护理与康复2024,Vol.23Issue(4) :16-21.DOI:10.3969/j.issn.1671-9875.2024.04.004

智谋在结直肠癌患者癌症复发恐惧与生活质量间的中介效应分析

Research on the mediating effect of resourcefulness between fear of cancer recurrence and quality of life among colorectal cancer patients

高丽燕 姜霞娟 梁冠冕 申屠晓艳
护理与康复2024,Vol.23Issue(4) :16-21.DOI:10.3969/j.issn.1671-9875.2024.04.004

智谋在结直肠癌患者癌症复发恐惧与生活质量间的中介效应分析

Research on the mediating effect of resourcefulness between fear of cancer recurrence and quality of life among colorectal cancer patients

高丽燕 1姜霞娟 1梁冠冕 2申屠晓艳1
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作者信息

  • 1. 浙江大学医学院附属第二医院,浙江杭州 310009
  • 2. 中国科学院大学附属肿瘤医院,浙江杭州 310022
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摘要

目的 采取结构方程模型探讨智谋在结直肠癌患者癌症复发恐惧与生活质量间的中介效应.方法 采用一般资料调查问卷、恐惧疾病进展简化量表、智谋量表、癌症患者生命质量测定量表对中国科学院大学附属肿瘤医院372例结直肠癌术后住院患者进行调查.结果 结直肠癌术后患者癌症复发恐惧得分为(35.19±6.48)分,存在心理功能失调者占比59.95%,智谋总分为(74.39±14.26)分,生活质量总分为(67.22±14.18)分;患者癌症复发恐惧水平与智谋、生活质量呈负相关(r=-0.614、-0.630,P均<0.001),智谋与生活质量呈正相关(r=0.687,P<0.001);智谋在结直肠癌术后患者癌症复发恐惧和生活质量中的中介效应值为-0.422,占总效应48.45%.结论 结直肠癌术后患者癌症复发恐惧处于中重度水平,智谋及生活质量处于中等水平,智谋在结直肠癌患者癌症复发恐惧与生活质量间发挥部分中介作用.医护人员可开展针对癌症复发恐惧的智谋训练方案,减轻患者恐惧疾病复发的心理,改善生活质量.

Abstract

Objective To employ a structural equation model to examine the mediating effect of resourcefulness between fear of cancer recurrence(FCR)and quality of life among colorectal cancer patients.Methods The research enrolled 372 in-patients who had undergone colorectal cancer surgery from the Cancer Hospital of the University of Chinese Academy of Sci-ences.Utilizing a general data questionnaire,Fear of Progression Questionnaire-Short Form,Resourcefulness Scale,and the Functional Assessment of Cancer Therapy General,the investigation was conducted.Results The total scores in postopera-tive colorectal cancer patients for FCR,resourcefulness,and quality of life were(35.19±6.48),(74.39±14.26),and(67.22±14.18),respectively,with 59.95%experiencing psychological dysfunction.The level of FCR exhibited negative correlations with resourcefulness and quality of life(r=-0.614,-0.630,both P<0.001),while a positive correlation was noted between resourcefulness and quality of life(r=0.687,P<0.001).Resourcefulness partially mediated the association between FCR and quality of life in postoperative colorectal cancer patients,with a mediation effect value of-0.422,ac-counting for 48.45%of the total effect.Conclusion Fear of cancer recurrence among postoperative colorectal cancer pa-tients is moderate to severe,and both resourcefulness and quality of life are at a moderate level.Resourcefulness plays a par-tial mediating role in the relationship between fear of cancer recurrence and quality of life in colorectal cancer patients.The implementation of resourcefulness training programs by medical staff for individuals experiencing fear of cancer recurrence can help alleviate anxiety and improve quality of life.

关键词

结直肠癌/智谋/癌症复发恐惧/生活质量/中介作用

Key words

colorectal cancer/resourcefulness/fear of cancer recurrence/quality of life/mediation effect

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基金项目

浙江省医药卫生科技计划一般项目(2024)(2024KY1056)

浙江省中医药科技计划(中医药临床研究计划)(2024)(2024ZL571)

出版年

2024
护理与康复
浙江省护理学会

护理与康复

影响因子:1.174
ISSN:1671-9875
参考文献量23
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