首页|社会支持在甲状腺穿刺患者疾病不确定感与恐惧焦虑间的中介作用

社会支持在甲状腺穿刺患者疾病不确定感与恐惧焦虑间的中介作用

Mediating effect of social support on disease uncertainty and fear and anxiety in patients with thyroid puncture

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目的 探究社会支持在甲状腺穿刺患者疾病不确定感与恐惧焦虑间的中介作用.方法 收集2022年1月至2023年12月于某院就诊的250例甲状腺穿刺患者作为研究对象,根据病案资料整理患者恐惧焦虑评分与社会支持评分、疾病不确定感评分,采用Pearson法进行相关性分析,采用中介效应分析检验社会支持在疾病不确定感与恐惧焦虑之间的间接效应.结果 患者恐惧疾病进展简化量表、焦虑自评量表、社会支持量表、疾病不确定感量表得分均分为(35.52±4.66)、(49.62±5.07)、(37.89±6.13)、(94.52±8.49)分;性别、文化程度是患者恐惧疾病进展和焦虑的影响因素(P<0.05);恐惧与社会支持、焦虑与社会支持、社会支持与疾病不确定感均呈负相关(P<0.05),恐惧与疾病不确定感、焦虑间与疾病不确定感均呈正相关(P<0.05);社会支持在疾病不确定感与恐惧、焦虑间的效应值为0.066、0.090,中介效应占比为27.62%、2.56%.结论 社会支持在甲状腺穿刺患者疾病不确定感与恐惧焦虑之间具有中介作用,恐惧焦虑与疾病不确定感可能呈正相关,社会支持与恐惧焦虑、疾病不确定感呈负相关.
Objective To explore the mediating effect of social support on disease uncertainty and fear and anxiety in patients with thyroid puncture.Methods A total of 250 thyroid puncture patients from January 2022 to December 2023 were col-lected from a hospital as research objects.The fear and anxiety scores,social support scores and disease uncertainty scores of pa-tients were sorted out according to medical records,and correlation analysis was conducted with Pearson method.Mediation effect analysis was used to examine the indirect effects of social support on the relationship between disease uncertainty and fear and anxiety.Results The scores of the simplified fear disease progression scale,self-rating anxiety scale,social support scale and disease uncertainty scale were(35.52±4.66),(49.62±5.07),(37.89±6.13),and(94.52±8.49),respectively.Gen-der and education level were the influencing factors of fear disease progression and anxiety(P<0.05).Fear and social support,anxiety and social support,social support and disease uncertainty were negatively correlated(P<0.05),fear and disease uncer-tainty,anxiety and disease uncertainty were positively correlated(P<0.05).The effects of social support on uncertainty,fear and anxiety were 0.066 and 0.090,and the mediating effects accounted for 27.62%and 2.56%.Conclusion Social support plays a mediating role between disease uncertainty and fear anxiety in thyroid puncture patients.Fear anxiety may be positively correlated with disease uncertainty,while social support is negatively correlated with fear anxiety and disease uncertainty.

social supportthyroid puncturedisease uncertaintyfearanxiety

王美云、程正才、陈文景

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杭州师范大学附属医院医技护理科,310015浙江杭州

杭州师范大学附属医院超声科,310015浙江杭州

社会支持 甲状腺穿刺 疾病不确定感 恐惧 焦虑

2024

中国医院统计
卫生部统计信息中心,滨州医学院

中国医院统计

影响因子:0.564
ISSN:1006-5253
年,卷(期):2024.31(5)