负性信息注意偏向在肺癌患者宿命观与死亡焦虑间的中介效应  

The mediating effect of attentional bias of negative information between fatalism and death anxiety in lung neoplasms patients

作　　者：侯艳 杨丽 孙婷婷 张蓓 李笑敏 王梦雪 孙娟华 Hou Yan;Yang Li;Sun Tingting;Zhang Bei;Li Xiaomin;Wang Mengxue;Sun Juanhua(Department of Oncology,the Second Affiliated Hospital of Air Force Military Medical University,the Chinese People's Liberation Army,Xi'an 710038,China;Department of Oncology,the First Affiliated Hospital of Air Force Military Medical University,the Chinese People's Liberation Army,Xi'an 710032,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 [2]中国人民解放军空军军医大学第一附属医院肿瘤科,西安710032

出　　处：《中国实用护理杂志》2023年第17期1328-1334,共7页Chinese Journal of Practical Nursing

摘　　要：目的探究负性信息注意偏向在肺癌患者宿命观与死亡焦虑间的中介效应。方法本研究为横断面研究,便利选取2021年4月至2022年4月在中国人民解放军空军军医大学第一附属医院、第二附属医院肿瘤科进行治疗的312例肺癌患者为研究对象,采用宿命观量表、负性信息注意量表、死亡焦虑量表对其进行问卷调查,基于自我调节执行功能模型构建结构方程模型。结果312例肺癌患者宿命观总分为(61.68±11.92)分,负性信息注意偏向总分为(39.57±5.19)分,死亡焦虑总分为(61.23±9.30)分。负性信息注意偏向与宿命观呈显著正相关(r=0.594,P<0.01),死亡焦虑与宿命观、负性信息注意偏向均呈显著正相关(r=0.494、0.558,均P<0.01)。负性信息注意偏向在宿命观和死亡焦虑间发挥部分中介效应,中介效应占总效应的37.7%。中介效应模型各适配度指标值均在可接受范围。结论负性信息注意偏向是肺癌患者宿命观与死亡焦虑间的中介变量,护理人员应关注肺癌患者的负性信息注意偏向水平,从情绪加工过程对患者进行针对性护理干预,降低肺癌患者的死亡焦虑水平。Objective To explore the mediating effect of attentional bias of negative information between fatalism and death anxiety in lung neoplasms patients.Methods This study was a cross-sectional study.It was convenient to select 312 lung neoplasms patients treated in the Department of Oncology,First Affiliated Hospital and Second Affiliated Hospital of Air Force Military Medical University the Chinese People's Liberation Army,from April 2021 to April 2022 as the research subjects.Questionnaires were conducted with Fatalism Scale,Attention to Negative Information Scale,and Templer's Death Anxiety Scale.Structural equation model were constructed based on self-regulatory executive function models.Results The total score of fatalism,attentional bias of negative information,and death anxiety of 312 lung neoplasms patients were(61.68±11.92)points,(39.57±5.19)points,and(61.23±9.30)points,respectively.Attentional bias of negative information was significantly positively correlated with fatalism(r=0.594,P<0.01).Death anxiety was significantly positively correlated with fatalism and attentional bias of negative information(r=0.494,0.558,both P<0.01).Attentional bias of negative information played a partial mediating role between fatalism and death anxiety,and the mediating effect accounted for 37.7% of the total effect.The value of each fitness index of the mediation effect model was within the acceptable range.Conclusions Attentional bias of negative information is an intermediary variable between fatalism and death anxiety of lung neoplasms patients.Nursing staff should pay attention to the level of attentional bias of negative information of lung neoplasms patients and carry out targeted nursing interventions from the emotional processing process to reduce the level of death anxiety in patients with lung neoplasms.

关 键 词：肺肿瘤 宿命观 负性信息注意偏向 死亡焦虑 中介效应 

分 类 号：R473.73[医药卫生—护理学]