肺癌患者疾病感知对术前焦虑的影响:信息需求与患者信任的多重中介作用  

The Impact of Illness Perception on Preoperative Anxiety in Lung Cancer Patients:Multiple Mediating Effects of Information Needs and Patient Trust

作　　者：居馨星 冯竞 杨洁[1] 葛玲 刘晓芯[1] JU Xinxing;FENG Jing;YANG Jie;GE Ling;LIU Xiaoxin(Nursing Department,Shanghai Chest Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属胸科医院护理部,上海200030

出　　处：《军事护理》2024年第11期74-78,共5页MILITARY NURSING

基　　金：上海交通大学医学院护理学科建设项目;上海市2024年度“科技创新行动计划”科普专项项目(24DZ2300700)。

摘　　要：目的探讨信息需求和患者信任在肺癌患者疾病感知与术前焦虑之间的多重中介作用。方法采用便利抽样法选取上海市某三级甲等医院收治的308例肺癌患者为研究对象,采用一般资料调查表、阿姆斯特丹术前焦虑与信息量表、简化版疾病感知问卷及维克森林医师信任量表对其进行调查。结果肺癌患者术前焦虑与疾病感知、信息需求呈正相关(r=0.470,r=0.646,P<0.001),术前焦虑与患者信任呈负相关(r=-0.400,P<0.001),信息需求和患者信任在疾病感知与术前焦虑之间起多重中介作用。结论肺癌患者的疾病感知不仅直接影响术前焦虑,还可通过信息需求和患者信任的多重中介间接影响术前焦虑。Objective To explore the multiple mediating effects of information needs and patient trust between illness perception and preoperative anxiety in lung cancer patients.Methods Convenience sampling method was used to select 308 lung cancer patients from a tertiary A hospital in Shanghai.The general information questionnaire,Amsterdam Anxiety and Information Scale,Brief Illness Perception Questionnaire,and Wake Forest Physician Trust Scale were used for investigation.Results Preoperative anxiety correlated positively with illness perception and information needs(r=0.470,r=0.646,P<0.001),and negatively with patient trust(r=-0.400,P<0.001).Information needs and patient trust played multiple mediating roles in the relationship between illness perception and preoperative anxiety.Conclusions Lung cancer patients’illness perception not only directly affects preoperative anxiety but also indirectly predict preoperative anxiety through the multiple mediating effects of information needs and patient trust.

关 键 词：肺癌 疾病感知 术前焦虑 信息需求 患者信任 多重中介 

分 类 号：R473.56[医药卫生—护理学]