目的 探讨反刍思维在恶性肿瘤患者失志综合征与生命质量中的中介作用，为帮助肿瘤患者克服反刍思维、摆脱失志综合征并提高生命质量提供指导借鉴。 方法 2020年2月至2022年6月采用便利抽样法选取广西医科大学第一附属医院肿瘤内科收治的189例恶性肿瘤患者为研究对象，使用一般资料调查表、中文版失志量表、反刍思维量表、癌症患者生命质量测定量表进行横断面问卷调查。 结果 189例恶性肿瘤患者中，男102例，女87例，年龄（43.54 ± 13.12）岁。患者失志总分为（34.37 ± 10.34）分，反刍思维总分为（41.01 ± 17.10）分，生命质量总分（48.51 ± 15.41）分。Pearson分析结果显示，恶性肿瘤患者失志总分与生命质量总分呈负相关（r = - 0.502，P<0.01），反刍思维总分与生命质量总分呈负相关（r = - 0.465，P<0.01），失志总分与反刍思维总分呈正相关（r = 0.628，P<0.01）。Bootstrap中介检验结果显示，反刍思维在恶性肿瘤患者失志和生命质量之间起部分中介效应，中介效应占总效应的30.9%。 结论 反刍思维在恶性肿瘤患者失志和生命质量之间起到部分中介作用，提示临床医务人员可以通过制订系统完善的认知行为干预策略以改善肿瘤患者失志综合征和反刍思维，从而提高其生命质量。 Objective To explore the mediating role of rumination thinking between demoralization and quality of life in malignant tumor patients, provide guidance and reference for helping tumor patients overcome rumination thinking and demoralization and improve quality of life. Methods From February 2020 to June 2022, 189 patients with malignant tumors admitted to the Department of Oncology of the First Affiliated Hospital of Guangxi Medical University were selected by convenience sampling method as the research objects, and a cross-sectional survey was conducted using general information questionnaire, Demoralization Scale-Mandarin Version, Ruminative Responses Scale, Punctional Assessment of Cancer Therapy-General. Results Among 189 malignant tumor patients, there were 102 males, 87 females, aged (43.54 ± 13.12) years old. The total score of loss of demoralization was (34.37 ± 10.34) points, the total score of rumination thinking was (41.01 ± 17.10) points, the total score of quality of life was (48.51 ± 15.41) points. The Pearson analysis results showed that the total score of demoralization in malignant tumor patients was negatively correlated with the total score of quality of life (r = -0.502, P<0.01) the total score of rumination thinking was negatively correlated with the total score of quality of life (r = -0.465, P<0.01), and the total score of demoralization was positively correlated with the total score of rumination thinking (r = 0.628, P<0.01). Bootstrap mediation test results showed that ruminant thinking played a partial mediating effect between demoralization and quality of life of patients with malignant tumors, accounted for 30.9% of the total effect. Conclusions Rumination plays a partially mediating role in the demoralization and quality of life of patients with malignant tumors, suggesting that clinical staff can improve the quality of life of patients with tumors by developing a systematic and comprehensive cognitive-behavioral intervention strategy to improve the demoralization and rumination.
Demoralization and quality of life in malignant tumor patients: the mediating role of rumination thinking
Objective To explore the mediating role of rumination thinking between demoralization and quality of life in malignant tumor patients, provide guidance and reference for helping tumor patients overcome rumination thinking and demoralization and improve quality of life. Methods From February 2020 to June 2022, 189 patients with malignant tumors admitted to the Department of Oncology of the First Affiliated Hospital of Guangxi Medical University were selected by convenience sampling method as the research objects, and a cross-sectional survey was conducted using general information questionnaire, Demoralization Scale-Mandarin Version, Ruminative Responses Scale, Punctional Assessment of Cancer Therapy-General. Results Among 189 malignant tumor patients, there were 102 males, 87 females, aged (43.54 ± 13.12) years old. The total score of loss of demoralization was (34.37 ± 10.34) points, the total score of rumination thinking was (41.01 ± 17.10) points, the total score of quality of life was (48.51 ± 15.41) points. The Pearson analysis results showed that the total score of demoralization in malignant tumor patients was negatively correlated with the total score of quality of life (r = -0.502, P<0.01) the total score of rumination thinking was negatively correlated with the total score of quality of life (r = -0.465, P<0.01), and the total score of demoralization was positively correlated with the total score of rumination thinking (r = 0.628, P<0.01). Bootstrap mediation test results showed that ruminant thinking played a partial mediating effect between demoralization and quality of life of patients with malignant tumors, accounted for 30.9% of the total effect. Conclusions Rumination plays a partially mediating role in the demoralization and quality of life of patients with malignant tumors, suggesting that clinical staff can improve the quality of life of patients with tumors by developing a systematic and comprehensive cognitive-behavioral intervention strategy to improve the demoralization and rumination.
Quality of lifeNeoplasmsLoss of mind syndromeRuminant thinkingIntermediary effect
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