疾病感知和认知情绪调节在造血干细胞移植患者社会限制与癌症复发恐惧间的中介效应  

The mediating effect of illness perception and cognitive emotion regulation on the relationship between social constraints and fear of cancer recurrence among hematopoietic stem cell transplantation patients

作　　者：沈志莹 李成媛[2] 石双姣 阮春红[1] Shen Zhiying;Li Chengyuan;Shi Shuangjiao;Ruan Chunhong(Department of Hematology,The Third Xiangya Hospital of Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅三医院血液内科,湖南长沙410013 [2]中南大学湘雅三医院护理部,湖南长沙410013

出　　处：《护理学杂志》2023年第22期10-14,共5页Journal of Nursing Science

基　　金：湖南省卫生健康委科研计划一般资助课题(202314018897);湖南省自然科学基金青年基金项目(2023JJ40884)。

摘　　要：目的 探讨社会限制对造血干细胞移植患者癌症复发恐惧的影响以及疾病感知和非适应性认知情绪调节策略的中介作用。方法 采用便利抽样选取232例造血干细胞移植患者,采用社会限制量表、疾病感知量表、非适应性认知情绪调节分量表和癌症复发恐惧量表进行调查。结果 造血干细胞移植患者癌症复发恐惧得分为13.92±5.28,50.86%存在高水平癌症复发恐惧。社会限制对癌症复发恐惧的总间接效应为0.140,其中疾病感知和非适应性认知情绪调节策略的特定中介效应分别占10.22%和10.59%,两者的链式中介效应占5.20%。结论 造血干细胞移植患者存在较高的癌症复发恐惧,疾病感知和非适应性认知情绪调节策略在社会限制与癌症复发恐惧间发挥链式中介效应。应重视并采取有效措施减轻造血干细胞移植患者的社会限制,降低消极的疾病感知,改善非适应性认知情绪调节策略,达到降低癌症复发恐惧的目的。Objective To investigate the effect of social constraints on fear of cancer recurrence and the mediating role of illness perception and non-adaptive cognitive emotion regulation in patients receiving hematopoietic stem cell transplantation(HSCT).Methods A total of 232 HSCT patients were interviewed using the Social Constraints Scale,the Brief Illness Perception Questionnaire,the Cognitive Emotion Re-gulation Questionnaire and the Fear of Cancer Recurrence Inventory.Results The scores of fear of cancer recurrence was(13.92±5.28).More than half(50.86%)of patients had a high level of fear of cancer recurrence(P<0.05).The total indirect effect of social constraints on the fear of cancer recurrence was 0.140,in which the specific mediating effect of disease perception and non-adaptive cognitive emotion regulation strategies accounted for 10.22%and 10.59%respectively,and the chain mediating effect accounted for 5.20%.Conclusion Patients undergoing HSCT have a high level of fear of cancer recurrence.Illness perception and non-adaptive cognitive emotion regulation strategies play a chain mediating role between social constraints and fear of cancer recurrence.Nursing staff should pay attention to and take effective measures to reduce the social constraints of patients undergoing HSCT,reduce the negative illness perception,improve the non-adaptive cognitive emotion regulation strategy,and achieve the purpose of reducing the level of fear of cancer recurrence in patients undergoing HSCT.

关 键 词：造血干细胞移植 社会限制 疾病感知 非适应性认知情绪调节策略 癌症复发恐惧 链式中介效应 

分 类 号：R473.5[医药卫生—护理学]