家庭关怀度和自我表露在食管癌患者疾病感知与恐惧疾病进展间的中介效应  

Mediating Effect of Family Care and Self-Disclosure on Illness Perception and Fear of Progression in Patients with Esophageal Cancer

作　　者：罗敏 赵莉[2] Luo Min;Zhao Li(Department of Radiation Oncology,Sichuan Cancer Hospital,Chengdu,Sichuan 610041;Department of Nursing,Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000,China)

机构地区：[1]四川省肿瘤医院,四川成都610041 [2]川北医学院附属医院护理部,四川南充637000

出　　处：《四川医学》2025年第3期336-341,共6页Sichuan Medical Journal

摘　　要：目的探讨家庭关怀度和自我表露在食管癌患者疾病感知与恐惧疾病进展间的中介效应。方法采用便利抽样法,选取川北医学院附属医院2022年3~12月收治的341例食管癌患者为研究对象,使用一般资料调查问卷、恐惧疾病进展简化量表、简易版疾病感知问卷、家庭关怀度指数问卷和痛苦表露指数量表进行调查。结果食管癌患者恐惧疾病进展总分为(31.33±4.79)分;疾病感知总分为(45.46±6.03)分;家庭关怀度总分为(6.89±1.55)分;自我表露总分为(35.31±9.77)分。疾病感知对恐惧疾病进展的总间接效应为0.580,其中家庭关怀度和自我表露的中介效应分别占比10.34%和77.41%,两者的链式中介效应占比12.24%。结论食管癌患者恐惧疾病进展的现状不容乐观,亟待临床医护人员的重视,家庭关怀度和自我表露在食管癌患者疾病感知与恐惧疾病进展间的中介效应成立。Objective To explore the chain mediating effects of family care and self-disclosure on illness perception and fear of progression in patients with esophageal cancer.Methods From March to December 2022,total 341 patients with esophageal cancer in Affiliated Hospital of North Sichuan Medical College were selected by convenience sampling method and surveyed using the general information questionnaire,fear of progression questionnaire-short form,brief illness perception questionnaire,family APGAR index questionnaire and distress disclosure index.Results Total score of fear of progression,illness perception,family care and self-disclosure in patients with esophageal cancer was(31.33±4.79),(45.46±6.03),(6.89±1.55),and(35.31±9.77).The total indirect effect of illness perception on fear of progression was 0.580,in which the mediating effect of family care and self-disclosure respectively accounted for 10.34%and 77.41%,and the chain mediating effect of them accounted for 12.24%.Conclusion The current situation of fear of progression in patients with esophageal cancer is not optimistic,which is urgent for clinical medical staff to pay attention to.The mediating effect of family care and self-disclosure on illness perception and fear of progression in patients with esophageal cancer is established.

关 键 词：食管癌 恐惧疾病进展 疾病感知 家庭关怀度 自我表露 中介效应 

分 类 号：R473.73[医药卫生—护理学]