膀胱癌尿流改道腹壁造口患者社会支持、一般自我效能感对社会参与的影响  

Effect of social support and general self-efficacy on social participation of bladder cancer patients undergoing urinary diversion through abdominal wall stoma

作　　者：马思慧 刘飞 MA Sihui;LIU Fei(The First Department of Stomach Enterochirurgia,the Second Hospital of Dalian Medical University,Liaoning Province,Dalian 116000,China;Department of International Medical,the Second Hospital of Dalian Medical University,Liaoning Province,Dalian 116000,China)

机构地区：[1]大连医科大学附属第二医院胃肠外一科,辽宁大连116000 [2]大连医科大学附属第二医院国际医疗部,辽宁大连116000

出　　处：《中国当代医药》2024年第13期92-96,共5页China Modern Medicine

摘　　要：目的探讨社会支持、一般自我效能感对膀胱癌尿流改道腹壁造口患者社会参与的影响,验证一般自我效能感在社会支持和社会参与之间的中介影响。方法选取2019年11月至2020年12月大连医科大学附属第二医院、大连医科大学附属第一医院及大连市中心医院泌尿外科膀胱癌尿流改道腹壁造口术后出院6个月的145例患者作为研究对象,采用社会支持评定量表、一般自我效能感量表、社会功能缺陷筛选表及一般情况调查表进行调查,分析膀胱癌尿流改道腹壁造口患者社会支持、一般自我效能感对社会参与的影响。结果膀胱癌尿流改道腹壁造口患者的社会参与总分为(5.98±4.12)分,社会支持总分为(31.10±5.43)分,一般自我效能感得分为(2.24±0.64)分。相关性分析显示,研究对象社会参与总分和社会支持总分、一般自我效能感得分均呈负相关(P<0.001)。回归分析显示,社会支持总分、一般自我效能感得分是社会参与得分的影响因素(P<0.01);路径分析显示,一般自我效能感在膀胱癌尿流改道腹壁造口患者社会支持与社会参与之间起部分中介效应,中介效应占总效应的50.088%。结论社会支持与一般自我效能感均能显著影响膀胱癌尿流改道腹壁造口患者的社会参与,一般自我效能感在社会支持对社会参与的影响中有部分中介作用。Objective To explore the effects of social support and general self-efficacy on social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma,and to verify the mediating effects of general self-efficacy on social support and social participation.Methods A total of 145 bladder cancer patients undergoing urinary diversion through abdominal wall stoma and discharged 6 months after surgery from the Department of Urology of the Second Hospital of Dalian Medical University,the First Affiliated Hospital of Dalian Medical University and Dalian Municipal Central Hospital from November 2019 to December 2020 were selected as the research objects.Social support rating scale,general self-efficacy scale,social dysfunction screening list and general situation questionnaire were used to investigate the effects of social support and general self-efficacy on social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma.Results The total scores of social participation,social support and general self-efficacy were(5.98±4.12),(31.10±5.43)and(2.24±0.64)points in patients with bladder cancer.Correlation analysis showed that the total score of social participation,total score of social support and general self-efficacy were negatively correlated(P<0.001).Regression analysis showed that the total score of social support and general self-efficacy were the influencing factors of social participation score(P<0.01).Pathway analysis showed that general self-efficacy had partial mediating effect between social support and social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma,and the mediating effect accounted for 50.088%of the total effect.Conclusion Both social support and general self-efficacy can significantly affect social participation in bladder cancer patients undergoing urinary diversion through abdominal wall stoma.General self-efficacy has partial mediating role in the influence of social supp

关 键 词：膀胱癌尿流改道腹壁造口 社会支持 一般自我效能感 社会参与 影响因素 中介效应 

分 类 号：R737.14[医药卫生—肿瘤]