| 妇科肿瘤患者医学应对及负性情绪在家庭关怀度与心理弹性间的中介作用 |
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| 引用本文： | 张艳,胡德英,刘义兰,谢进芝,丁小萍,张垠莹,周苏.妇科肿瘤患者医学应对及负性情绪在家庭关怀度与心理弹性间的中介作用[J].护理学杂志,2023,28(12):89-92. |
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| 作者姓名： | 张艳 胡德英 刘义兰 谢进芝 丁小萍 张垠莹 周苏 |
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| 作者单位： | 华中科技大学同济医学院附属协和医院1.护理部（湖北 武汉，430022）；2.华中科技大学同济医学院护理学院;华中科技大学同济医学院附属协和医院肿瘤中心（湖北 武汉，430022） |
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| 基金项目： | 国家重点研发计划项目（2020YFC2006000） |
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| 摘 要： | 目的 评估妇科肿瘤患者心理弹性水平，并探讨与家庭关怀度、应对方式、负性情绪之间的关系。方法 采用家庭关怀度指数量表、医学应对量表、抑郁-焦虑-压力量表、心理弹性量表对224例妇科肿瘤患者进行调查。结果 妇科肿瘤患者心理弹性总分（50.88±15.17）分。家庭关怀度、医学应对的面对、回避维度与心理弹性呈正相关，负性情绪与心理弹性呈负相关（均P＜0.05）。结构方程模型显示，家庭关怀度对妇科肿瘤患者心理弹性的直接预测作用不显著；应对方式、负性情绪在患者家庭关怀度与心理弹性间起完全中介作用，并存在链式中介作用。家庭关怀度、屈服、回避、面对、负性情绪对心理弹性的总效应值分别为0.413、-0.356、0.200、0.186、-0.564。结论 家庭关怀度可以通过应对方式和负性情绪预测妇科肿瘤患者的心理弹性。医护人员可通过实施家庭干预为患者构筑家庭支持网络，指导患者采取合适的应对方式，科学管理负性情绪，以提高其心理弹性水平。
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| 关 键 词： | 妇科肿瘤 心理弹性 家庭关怀度 医学应对 负性情绪 中介作用 |
| 收稿时间： | 2022/12/30 0:00:00 |
| 修稿时间： | 2023/3/5 0:00:00 |
The mediating role of medical coping and negative emotions in the relationship between family APGAR and psychological resilience of gynecologic oncology patients |
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| Zhang Yan,Hu Deying,Liu Yilan,Xie Jinzhi,Ding Xiaoping,Zhang Yinying,Zhou Su.The mediating role of medical coping and negative emotions in the relationship between family APGAR and psychological resilience of gynecologic oncology patients[J].Journal of Nursing Science,2023,28(12):89-92. |
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| Authors: | Zhang Yan Hu Deying Liu Yilan Xie Jinzhi Ding Xiaoping Zhang Yinying Zhou Su |
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| Affiliation: | Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China |
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| Abstract: | Objective To assess the level of psychological resilience in gynecologic oncology patients and to explore the relationship with family APGAR, coping style and negative emotions. Methods A total of 224 gynecologic oncology patients were invited to complete a battery of questionnaires, including the Family APGAR Index (APGAR), Medical Coping Modes Questionnaire (MCMQ), Depression Anxiety Stress Scale (DASS), and Connor-Davidson Resilience Scale (CD-RISC). Results The mean CD-RISC score was 50.88 (standard deviation=15.17). The total CD-RISC score was significantly positively correlated with APGAR and MCMQ, while negatively correlated with DASS (all P<0.05). Structural equation model showed that family APGAR had no direct effect on resilience. Coping style and negative emotions fully mediated the relationship between family APGAR and resilience and showed chain mediation effect. The total effect of family APGAR, resignation, avoidance, confrontation, and negative emotion on resilience were 0.413,-0.356,0.200,0.186 and -0.564, respectively. Conclusion Family APGAR could impact resilience of gynecologic oncology patients via coping style and negative emotion. Medical staff can provide family support network for patients by implementing family interventions, instruct patients to adopt appropriate coping style and manage negative emotions, so as to improve their psychological resilience. |
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| Keywords: | gynecologic oncology psychological resilience family APGAR medical coping negative emotion mediation role |
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