自我概念在癌症患者歧视知觉与心理社会适应间的中介效应  

The mediating effect of self-concept on perceived discrimination and psychosocial adjustment in cancer patients

作　　者：陈佳增 翁玲玲 张馨丹 任丹丹 黄倩 李川 程凤琴 CHEN Jia-zeng;WENG Ling-ling;ZHANG Xin-dan;REN Dan-dan;HUANG Qian;LI Chuan;CHENG Feng-qin(Mianyang 404 Hospital,Mianyang,Sichuan 621000,China;不详)

机构地区：[1]绵阳四〇四医院,四川绵阳621000 [2]川北医学院护理学院

出　　处：《现代预防医学》2024年第17期3212-3217,共6页Modern Preventive Medicine

摘　　要：目的探讨癌症患者歧视知觉、自我概念和心理社会适应三者的关系,为促进癌症患者心理社会适应提供参考。方法采用便利抽样,选取四川省某市812例癌症患者,使用一般资料问卷、中文版慢性病排斥与歧视量表(CIRDS)、田纳西自我概念量表(TSCS)、疾病心理社会适应量表(PAIS-SR)调查。应用SPSS 24.0行描述性、相关性和多元线性回归分析,使用AMOS 26.0建立结构方程模型分析自我概念的中介效应,利用bootstrap验证中介效应。结果癌症患者歧视知觉总分(3.07±1.24)分、自我概念总分(206.24±46.45)分、心理社会适应总分(58.97±33.03)分。歧视知觉总分与心理社会适应总分呈正相关(r=0.503,P<0.01);自我概念总分与心理社会适应总分、歧视知觉总分呈负相关(r=-0.506、-0.354,P<0.01)。自我概念在癌症患者歧视知觉和心理社会适应之间中介效应占比26.91%。结论癌症患者心理社会适应处于较差水平,且存在中等水平的歧视知觉和消极的自我概念。歧视知觉可直接影响癌症患者心理社会适应,也可间接通过自我概念影响心理社会适应。Objective To investigate the status quo of perceived discrimination,self-concept and psychosocial adjustment in cancer patients,and to explore their relationship.Methods 812 cancer patients were selected by convenience sampling and investigated by general data questionnaire,the Chinese version of the Chronic Illness Rejection and Discrimination Scale,Tennessee Self-concept Scale and Psychosocial Adjustment Scale of Illness.Results The total score of Perceived Discrimination(3.07±1.24),self-concept(206.24±46.45),psychosocial adjustment(58.97±33.03).The total score of perceived discrimination was positively correlated with the total score of psychosocial adjustment(r=0.503,P<0.01),and the total score of self-concept were negatively correlated with the total score of psychosocial adjustment and perceived discrimination(r=-0.506 and-0.354,P<0.05).The mediating effect between self-concept and psychosocial adjustment in cancer patients accounted for 26.91%.Conclusion The psychosocial adjustment of cancer patients is at a poor level,and there are intermediate levels of perceived discrimination and negative self-concept.The perceived discrimination can directly affect the psychosocial adjustment of cancer patients,and also indirectly affect the psychosocial adjustment of cancer patients through self-concept.

关 键 词：癌症患者 歧视知觉 自我概念 心理社会适应 中介效应 

分 类 号：R749.4[医药卫生—神经病学与精神病学]