宿命观在肺癌化疗患者家庭抗逆力与自我管理间的中介效应研究  

Study on the mediating effect of fatalism in family resilience and self-management of lung neoplasms patients undergoing chemotherapy

作　　者：侯艳 杨丽 张蓓 韩瑶 张云 赵卿 Hou Yan;Yang Li;Zhang Bei;Han Yao;Zhang Yun;Zhao Qing(Department of Oncology,the Second Affiliated Hospital of Air Force Military Medical University PLA,Xi'an 710038,China)

机构地区：[1]中国人民解放军空军军医大学第二附属医院肿瘤科,西安710038

出　　处：《中国实用护理杂志》2022年第36期2830-2837,共8页Chinese Journal of Practical Nursing

摘　　要：目的探究肺癌化疗患者家庭抗逆力、宿命观、自我管理的相关性及宿命观在家庭抗逆力与自我管理间的中介效应。方法本研究为横断面研究,便利选取2020年8月至2021年8月在中国人民解放军空军军医大学第二附属医院肿瘤科进行化疗的376例肺癌患者为研究对象。采用一般资料问卷、家庭复原力评估量表、中文版宿命观量表、癌症患者自我管理测评量表对其进行问卷调查。建立和检验宿命观在肺癌化疗患者家庭抗逆力与自我管理间的中介模型。结果肺癌化疗患者家庭抗逆力总分为(102.01±33.29)分,宿命观总分为(63.99±9.41)分,自我管理总分为(87.95±27.65)分。家庭抗逆力与宿命观呈负相关(r=-0.418,P<0.01),与自我管理呈正相关(r=0.476,P<0.01),宿命观与自我管理呈负相关(r=-0.557,P<0.01)。宿命观在家庭抗逆力和自我管理间发挥部分中介作用,中介效应占总效应的26.2%。中介效应模型各适配度指标值均在可接受范围。结论肺癌化疗患者家庭抗逆力、宿命观和自我管理密切相关,家庭抗逆力不仅能够直接影响自我管理,还能通过宿命观间接影响自我管理。临床护理中可对宿命观进行针对性干预,影响家庭抗逆力对自我管理的作用路径,从而促进肺癌化疗患者自我管理水平的提升。Objective To explore the relevance of family resilience,fatalism,and self-management of lung neoplasms patients undergoing chemotherapy,and the mediating effect of fatalism in family resilience and self-management.Methods The study was a cross-sectional study,and it was convenient to select 376 lung cancer patients who underwent chemotherapy in the Oncology Department of the Second Affiliated Hospital of Air Force Military Medical University from August 2020 to August 2021 as the research subjects.A questionnaire survey was conducted on the patients by using general information questionnaire,Chinese Family Resilience Assessment Scale,Chinese Version of Fatalism Scale,and Cancer Patient Self-management Assessment Scale to establish and test the mediating model of fatalism between family resilience and self-management in lung neoplasms patients undergoing chemotherapy.Results The total score of family resilience of lung neoplasms patients undergoing chemotherapy was(102.01±33.29)points,the total score of fatalism was(63.99±9.41)points,and the total score of self-management was(87.95±27.65)points.Family resilience was negatively correlated with fatalism(r=-0.418,P<0.01),positively correlated with self-management(r=0.476,P<0.01),and fatalism was negatively correlated with self-management(r=-0.557,P<0.01).Fatalism played a partial mediating role between family resilience and self-management,and the mediating effect accounted for 26.2%of the total effect.The value of each fitness index of the mediation effect model was within the acceptable range Conclusions Family resilience,fatalism and self-management of lung neoplasms patients undergoing chemotherapy are closely related.Family resilience can not only directly affect self-management,but also indirectly affect self-management through fatalism.In clinical nursing,targeted intervention can be carried out on fatalism,which affects the role of family resilience on self-management,thereby promoting the improvement of self-management level of lung neoplasms patients und

关 键 词：肺肿瘤 自我管理 化疗 宿命观 家庭抗逆力 中介效应 

分 类 号：R473.73[医药卫生—护理学]