自我效能、社会支持及应对方式对大肠侧向发育型肿瘤患者心理弹性影响的路径分析  

Path analysis on the influence of self efficacy,social support and coping style on the resilience of patients with colorectal laterally spreading tumors

作　　者：朱敏[1] 李秀雄[1] 吴定芳[1] 莫雪飞 劳秋婵[1] ZHU Min;LI Xiuxiong;WU Dingfang;MO Xuefei;LAO Qiuchan(Special Needs Medical Center,the First People′s Hospital of Foshan City,Foshan,Guangdong 528000,China)

机构地区：[1]广东省佛山市第一人民医院特需医疗中心,528000

出　　处：《重庆医学》2020年第13期2131-2134,共4页Chongqing medicine

基　　金：广东省佛山市科学技术局医学科研课题(2016AB001891)。

摘　　要：目的探讨自我效能、社会支持及应对方式对大肠侧向发育型肿瘤(LST)患者心理弹性的影响,并分析其路径。方法选取该院2016年1月至2018年6月收治的符合纳入标准的LST患者52例。采用心理弹性量表(CD-RISC)、一般自我效能量表(GSES)、社会支持量表(SSRS)及医学应对问卷(MCMQ)分析患者的心理弹性情况及其路径。结果患者CD-RISC总分为(57.82±12.43)分;CD-RISC得分与GSES得分,SSRS总分及其客观支持、主观支持、社会支持利用度维度得分,以及MCMQ面对应对维度得分均呈正相关(r=0.831、0.863、0.776、0.801、0.663、0.577,P<0.05);自我效能、主观支持、面对应对及屈服应对是心理弹性水平的主要影响因素(P<0.05)。自我效能及主观支持对心理弹性有直接及间接效应;面对应对及屈服应对对心理弹性有直接效应。结论LST患者心理弹性较差,自我效能、主观支持、面对应对及屈服应对是心理弹性水平的主要影响因素。Objective To explore theeffects of self efficacy,social support and coping style on the resilience of patients with laterally spreading tumors(LST),and analyse their pathways.Methods A total of 52 patients with LST who met the inclusion criteria and were admitted to this hospital fromJanuary 2016 to June 2018 were selected.The Connor-Davidson resilience scale(CD-RISC),general self-efficacy scale(GSES),social science research solutions(SSRS)scale and medical coping modes questionnaire(MCMQ)were used to assess the resilience of these patients and analyse its path.Results The total score of CD-RISC in patients with LST was(57.82±12.43)points.The CD-RISC score was positively correlated with GSES score,SSRS total score and its objective support,subjective support,social support utilization dimension score,MCMQ confront coping styledimension score(r=0.831,0.863,0.776,0.801,0.663,0.577,P<0.05).The self-efficacy,subjective support,confront coping style and resignation coping style were the main influencing factors of resilience(P<0.05).Self-efficacy and subjective support had direct and indirect effects on resilience,and confront coping style and resignation coping style had direct effects on resilience.Conclusion Patients with LST have poor resilience,and the self-efficacy,subjective support,confront coping style and resignation coping style may be the main influencing factors of resilience.

关 键 词：大肠侧向发育型肿瘤 心理弹性 精神卫生 社会支持 路径分析 

分 类 号：R473.73[医药卫生—护理学]