家庭社会支持对甲状腺微波消融术后患者睡眠质量和负性情绪链式中介作用研究  

Study on the Chain Mediating Effect of Family Social Support on Sleep Quality and Negative Emotion in Patients after Thyroid Microwave Ablation

作　　者：刘杏红 李少春[1] 陈雪梅 黄楚洪 范志华 LIU Xinghong;LI Shaochun;CHEN Xuemei;HUANG Chuhong;FAN Zhihua(Department of Ultrasound Medicine,Nanning Second People's Hospital,Nanning 530031,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]南宁市第二人民医院超声医学科,广西南宁530031

出　　处：《中外医疗》2024年第21期85-89,93,共6页China & Foreign Medical Treatment

基　　金：广西壮族自治区卫生健康委自筹经费科研课题(Z-A20231159)。

摘　　要：目的探讨家庭社会支持对甲状腺微波消融术后患者睡眠质量和负性情绪的链式中介作用。方法前瞻性方便选取2023年7—12月南宁市第二人民医院接受甲状腺微波消融术治疗的157例患者作为研究对象,术后采用家庭支持自评量表(Perceived Social Support From Family,PSS-Fa)、社会支持评定量表(Social Support Rating Scale,SSRS)、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)、焦虑自评量表(Self-rating Anxiety Scale,SAS)与抑郁自评量表(Self-rating Depression Scale,SDS)为调查工具。分析患者家庭支持水平、社会支持水平、睡眠质量及负性情绪之间的相关性,并分析家庭社会支持对甲状腺微波消融术后患者睡眠质量和负性情绪的链式中介作用。结果最终回收有效问卷153份。不同年龄、婚姻状况、文化程度、消融范围甲状腺微波消融术后患者的PSS-Fa评分、SSRS评分、PSQI评分、SAS评分、SDS评分比较,差异有统计学意义(P均<0.05);不同性别的甲状腺微波消融术后患者的PSQI评分比较,差异有统计学意义(P<0.05),PSS-Fa评分、SSRS评分、SAS评分、SDS评分比较,差异无统计学意义(P均>0.05)。患者PSQI总分与PSS-Fa、SSRS总分呈负相关,与负性情绪评分呈正相关;PSS-Fa总分与SSRS总分呈正相关,与负性情绪评分呈负相关;SSRS总分与负性情绪评分呈负相关。“睡眠质量→家庭支持→负性情绪”路径的间接效应为0.436,bootstrap 95%CI为0.143~0.739;“睡眠质量→社会支持→负性情绪”路径的间接效应为0.261,bootstrap 95%CI为0.046~0.532;“睡眠质量→家庭支持→社会支持→负性情绪”路径的间接效应为0.088,bootstrap 95%CI为0.009~0.207。差异有统计学意义(P均<0.05)。结论家庭社会支持在甲状腺微波消融术后患者睡眠质量和负性情绪之间起链式中介作用。Objective To explore the chain mediating effect of family social support on sleep quality and negative emotion in patients after thyroid microwave ablation.Methods A total of 157 patients who underwent thyroid microwave ablation in the Second People's Hospital of Nanning from July to December 2023 were conveniently prospectively selected as the study subjects.Perceived Social Support From Family(PSS-Fa),Social Support Rating Scale(SSRS),Pittsburgh Sleep Quality Index(PSQI),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used as survey tools.The correlation between family support level,social support level,sleep quality and negative emotions was analyzed,and the chain mediating effect of family social support on sleep quality and negative emotions in patients after thyroid microwave ablation was analyzed.Results A total of 153 valid questionnaires were collected.There were statistically significant differences in PSS-Fa score,SSRS score,PSQI score,SAS score and SDS score among patients with different age,marital status,education level and ablation range after thyroid microwave ablation,the differences were statistically significant(all P<0.05);there was a statistically significant difference in PSQI scores between patients of different genders after thyroid microwave ablation(P<0.05),while there was no statistically significant difference in PSS Fa score,SSRS score,SAS score,and SDS score(all P>0.05).The total score of PSQI was negatively correlated with the total scores of PSS-Fa and SSRS,and positively correlated with negative emotion scores.The total score of PSS-Fa was positively correlated with the total score of SSRS,and negatively correlated with the negative emotion scores.The total score of SSRS was negatively correlated with negative emotion scores.The indirect effect of the"sleep quality→family support→negative emotion"path was 0.436,and the bootstrap 95%CI was 0.143-0.739;the indirect effect of the path of"sleep quality→social support→negative emotion"was 0.261,and the b

关 键 词：甲状腺微波消融术 家庭支持 社会支持 睡眠质量 负性情绪 链式中介作用 

分 类 号：R581[医药卫生—内分泌]