中国健康心理学杂志2025，Vol.33Issue(1) ：72-76.DOI:10.13342/j.cnki.cjhp.2025.01.014

口腔癌患者心理韧性对生活质量的影响:自我效能的中介效应

Effect of psychological resilience on quality of life in patients with oral cancer:Mediating ffect of self-efficacy

王烨华 董稳航 刘世卿 李慧川
中国健康心理学杂志2025，Vol.33Issue(1) ：72-76.DOI:10.13342/j.cnki.cjhp.2025.01.014
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口腔癌患者心理韧性对生活质量的影响:自我效能的中介效应

Effect of psychological resilience on quality of life in patients with oral cancer:Mediating ffect of self-efficacy

王烨华 1董稳航 1刘世卿 2李慧川2
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作者信息

  • 1. 郑州大学第一附属医院口腔颌面外二科 450052
  • 2. 郑州大学第一附属医院口腔医学部
  • 折叠

摘要

目的:了解口腔癌患者生活质量的状况,探讨心理韧性、自我效能和生活质量之间的关系及自我效能在心理韧性和生活质量间的中介效应.方法:选择2022年4月-2024年5月某院接收的232例口腔癌患者为研究对象.采用康纳-戴维森韧性量表(CD-RISC)、一般自我效能感量表(GSES)和头颈部癌症治疗功能性评估量表(FACT-H& N)对患者进行调查,采用Pearson分析生活质量与心理韧性、自我效能的相关性,使用SPSS检验自我效能在心理韧性和生活质量间的中介效应.结果:不同性别、年龄、手术方式以及是否放化疗的患者生活质量、心理韧性、自我效能得分差异均具有统计学意义(t=9.234,6.307,12.644,4.346,3.835,4.086,11.105,7.073,14.617,9.797,5.867,12.084;P＜0.05).心理韧性及各维度与生活质量之间均呈正相关(r=0.642,0.575,0.503,0.531;P＜0.05),自我效能与生活质量之间呈正相关(r=0.586,P＜0.05).心理韧性对生活质量有直接正向预测作用(β=0.517,P＜0.05),心理韧性对自我效能有直接正向作用(β=0.762,P＜0.05),自我效能对生活质量有直接正向预测作用(β=0.411,P＜0.05);自我效能在心理韧性对生活质量的影响中起部分中介效应,中介效应为0.313,总效应为0.830,中介效应占总效应的39.13％.结论:自我效能在口腔癌患者的心理韧性与生活质量中起部分中介作用,医护人员可采取相应的干预方式,促进患者提升自我效能、增强心理韧性,进而改善生活质量.

Abstract

Objective:To understand the quality of life of patients with oral cancer,and to explore the relationship among psychological resilience,self-efficacy and quality of life,as well as the mediating effect of self-efficacy be-tween psychological resilience and quality of life.Methods:A total of 232 patients with oral cancer in our hospital from April 2022 to May 2024 were selected as the research objects.Conor-Davidson Resilience Scale(CD-RISC),General Self-efficacy Scale(GSES)and Head and Neck Cancer Treatment Functional Assessment Scale(FACT-H&N)were used to investigate patients.Pearson was used to analyze the correlation between quality of life and psy-chological resilience and self-efficacy,and SPSS was used to test the mediating effect of self-efficacy between psy-chological resilience and quality of life.Results:There were significant differences in the scores of quality of life,psy-chological resilience and self-efficacy among patients with different gender,age,surgical methods and whether they were treated with radiotherapy or chemotherapy(t=9.234,6.307,12.644,4.346,3.835,4.086,11.105,7.073,14.617,9.797,5.867,12.084;P＜0.05).There was a positive correlation between psychological resilience and quality of life(r=0.642,0.575,0.503,0.531;P＜0.05),and there was a positive correlation between self-efficacy and quality of life(r=0.586;P＜0.05).Psychological resilience directly and positively predicted the quality of life(β=0.517;P＜0.05),psychological resilience directly and positively predicted the self-efficacy(β=0.762;P＜0.05),and self-effi-cacy directly and positively predicted the quality of life(β=0.411;P＜0.05).Self-efficacy played a partial mediating role in psychological resiliences influence on quality of life,with the mediating effect of 0.313 and the total effect of 0.830,accounting for 39.13％of the total effect.Conclusion:Self-efficacy plays an intermediary role in the psycho-logical resilience and quality of life of patients with oral cancer.Medical staff can take corresponding interventions to promote patients'self-efficacy,enhance their psychological resilience and improve their quality of life.

关键词

口腔癌/心理韧性/生活质量/自我效能

Key words

Oral cancer/Psychological resilience/Quality of life/Self-efficacy

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出版年

2025
中国健康心理学杂志
中国心理卫生协会

中国健康心理学杂志

影响因子：1.264
ISSN：1005-1252
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