Mediation Effect of Family Functioning and Psychological Resilience between Stigma and Social Alienation among Patients with Flap Transplantation
Objective To explore the chain-mediated effects of family functioning and psychological resili-ence on the relationship between stigma and social alienation in oral cancer patients with flap transplanta-tion.Methods 147 patients with flag graft repair for oral cancer in a tertiary A hospital in Changsha were selected by convenience sampling and surveyed with general alienation scale,social impact scale,family care index questionnaire and psychological resilience scale.Results The total scores of social alienation,stig-ma,psychological resilience and family functioning of these patients were(39.40±7.15),(57.00±12.0),(25.77±6.61),(6.96±1.66),respectively.The analysis showed a positive correlation between the scores for social alienation and those for stigma(r=0.650),and a negative correlation of the former with those of family functioning(r=-0.594)and psychological elasticity(r=-0.624).The direct effect of stigma on so-cial alienation was 0.22,and both family functioning and psychological resilience had a partial mediating effect between stigma and social alienation in these patients,with mediating effect values of 0.05 and 0.03,respectively.The continuous path between the two had a chain mediating effect value of 0.02.Conclusions Patients with oral cancer flap transplantation experience a moderate level of stigma and social alienation.The stigma either directly influences social alienation or indirectly affects it through the mediating factors of family functioning and psychological resilience.Healthcare professionals should implement targeted in-tervention to enhance family's support and psychological resilience,thereby reducing social alienation and improving the overall quality of life of these patients.
NETL
NSTL
万方数据
维普
