希望水平在肿瘤患者社会支持与孤独感间的中介作用  

Mediating effect of hope level on correlation between social support and loneliness in cancer patients

作　　者：李艳均 廖海艳 何依群[3] 瞿海梅 任攀 陈小菊 LI Yan-jun;LIAO Hai-yan;HE Yi-qun;QU Hai-mei;REN Pan;CHEN Xiao-ju(School of Nursing,Chengdu Medical College,Chengdu,Sichuan 610083,China;Pidu District People’s Hospital,Chengdu,Sichuan 611730,China;The First Affiliated Hospital of Chengdu Medical College,Chengdu,Sichuan 610599,China)

机构地区：[1]成都医学院护理学院,四川成都610083 [2]成都市郫都区人民医院,四川成都611730 [3]成都医学院第一附属医院,四川成都610599

出　　处：《实用预防医学》2023年第5期563-567,共5页Practical Preventive Medicine

基　　金：成都医学院-成都市郫都区人民医院联合项目基金(2021LHHL-05);四川省应用心理学研究中心项目(CSXL-2221)。

摘　　要：目的 探讨希望水平在肿瘤患者社会支持与孤独感之间的中介作用。方法 便利抽取241例肿瘤患者为研究对象。采用一般资料调查表、Herth希望量表、领悟社会支持量表和癌症孤独感量表进行问卷调查。对肿瘤患者希望水平、社会支持和孤独感之间进行中介效应分析。结果 肿瘤患者希望水平总分(32.29±6.92)分;领悟社会支持总分为(53.17±13.71)分;孤独感总分为(16.94±6.67)分。希望水平与领悟社会支持呈正相关,与癌症孤独感呈负相关,领悟社会支持与癌症孤独感呈负相关。社会支持可直接影响肿瘤患者的孤独感,还可通过希望的中介作用间接影响孤独感,中介效应占总效应的49.92%。结论 希望水平是肿瘤患者社会支持和孤独感之间的中介变量,医务人员应该采取有针对性干预措施,提高癌症患者的社会支持和希望水平,从而降低患者的孤独感。Objective To explore the mediating effect of hope level on relationship between social support and loneliness in tumor patients.Methods Two hundred and forty-one tumor patients were conveniently selected as the research subjects.General information questionnaire,Herth Hope Scale,Perceived Social Support Scale and Cancer Loneliness Scale were used for a questionnaire survey.The mediating effect of hope level on relationship between social support and loneliness in the tumor patients were analyzed.Results The total scores of hope level,perceived social support and loneliness in the tumor patients were(32.29±6.92),(53.17±13.71)and(16.94±6.67),respectively.The level of hope was positively correlated with perceived social support,but negatively correlated with cancer loneliness.Perceived social support was negatively associated with cancer loneliness.Social support not only directly affected loneliness of the tumor patients,but also indirectly affected loneliness through the mediating effect of hope.The intermediary effect accounted for 49.92%of the total effect.Conclusion Hope level is an intermediary variable between social support and loneliness in the tumor patients.Medical professionals should take targeted intervention measures and improve the tumor patients’social support and hope level so as to reduce their loneliness.

关 键 词：肿瘤患者 希望水平 社会支持 孤独感 中介效应 

分 类 号：R473.73[医药卫生—护理学]