口腔肿瘤患者心理韧性现状及影响因素分析:希望的中介作用  

Analysis of the status quo and influencing factors of psychological resilience in patients with mouth neoplasms:the mediating role of hope

作　　者：原露露 张序杰 陈思瑶 高玉琴[1] Yuan Lulu;Zhang Xujie;Chen Siyao;Gao Yuqin(Nursing Department,Hospital of Stomatology,China Medical University,Shenyang 110002,China)

机构地区：[1]中国医科大学附属口腔医院护理部,沈阳110002

出　　处：《中华现代护理杂志》2020年第22期2976-2981,共6页Chinese Journal of Modern Nursing

基　　金：中国医科大学护理学院2017年立项课题(2017HL-05)。

摘　　要：目的:调查口腔肿瘤患者心理韧性的水平,分析其心理韧性水平的影响因素,寻找影响口腔肿瘤患者心理韧性的中介变量,为提高口腔肿瘤患者的心理适应提供依据。方法:采用便利抽样法,选取2016年5月—2017年10月沈阳市2所三级甲等医院230例口腔肿瘤患者作为研究对象。采用一般资料调查表、心理韧性量表、Herth希望量表、修订版生活定向测验、领悟社会支持量表和压力知觉量表调查研究对象的心理状况。结果:230例口腔肿瘤患者心理韧性得分为(67.93±12.65)分,处于中等水平;口腔肿瘤患者心理韧性水平与其希望水平、乐观水平、领悟社会支持水平均呈正相关(P<0.01),与压力知觉水平呈负相关(P<0.01);口腔肿瘤患者心理韧性的影响因素包括教育程度、希望、乐观,可解释口腔肿瘤患者心理韧性48.2%的变异(P<0.05)。其中,希望是口腔肿瘤患者社会支持水平、压力知觉水平与心理韧性关系的完全中介变量,是乐观水平与心理韧性关系的部分中介变量。结论:希望是影响口腔肿瘤患者心理韧性水平的关键变量,应针对性地采取措施,通过提高患者的希望水平,促进患者的良好心理适应。Objective:To investigate the level of psychological resilience in patients with mouth neoplasms,analyze its influencing factors and find the mediating variables affecting the psychological resilience of patients with mouth neoplasms so as to provide basis for improving the psychological adaptation of patients with mouth neoplasms.Methods:Using the convenient sampling method,a total of 230 patients with mouth neoplasms from 2 ClassⅢGrade A hospitals in Shenyang from May 2016 to October 2017 were selected as the research objects.The general situation questionnaire,Psychological Resilience Scale,Herth Hope Scale,Revised Life Orientation Test,Perceived Social Support Scale and Perceived Stress Scale-10 were used to investigate the psychological status of the research objects.Results:The score of psychological resilience of 230 patients with mouth neoplasms was(67.93±12.65),which was in the middle level.The psychological resilience level of patients with mouth neoplasms was positively correlated with their hope level,optimism level and perceived social support level(P<0.01),but negatively correlated with perceived stress level(P<0.01).The influencing factors of psychological resilience in patients with mouth neoplasms included education level,hope and optimism,which could explain the variation of psychological resilience of patients with mouth neoplasms in 48.2%(P<0.05).Among them,the hope was the complete mediating variable of the relationship between social support level,stress perception level and psychological resilience of patients with mouth neoplasms,and the partial mediating variable of the relationship between optimistic level and psychological resilience.Conclusions:Hope is a key variable affecting psychological resilience in patients with mouth neoplasms.It is necessary to take targeted measures to promote the good psychological adaptation of patients by improving the hope level of patients.

关 键 词：口腔肿瘤 模型 心理学 社会支持 预期 心理 

分 类 号：R473.73[医药卫生—护理学]