甲状腺乳头状癌病人反刍性沉思在心理弹性与焦虑间的中介作用  

Mediating effect of rumination on relationship between resilience and anxiety of patients with papillary thyroid carcinoma

作　　者：彭丽丽[1] 尹琳[1] 刘纳[1] 李妍[1] 卢乃聪 PENG Lili;YIN Lin;LIU Na;LI Yan;LU Naicong(China-Japan Friendship Hospital,Beijing 100029 China)

机构地区：[1]中日友好医院,北京100029

出　　处：《护理研究》2022年第14期2461-2465,共5页Chinese Nursing Research

基　　金：中日友好医院院级科研项目,编号:2019⁃2⁃HL⁃4。

摘　　要：目的:探讨甲状腺乳头状癌(PTC)病人反刍性沉思在心理弹性与焦虑间的中介作用。方法:采用便利抽样法抽取2020年9月—2021年3月在北京某三级甲等医院确诊的178例PTC病人作为研究对象,采用一般资料调查表、简体中文版事件相关反刍性沉思问卷(C⁃ERRI)、心理弹性量表(CD⁃RISC)、焦虑自评量表(SAS)进行调查,采用回归分析与Bootstrap程序对反刍性沉思在心理弹性与焦虑间的中介效应进行检验。结果:PTC病人SAS标准分为(44.65±10.72)分。心理弹性与焦虑呈负相关(r=-0.360,P<0.05),侵入性反刍性沉思与焦虑呈正相关(r=0.484,P<0.05),侵入性反刍性沉思与心理弹性呈负相关(r=-0.492,P<0.05),目的性反刍性沉思与焦虑和心理弹性相关性不明显(P>0.05)。侵入性反刍性沉思在心理弹性与焦虑间起部分中介效应,中介效应占比为20.52%。结论:PTC病人侵入性反刍性沉思在心理弹性与焦虑之间有中介效应。Objective:To investigate mediating effect of rumination on relationship between resilience and anxiety of patients with papillary thyroid carcinoma(PTC).Methods:A total of 178 PTC patients diagnosed in a tertiary grade A hospital in Beijing were selected as research objects by convenience sampling method from September 2020 to March 2021.General information questionnaire,Chinese Event Related Rumination Inventory(C⁃ERRI),Connor-Davidson Resilience Scale(CD⁃RISC),and Self-Rating Anxiety Scale(SAS)were used to investigate.Regression analysis and Bootstrap procedure were used to investigate mediating effect of rumination on relationship between resilience and anxiety.Results:SAS standard score of PTC patients was 44.65±10.72.Resilience was negatively correlated with anxiety(r=-0.360,P<0.05),intrusive rumination was positively correlated with anxiety(r=0.484,P<0.05),intrusive rumination was negatively correlated with resilience(r=-0.492,P<0.05),and there was no significant correlation between purposeful rumination and both anxiety and resilience(P>0.05).Intrusive rumination played partial mediating effect between resilience and anxiety,and the mediating effect accounted for 20.52%.Conclusions:Intrusive rumination has mediating effect between resilience and anxiety.

关 键 词：甲状腺乳头状癌 反刍性沉思 焦虑 心理弹性 中介效应 护理 

分 类 号：R473.73[医药卫生—护理学]