应对方式在乳腺癌改良根治术患者病耻感与生活质量间的中介效应分析  

The mediating effect of coping style on stigma and quality of life inpatients undergoing modified radical mastectomyfor Breast Cancer

作　　者：孙贵兰 邹萍 崔艳娇[1] 石迎迎[1] SUN Guilan;ZOU Ping;CUI Yanjiao;SHI Yingying(Central Operating Department,Zhengzhou People's Hospital,Zhengzhou 450000)

机构地区：[1]郑州人民医院中心手术部,郑州450000

出　　处：《临床护理杂志》2024年第1期2-5,共4页Journal of Clinical Nursing

基　　金：河南省医学科技攻关计划项目(LHGJ20200679)。

摘　　要：目的探讨应对方式在乳腺癌改良根治术患者病耻感与生活质量间的中介效应。方法选取2022年7月-2023年7月我院收治的女性乳腺癌患者245例,采用慢性疾病病耻感量表(SSCI)、乳腺癌患者生命质量测定量表(FACT-B)、简易应对方式问卷(SCSQ)进行调查,分析应对方式在病耻感与生活质量间的中介作用。结果乳腺癌患者SCSQ得分为(33.01±6.69)分,其中积极应对方式、消极应对方式得分分别为(21.33±4.24)分、(11.68±3.63)分,SSCI得分为(76.97±5.30)分,FACT-B得分为(58.34±5.37)分;Pearson相关性分析结果显示,乳腺癌患者的积极应对方式与FACT-B评分呈正相关(P<0.05),与消极应对方式、SSCI评分均呈负相关(P<0.05);消极应对方式与SSCI评分呈正相关(P<0.05),与FACT-B评分呈负相关(P<0.05);SSCI评分与FACT-B评分呈负相关(P<0.05);SSCI评分对积极应对方式、FACT-B评分有直接负向作用(P<0.001),对消极应对方式有直接正向作用(β=0.997,P<0.001),积极应对方式、消极应对方式均在SSCI评分与FACT-B评分之间有部分中介作用(β=-0.334、-0.175,P<0.001)。结论应对方式是乳腺癌根治术患者病耻感与生活质量的重要中介变量。临床应重视上述因素并及时干预,改善患者生活质量。Objective To explore the mediating effect of coping style on stigma and quality of life in patients undergoing modified radical mastectomyfor Breast Cancer.Methods A total of 245 female breast cancer patients admitted to our hospital from July 2022 to July 2023 were investigated by Stigma Scale for Chronic Illness(SSCI),Functional Assessment of Cancer Therapy-Breast(FACT-B)and Simple Coping Style Questionnaire(SCSQ).Amos23.0 software was used to build a structural equation model and Bootstrap method was used to test the significance of mediation.Results The SCSQ score of breast cancer patients was(33.01±6.69),among which the scores of positive coping style and negative coping style were(21.33±4.24)and(11.68±3.63),respectively.The SSCI score was(76.97±5.30),and the FACT-B score was(58.34±5.37).The positive coping style of female breast cancer patients was positively correlated with FACT-B score(P<0.05),and negatively correlated with negative coping style and SSCI score(P<0.05).Negative coping style was positively correlated with SSCI score(P<0.05)and negatively correlated with FACT-B score(P<0.05).SSCI score was positively correlated with FACT-B score(P<0.05).The model showed that SSCI score had a directly negative effect on positive coping style and FACT-B score(P<0.05),and had a directly positive effect on negative coping style(β=0.997,P<0.001),Positive coping style and negative coping style had a partial mediating effect between SSCI and FACT-B score(β=-0.334、-0.175,P<0.001).Conclusion Coping style is an important mediating variable between stigma and quality of life in patients with radical mastectomy.We should pay attention to the above factors and intervene in time to improve the quality of life of breast cancer patients after operation.

关 键 词：乳房改良根治术 病耻感 

分 类 号：R655.8[医药卫生—外科学] R395.1[医药卫生—临床医学]