情绪调节策略在宫颈癌同步放化疗病人恐惧疾病进展与自杀意念间的中介效应  

Mediating effect of emotion regulation strategies on fear of disease progression and suicidal ideation in patients with concurrent chemoradiotherapy for cervical cancer

作　　者：林海燕 陆秀娟[1] 柳艳 肖梅 LIN Haiyan;LU Xiujuan;LIU Yan;XIAO Mei(The 909th Hospital(Dongnan Hospital of Xiamen University),Fujian 363000 China)

机构地区：[1]第九〇九医院(厦门大学附属东南医院),福建363000

出　　处：《循证护理》2024年第17期3125-3128,共4页Chinese Evidence-Based Nursing

摘　　要：目的:探讨情绪调节策略在宫颈癌同步放化疗病人恐惧疾病进展与自杀意念间的中介效应。方法:采用便利抽样法选取厦门大学附属东南医院收治的216例宫颈癌同步放化疗病人为研究对象,采用一般调查问卷、恐惧疾病进展量表、自杀意念自评量表、情绪调节策略问卷对病人进行调查,并构建结构方程模型。结果:宫颈癌同步放化疗病人恐惧疾病进展量表评分为(28.26±5.41)分,情绪调节策略问卷评分为(39.47±10.45)分,其中表达抑制策略评分[(4.57±1.42)分]高于认知重评策略评分[(3.53±1.17)分],自杀意念评分为(13.78±3.25)分。恐惧疾病进展评分与自杀意念评分、表达抑制策略评分呈正相关,与认知重评策略评分呈负相关;表达抑制策略评分与自杀意念评分呈正相关,与认知重评策略评分呈负相关;自杀意念评分与认知重评策略评分呈负相关,表达抑制策略和认知重评策略在恐惧疾病进展与自杀意念间起到一定中介效应,效应值分别为0.164、0.072,占比分别为29.39%、12.90%;总中介效应为0.236,占总效应43.29%。结论:宫颈癌同步放化疗病人自杀意念评分偏高,情绪调节策略在恐惧疾病进展与自杀意念间起一定中介作用。Objective:To explore the mediating effect of emotion regulation strategies on fear of disease progression and suicidal ideation in patients with concurrent chemoradiotherapy for cervical cancer.Methods:A total of 216 patients with concurrent chemoradiotherapy for cervical cancer admitted to Southeast Hospital Affiliated to Xiamen University were selected by convenience sampling.The patients were surveyed using a general questionnaire,the Fear of Progression Questionnaire(FoP-Q),the Self-rating Idea of Suicide Scale(SIOSS),the Emotion Regulation Strategies Scale(ERSS),and a structural equation model was constructed.Results:The score of patients with cervical cancer undergoing concurrent chemoradiotherapy on FoP-Q was(28.26±5.41)points,ERSS was(39.47±10.45)points,the score of the Expression Suppression Strategy[(4.57±1.42)points]was higher than that of the Cognitive Reappraisal Strategy[(3.53±1.17)points],and SIOSS was(13.78±3.25)points.The score of FoP-Q was positively correlated with the score of SIOSS and ERSS,and negatively correlated with the score of Cognitive Reappraisal Strategy;the score of Expression Suppression Strategy was positively correlated with the SIOSS score,and negatively correlated with the score of Cognitive Reappraisal Strategy;the SIOSS score was negatively correlated with the score of Cognitive Reappraisal Strategy.Expression suppression strategy and cognitive reappraisal strategy played a certain mediating effect between fear of disease progression and suicidal ideation,with effect values of 0.164 and 0.072,accounting for 29.39%and 12.90%,respectively;the total mediating effect was 0.236,accounting for 43.29%of the total effect.Conclusions:The suicidal ideation scores of patients with cervical cancer receiving concurrent chemoradiotherapy are high,and emotion regulation strategies play a mediating role between fear of disease progression and suicidal ideation.

关 键 词：宫颈癌 放疗 化疗 情绪调节策略 自杀意念 恐惧疾病进展 护理 

分 类 号：R473.73[医药卫生—护理学]