恶性血液病患者社会支持、心理弹性与生活质量的相关性  

Correlation of social support,mental resilience and quality of life in patients with hematologic malignancy

作　　者：曹旭然 刘传新[1] Cao Xuran;Liu Chuanxin(School of Mental Health,Jining Medical University,Jining 272067,China;Tianjin Normal University,Tianjin 300387,China)

机构地区：[1]济宁医学院精神卫生学院,272067 [2]天津师范大学,300387

出　　处：《中华行为医学与脑科学杂志》2021年第12期1112-1117,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：山东省自然科学基金项目(ZR2016HM55);济宁医学院扶持基金项目(JY2017JS008)。

摘　　要：目的探讨恶性血液病患者的生活质量现状,及其生活质量与社会支持、心理弹性的关系,分析心理弹性的中介作用。方法采用社会支持量表(social support rate scale,SSRS)、心理弹性量表(Connor-Davidson resilience scale,CD-RISC)、生活质量问卷(European Organization for research and treatment of cancer quality of life questionnaires-core 30,EUROTC QLQ-C30),对济宁医学院附属医院284名恶性血液病患者进行问卷调查,采用SPSS 21.0进行统计分析,经描述统计、单样本t检验、Pearson相关分析,使用SPSS PROCESS v 3.4宏程序进行中介效应检验。结果恶性血液病患者生活质量的总体健康水平[(52.1±26.4)分]显著低于Norwegian常模(75.3分)(t=-14.81,P<0.01)。社会支持与心理弹性、生活质量呈正相关(r=0.76,0.31,均P<0.01);心理弹性与生活质量呈正相关(r=0.45,P<0.01)。心理弹性在社会支持与生活质量中起到部分中介作用,中介效应占总效应的比例为61%。结论心理弹性可作为社会支持影响生活质量的中介变量,提高恶性血液病患者的心理弹性与社会支持有助于改善其生活质量。Objective To understand the quality of life in patients with hematologic malignancy,and to discuss the correlation among quality of life and social support and resilience in the patients,and to analyze the mediating effect of mental resilience.Methods A total of 284 patients with hematologic malignancy from Affiliated Hospital of Jining Medical University completed social support rate scale(SSRS),Connor-Davidson resilience scale(CD-RISC)and European Organization for research and treatment of cancer quality of life questionnaires-core 30(EORTC QLQ-C30).SPSS 21.0 was used for descriptive statistics,single sample t-test,Pearson correlation analysis and SPSS macro program PROCESS v 3.4 was used for testing the mediating effect.Results The general health level of quality of life in patients with hematologic malignancy(52.1±26.4)was significantly lower than the Norwegian norm(75.3)(t=-14.81,P<0.01).Social support was significantly positively correlated with resilience and quality of life(r=0.76,0.31,P<0.01),and resilience was positively correlated with quality of life(r=0.45,P<0.01).Mental resilience played a partial mediating role between social support and quality of life,and the mediating effect accounted for 61%of the total effect.Conclusion Mental resilience can be used as a mediating variable for social support which can affect quality of life.Improving the mental resilience and social support in patients with hematologic malignancy can effectively improve their quality of life.

关 键 词：恶性血液病 社会支持 心理弹性 生活质量 中介作用 

分 类 号：R733[医药卫生—肿瘤]