首页|自我认同感在乳腺癌根治术后化疗患者自我接纳与主观幸福感间的中介效应

自我认同感在乳腺癌根治术后化疗患者自我接纳与主观幸福感间的中介效应

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目的 探讨自我认同感在乳腺癌根治术后化疗患者自我接纳与主观幸福感间的中介效应.方法 采用一般资料调查问卷、总体幸福感量表(GWBS)、自我接纳量表(SAQ)、自我认同感量表(SIS)对2021年12月至2022年12月河南省肿瘤医院收治的1 10例乳腺癌根治术后化疗患者展开问卷调查,采用Pearson和结构方程模型分析自我接纳、自我认同感、主观幸福感间的关系.结果 共105例患者完成研究,GWBS总分为(60.62±4.51)分,SAQ总分为(40.42± 4.41)分,SIS总分为(56.51±4.22)分;Pearson相关分析显示,乳腺癌根治术后化疗患者自我接纳与主观幸福感、自我认同感均呈正相关(r1=0.622,r2=0.668,P<0.05),主观幸福感与自我认同感呈正相关(r=0.701,P<0.05);Bootstrap程序检验显示,自我接纳对主观幸福感有正向效应(95%CI:0.128~0.362),也可通过自我认同感的中介效应间接起正向效应(95%CI:0.320~0.656),且中介效应占总效应的74.22%(0.501/0.675).结论 乳腺癌根治术后化疗患者主观幸福感处于中等水平,其自我接纳程度对主观幸福感具有直接效应,也可通过自我认同感的中介效应对其产生影响.
Mediating Effect of Self-identity on Self-acceptance and Subjective Well-Being in Patients Undergoing Chemotherapy After Radical Mastectomy
Objective To investigate the mediating effect of self-identity on self-acceptance and subjective well-being in patients with chemotherapy after radical mastectomy.Methods A total of 110 patients with chemotherapy after radical mastectomy in Henan Cancer Hospital from December 2021 to December 2022 were investigated by general data questionnaire,general well-being scale(GWBS),self-acceptance questionnaire(SAQ)and self-identity scale(SIS).Pearson and structural equation model were used to analyze the relationship among self-acceptance,self-identity and subjective well-being.Results A total of 105 patients completed the study,the total GWBS score was(60.62±4.51),the total SAQ score was(40.42±4.41),and the total SIS score was(56.51±4.22).Pearson correlation analysis showed that self-acceptance was positively correlated with subjective well-being and self-identity(r1=0.622,r2=0.668,P<0.05),and subjective well-being was positively correlated with self-identity(r=0.701,P<0.05)in chemotherapy patients after radical mastectomy.Bootstrap test showed that self-acceptance had a positive effect on subjective well-being(95%CI:0.128-0.362),and could also have a positive effect indirectly through the mediating effect of self-identity(95%CI:0.320-0.656),and the mediating effect accounted for 74.22%(0.501/0.675)of the total effect.Conclusion The subjective well-being of patients with chemotherapy after radical mastectomy is at a moderate level.The degree of self-acceptance has a direct effect on the subjective well-being,and can also be influenced by the mediating effect of self-identity.

breast cancerchemotherapyself-identityself-acceptancesubjective well-beingmediating effect

罗凤、周毅娟

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郑州大学附属肿瘤医院/河南省肿瘤医院中西医结合科,河南郑州 450000

郑州大学附属肿瘤医院/河南省肿瘤医院放疗科,河南郑州 450000

乳腺癌 化疗 自我认同感 自我接纳 主观幸福感 中介效应

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(9)
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