心理僵化与睡眠质量在乳腺癌术后化疗患者自我同情与主观幸福感间的链式中介效应  

Chain mediating effect of psychological inflexibility and sleep quality on self-compassion and subjective well-being in patients with postoperative che-motherapy for breast cancer

作　　者：刘菊香 齐向秀[1] 曲盛美 巩思佳 LIU Juxiang;QI Xiangxiu;QU Shengmei;GONG Sijia(Nursing Department,Shengjing Hospital Affiliated to China Medical University,Liaoning Province,Shenyang110004,China;School of Nursing,China Medical University,Liaoning Province,Shenyang110122,China)

机构地区：[1]中国医科大学附属盛京医院护理部,辽宁沈阳110004 [2]中国医科大学护理学院,辽宁沈阳110122

出　　处：《中国医药导报》2024年第27期96-100,共5页China Medical Herald

基　　金：2022年中国医科大学护理学院科研立项项目(2022HL-02)。

摘　　要：目的探究心理僵化、睡眠质量在乳腺癌术后化疗患者自我同情和主观幸福感间的中介作用。方法采用便利抽样法选取2023年9月至2024年3月就诊于中国医科大学附属盛京医院的336例乳腺癌术后化疗患者为研究对象,调查研究对象的自我同情、主观幸福感、心理僵化与睡眠质量的关系及心理僵化与睡眠质量在自我同情与主观幸福感间的中介效应。使用Pearson相关性系数进行相关性分析,Bootstrap法进行中介效应验证。结果乳腺癌术后化疗患者自我同情量表评分为(83.11±14.69)分,总体幸福感量表评分为(70.33±13.99)分,接纳与行动问卷第二版评分为(16.15±7.66)分,匹兹堡睡眠质量指数评分为(7.38±3.33)分。主观幸福感与自我同情呈正相关(r>0,P<0.05),与心理僵化、睡眠质量呈负相关(r<0,P<0.05);自我同情与心理僵化、睡眠质量呈负相关(r<0,P<0.05);心理僵化与睡眠质量呈正相关(r>0,P<0.05)。自我同情通过心理僵化和睡眠质量到主观幸福感的路径占总效应的37.32%。结论乳腺癌术后化疗患者的主观幸福感为中等水平,自我同情能够通过心理僵化和睡眠质量间接作用于主观幸福感,医护人员可进行相应的睡眠指导或积极心理干预以提升患者幸福感水平。Objective To explore the mediating role of psychological inflexibility and sleep quality on self-compassion and subjective well-being in patients with postoperative chemotherapy for breast cancer.Methods A total of 336 patients with breast cancer treated with postoperative chemotherapy from September 2023 to March 2024 in Shengjing Hospital Affiliated to China Medical University were selected as the research objects.The relationship between self-compassion,subjective well-being,psychological inflexibility,and sleep quality,and the mediating effect of psychological inflexibility and sleep quality on self-compassion and subjective well-being.Pearson correlation coefficient was used for correlation analysis and Bootstrap was used to verify the mediating effect.Results The score of self-compassion scale was(83.11±14.69)points,the score of general well-being schedule was(70.33±13.99)points,the score of acceptance and action questionnaire-2nd edition was(16.15±7.66)points,and the score of Pittsburgh sleep quality index was(7.38±3.33)points.Subjective well-being was positively correlated with self-compassion(r>0,P<0.05),and negatively correlated with psychological inflexibility and sleep quality(r<0,P<0.05);self-compassion was negatively correlated with psychological inflexibility and sleep quality(r<0,P<0.05);while psychological inflexibility was positively correlated with sleep quality(r>0,P<0.05).The path of self-compassion to subjective well-being through psychological inflexibility and sleep quality accounted for 37.32%of the total effect.Conclusion The subjective well-being of postoperative che-motherapy patients with breast cancer is moderate.Self-com-can provide corresponding sleep guidance or positive psychological intervention to improve the level of patients’happiness.

关 键 词：乳腺癌 睡眠质量 自我同情 心理僵化 主观幸福感 链式中介效应 

分 类 号：R395.1[哲学宗教—心理学]