目的 探讨夫妻支持在胃癌患者癌症复发恐惧(fear of cancer recurrence,FCR)与正念水平之间的中介效应.方法 选取2020年8月至2022年8月徐州医科大学第二附属医院消化内科收治的胃癌患者,所有病患均于本院接受胃癌根治术治疗.采用一般资料调查表、癌症患者恐惧疾病进展简化量表(FoP-Q-SF)、夫妻支持问卷及正念注意觉知量表(MAAS)对纳入研究对象进行调查.运用Spearman秩相关分析探讨FCR、正念水平以及夫妻支持之间的关系,采用Bootstrap方法对夫妻支持在胃癌患者FCR和正念水平间的中介效应进行验证.结果 共调查120例胃癌患者,FoP-Q-SF总分为(27.37±6.03)分,其中22例患者恐惧疾病进展心理机能失调,占18.33％;夫妻支持总分为(56.81±18.03)分;MAAS总分为(54.72±7.75)分.相关性分析结果显示,患者复发恐惧及其各维度得分与患者正念水平得分、夫妻支持总分及各维度评分均呈负相关(P＜0.05);夫妻支持总分及各维度得分与正念水平得分呈正相关(P＜0.05).中介效应分析显示,夫妻支持在癌症复发恐惧与正念水平之间存在部分中介效应,中介效应为0.208,直接效应为0.448,总效应为0.656,中介效应率为31.71％.结论 胃癌患者癌症复发恐惧处于中等水平,可直接影响患者的正念水平,夫妻支持水平可作为中介对其正念水平造成间接影响.
Abstract
Objective To explore the mediating effect of marital support between the correlation of fear of cancre recurrence(FCR)and the level of mindfulness in patients with gastric cancer.Methods Gastric cancer patients admitted to the department of gastroenterology in the Second Affiliated Hospital of Xuzhou Medical University from August 2020 to August 2022 were selected,and all patients underwent radical gastrectomy treatment.A general information survey,the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),the Marital Support Questionnaire,and the Mindfulness Attention Awareness Scale(MAAS)were used to investigate the included study subjects.Spearman rank correlation analysis was used to explore the relationship between FCR,mindfulness level,and marital support.The Bootstrap method was used to verify the mediating effect of marital support on the FCR and mindfulness level in gastric cancer patients.Results A total of 120 patients were included.The total FoP-Q-SF score was(27.37±6.03),of which 22 patients had psychological dysfunction due to fear of disease progression.The total score of marital support was(56.81±18.03).The total MAAS score was(54.72±7.75).The results of correlation analysis showed that the FCR and its scores were negatively correlated with the scores of the patients'mindfulness level and total score and scores for each dimension of spousal support(P＜0.05).Couple support was positively correlated with the score of mindfulness level(P＜0.05).The mediation effect analysis showed couple support partially mediates the effect between FCR and level of mindfulness,with a mediation effect of 0.208,a direct effect of 0.448,a total effect of 0.656,and a mediation effect rate of 31.71％.Conclusion The FCR in gastric cancer patients is at an intermediate level,which can directly affect the level of mindfulness of patients,or indirectly affect the level of mindfulness through the mediation of marital support.
关键词
胃癌/癌症复发恐惧/正念水平/夫妻支持/相关性/中介效应
Key words
Gastric cancer/Fear of cancer recurrence/Level of mindfulness/Marital support/Relevance/Mediating effect
维普
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