and quality of life in radiotherapy patients with cervical cancer

作　　者：李丽蓉[1] 陈甲信[1] 方红燕 梁娟[1] 莫媛鸿 石丽梅[1] 臧敏君 Li Lirong;Chen Jiaxin;Fang Hongyan;Ling Juan;Mo Yuanhong;Shi Limei;Zang Minjun(Department of Radiation Oncology,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院临床肿瘤中心放疗病区,南宁530021

出　　处：《中国实用护理杂志》2019年第31期2434-2438,共5页Chinese Journal of Practical Nursing

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2014231、Z20170412)。

摘　　要：目的探讨宫颈癌患者放疗期心理痛苦程度、希望水平和生命质量之间的关系,为制定宫颈癌患者的心理管理策略提供依据。方法采用横断面调查方法,对120例宫颈癌放疗期患者,采用心理痛苦温度计、Herth希望量表、宫颈癌患者生命质量测定量表,分别测评患者的心理痛苦程度、希望水平和生命质量。结果宫颈癌放疗期患者心理痛苦与希望水平及生命质量分别呈负相关(r=-0.385、-0.602,P<0.01),希望水平与生命质量呈正相关(r=0.711,P<0.01)。希望水平在心理痛苦与生命质量总体、情感状况、功能状况之间起部分中介作用,在心理痛苦与社会家庭状况之间起完全中介作用;希望水平的中介效应占其所在各路径总效应的大小分别为34.3%、35.3%、43.4%、100.0%。结论宫颈癌患者心理痛苦不仅对生命质量有直接负作用,而且还通过希望水平对生命质量起间接作用;应加强对患者心理痛苦和希望水平的评估,采取措施提高希望水平,减轻心理痛苦对情感状况、功能状态的负向影响,提高患者的生命质量。Objective To investigate the relationship between hope,mental suffering and quality of life in radiotherapy patients with cervical cancer,to provide the basis for the cancer patient′s psychological intervention.Methods A cross-sectional study of 120 cases of radiotherapy cervical cancer patients was conducted,using the psychological distress thermometer,Herth Hope Scale,Life Quality Measurement Scale for patients with cervical cancer to evaluate patients′hope,quality of life and psychological distress.Results Radiotherapy cervical cancer patients′psychological distress and hope were negatively correlated(r=-0.385,P<0.01),psychological distress and quality of life were negatively correlated(r=-0.602,P<0.01),hope and quality of life were positive correlation(r=0.711,P<0.01).Patients′hope played partially mediated effect between psychological distress and quality of life,emotional status,functional status,played fully mediated effect between psychological distress and social family status.The Mediated effect sizes were 35.9%,36.3%,55.9%and 100.0%.Conclusions Psychological distress has not only a direct negative effect on the quality of life of cancer patients,but also an indirect negative effect through hope.During the Medical care,we should accurately assess of patient's psychological distress and hope,and take measures to help improve patients'hope and alleviate psychological distress,so as to improve patients′quality of life.

关 键 词：宫颈癌 心理痛苦 希望 生活质量 中介效应 

分 类 号：R73[医药卫生—肿瘤]