首页|希望水平在恶性肿瘤复发患者自我感受负担和生活质量间的中介效应

希望水平在恶性肿瘤复发患者自我感受负担和生活质量间的中介效应

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目的 探讨希望水平在恶性肿瘤复发患者自我感受负担及生活质量间的中介效应.方法 采用便利抽样的方法,选取 2023 年 9 月至 12 月湖北省襄阳市中心医院肿瘤专科 204 例恶性肿瘤复发患者进行横断面调查.采用一般资料调查表、自我感受负担(SPBS)、希望水平(HHI)以及生活质量EORTC QLQ-C30 问卷对其进行调查.结果 恶性肿瘤复发患者SPBS得分为(28.28±8.92)分、HHI得分为(35.83±4.30)分、生活质量得分为(59.68±23.96)分.自我感受负担与希望水平、生活质量呈负相关(P<0.05;P<0.01),希望水平与生活质量呈正相关(P<0.01).在自我感受负担与生活质量之间,希望水平的部分中介效应得以体现,其间接效应占总效应的21.18%.结论 恶性肿瘤复发患者生活质量普遍较低、希望水平处于中等水平,均有待提高.患者的自我感受负担处于轻中度水平.医护人员应采取有效措施提升患者的希望水平,并减少其自我感受负担,从而改善恶性肿瘤复发患者的生活质量.
Mediating Effect of Hope on Self-perceived Burden and Quality of Life in Patients with Recurrent Malignant Tumor
Objective To explore the mediating effect of hope between self-perceived burden and quality of life in patients with recurrent malignant tumors.Methods A cross-sectional survey was conducted using convenience sampling,selecting 204 patients with recurrent malignant tumors from the Oncology Department of Xiangyang Central Hospital in Hubei Province from September to December 2023.A general information questionnaire,Self-Perceived Burden Scale(SPBS),hope level(HHI),and EORTC QLQ-C30 quality of life questionnaire were utilized for the investigation.Results The SPBS score for patients with recurrent malignant tumors was(28.28±8.92),the HHI score was(35.83±4.30)and the quality of life score was(59.68±23.96).Self-perceived burden was negatively correlated with hope and quality of life(P<0.05;P<0.01),while hope was positively correlated with quality of life(P<0.01).The mediating effect of hope between the burden of self-perception and quality of life is reflected,with the indirect effect accounting for 21.18%of the total effect.Conclusion Patients with recurrent malignant tumors generally have a low quality of life and moderate levels of hope,both of which require improvement.The self-perceived burden of patients is at a mild to moderate level.Healthcare professionals should take effective measures to enhance patients'levels of hope and reduce their self-perceived burden,thereby improving the quality of life for patients with recurrent malignant tumors.

Recurrent malignant tumorsSelf-perceived burdenHope levelQuality of lifeMediating effect

裴瑶瑶、许章英、肖炜、黎秀贤、胡婷婷

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武汉科技大学医学部护理系,湖北 武汉 430081

广州医科大学附属口腔医院口腔颌面外科,广东 广州 510000

湖北文理学院附属襄阳市中心医院肿瘤科,湖北 襄阳 441021

恶性肿瘤复发 自我感受负担 希望水平 生活质量 中介效应

2025

昆明医科大学学报
昆明医学院

昆明医科大学学报

影响因子:0.829
ISSN:1003-4706
年,卷(期):2025.46(1)