心理复原力在乳腺癌患者配偶支持感知与尊严受损之间的中介作用  

Mediating Role of Psychological Resilience between Perceived Spousal Support and Dignity Loss in Breast Cancer Patients

作　　者：杨海银 董勇 杨诗瑶 朱悦熙 沈昱含 苗金虎 关琼瑶[1] YANG Haiyin;DONG Yong;YANG Shiyao;ZHU Yuexi;SHEN Yuhan;MIAO Jinhu;GUAN Qiongyao(Department of Nursing,The Third Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China)

机构地区：[1]昆明医科大学第三附属医院护理部,云南昆明650118

出　　处：《昆明医科大学学报》2025年第3期164-170,共7页Journal of Kunming Medical University

基　　金：国家自然科学基金(81803102);昆明医科大学硕士研究生创新基金(2023S189)。

摘　　要：目的 探讨心理复原力在乳腺癌患者配偶支持感知与尊严受损间的中介效应。方法 采用便利抽样法,以2023年3月至9月就诊于云南省某三甲肿瘤专科医院符合研究标准的377名乳腺癌患者为研究对象,采用一般资料调查表、患者尊严量表、乳腺癌患者配偶支持感知量表、心理复原力量表等进行调查。运用IBM SPSS 26.0软件进行数据分析。结果 乳腺癌患者尊严受损、配偶支持感知、心理复原力得分分别为(41.72±6.77)分、(100.42±6.93)分、(75.27±8.50)分,Pearson相关性分析结果显示,尊严受损与配偶支持感知、心理复原力均呈负相关(r1=-0.568,r2=-0.640,均P <0.05);中介效应分析结果显示,心理复原力在乳腺癌患者配偶支持感知与尊严受损间存在中介效应为-0.320(95%CI-0.409~-0.246),占总效应的57.1%。结论 本组乳腺癌患者的尊严处于轻度受损状态,且心理复原力在配偶支持感知与尊严受损之间起部分中介作用。Objective To explore the mediating effect of psychological resilience between perceived spousal support and dignity loss in breast cancer patients.Methods A convenience sampling method was employed,involving 377 breast cancer patients who met the study criteria and received treatment at a tertiary oncology hospital in Yunnan Province from March to September 2023.Data were collected using a general information questionnaire,the Dignity Scale,the Perceived Spousal Support Scale,and the Psychological Resilience Scale.Data analysis was conducted using IBM SPSS 26.0 software.Results The scores for dignity loss,perceived spousal support,and psychological resilience of breast cancer patients were(41.72±6.77),(100.42±6.93),and(75.27±8.50),respectively.Pearson correlation analysis showed that dignity loss was negatively correlated with both perceived spousal support and psychological resilience(r1=-0.568,r2=-0.640,both P<0.05).Mediation effect analysis indicated that psychological resilience had a mediating effect between perceived spousal support and dignity loss,with a value of-0.320(95%CI-0.409 to-0.246),accounting for 57.1%of the total effect.Conclusion The dignity of breast cancer patients in this study is in a state of mild loss,and psychological resilience plays a partial mediating role between perceived spousal support and dignity loss.This suggests that clinical medical staff should pay attention to the spousal support situation of breast cancer patients,provide timely guidance and health education to spouses,enhance the level of support from spouses,and strengthen the confidence and capability of couples in jointly coping with the disease,thereby alleviating dignity loss in breast cancer patients and improving their quality of life.

关 键 词：乳腺癌 尊严 配偶支持 心理复原力 中介效应 

分 类 号：R471[医药卫生—护理学]