胃癌术后患者心理韧性对自我管理的影响  

Impact of Psychological Resilience on Self-management in Gastric Cancer Patients After Surgical Resection

作　　者：胡芳娟 时永全 罗恒 刘俊 Hu Fangjuan;Shi Yongquan;Luo Heng;Liu Jun(The Fifth Ward,Department of Gastroenterology,The First Affiliated Hospital of Air Force Medical University,Xi'an 710032,China;Department of Surgery,The First Affiliated Hospital of Air Force Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学第一附属医院消化内科五病区,西安710032 [2]空军军医大学第一附属医院外科,西安710032

出　　处：《成都医学院学报》2024年第4期689-693,共5页Journal of Chengdu Medical College

基　　金：国家自然科学基金资助项目(No:82170560);陕西省社会发展公关计划项目(No:2016SF-209)。

摘　　要：目的探究胃癌术后患者心理韧性对自我管理的影响,分析负性自动思维和积极心理品质在此影响过程中的中介作用。方法选取2021年12月至2023年4月于空军军医大学第一附属医院消化内科治疗的147例胃癌术后患者作为研究对象,收集患者性别、年龄、分期等一般资料,采用心理韧性量表(CD-RISC)调查患者心理韧性情况,采用MM自我管理能力评估表调查患者自我管理情况,采用自动思维问卷(ATQ)调查患者负性自动思维,采用积极与消极影响量表(PANAS)调查患者积极心理品质情况,并分析患者心理韧性、自我管理、积极心理品质、负性自动思维的相关性。通过结构方程模型结合Bootstrap方法进行中介结果检验,分析负性自动思维和积极心理品质在胃癌术后患者心理韧性与自我管理之间的中介作用。结果心理韧性、积极心理品质、负性自动思维和自我管理得分分别为(52.2±22.7)、(31.2±9.3)、(64.5±20.8)和(6.4±3.8)分。心理韧性与自我管理(rs=0.547,P<0.001)、积极心理品质(rs=0.564,P<0.001)呈正相关,与负性自动思维呈负相关(rs=-0.594,P<0.001);积极心理品质与自我管理呈正相关(rs=0.497,P<0.001),与负性自动思维呈负相关(rs=-0.461,P<0.001);负性自动思维与自我管理呈负相关(rs=-0.668,P<0.001)。积极心理品质、负性自动思维的中介效应占比分别为15.91%、52.75%。结论积极心理品质、负性自动思维在胃癌术后患者心理韧性与自我管理的关系中起部分中介作用,需正向发挥积极心理品质,适当遏制负性自动思维。Objective To explore the impact of psychological resilience on self-management in patients with gastric cancer after surgical resection,and analyze the mediating role of negative automatic thinking and positive personality in this process.Methods A total of 147 postoperative patients with gastric cancer treated in the Department of Gastroenterology,the First Affiliated Hospital of Air Force Military Medical University from December 2021 to April 2023 were selected as the research objects.General data such as gender,age and tumor node metastasis(TNM)staging of patients were collected.Connor-Davidson Resilience Scale(CD-RISC),modified Self-management Ability Assessment Scale,Automatic Thoughts Questionnaire(ATQ),and Positive Affect and Negative Affect Schedule(PANAS)were applied to investigate patients'psychological resilience,self-management,negative automatic thinking,and positive personality,respectively.The relationships among patients'psychological resilience,self-management,positive personality,and negative automatic thinking were analyzed.The mediation results were tested by structural equation modeling(SEM)and Bootstrap method.The mediating effects of negative automatic thinking and positive personality on psychological resilience and self-management in patients with gastric cancer were analyzed.Results The scores for psychological resilience,positive personality,negative automatic thinking,and self-management were(52.2±22.7),(31.2±9.3),(64.5±20.8),and(6.4±3.8),respectively.Psychological resilience was positively correlated with self-management(rs=0.547,P<0.001)and positive personality(rs=0.564,P<0.001),and negatively correlated with negative automatic thinking(rs=-0.594,P<0.001).Positive personality was positively correlated with self-management(rs=0.497,P<0.001),and negatively correlated with negative automatic thinking(rs=-0.461,P<0.001).Negative automatic thinking was negatively correlated with self-management(rs=-0.668,P<0.001).The mediation effects of positive personality and negative automatic th

关 键 词：心理韧性 自我管理 负性自动思维 积极心理品质 中介效应 

分 类 号：R493[医药卫生—康复医学] R472.9[医药卫生—临床医学]