检验医学与临床2024，Vol.21Issue(9)：1312-1316,1320,6.DOI:10.3969/j.issn.1672-9455.2024.09.027
心理韧性在肿瘤患儿父母疾病不确定感和医学应对方式间的中介效应分析
Analysis of the mediating effect of mental toughness on the uncertainty of illness and medical coping styles of parents of children with cancer
摘要
Abstract
Objective To explore the mediating effect of mental toughness on the uncertainty of illness and medical coping styles of parents of children with cancer.Methods Parents of 228 children with cancer who were hospitalized in Chongqing University Cancer Hospital from September 2020 to August 2021 were pro-spectively selected as the research subjects;the general information questionnaire,10 item Conner Davidson Resilience Scale(CD-RISC-10),Parents'Perception of Uncertainty Scale(PPUS)and Chinese version of the Coping Styles for Parents Inventory(CHIP)were used to collect and assessed general information,psycholog-ical resilience,illness uncertainty and medical coping of parents of children with tumors.Pearson's correlation was used to analyze the correlation between CD-RISC-10 score and PPUS score and CHIP score of parents of children with tumors;the mediating effect of mental toughness between disease uncertainty and medical cop-ing of parents of children with tumors was analyzed according to the mediating and moderating effects of Bar-on and Kenny.Results A total of 228 questionnaires were distributed,and 218 valid questionnaires were re-covered,with a validity rate of 95.61%.The CD-RISC-10 scores and CHIP scores of parents of children with tumors whose monthly family income was<5 000 yuan and who paid out-of-pocket for medical expenses were lower than those of parents of children with tumors whose monthly family income was≥5 000 yuan and who did not pay out-of-pocket for medical expenses(P<0.05);the PPUS scores of parents of children with tumors who had only one child,whose monthly family income was<5 000 yuan and who paid out-of-pocket for medical expenses were higher than those of parents of children who had not only one child,whose monthly family income was≥5 000 yuan and who did not pay out-of-pocket for medical expenses(P<0.05).The re-sults of Pearson correlation analyses showed that the CD-RISC-10 scores of parents of children with tumors were negatively correlated with the scores of PPUS(r=-0.420,P<0.05)and positively correlated with the scores of CHIP(r=0.776,P<0.05).The results of the mediation effect analysis showed that the mediation effect of mental toughness between disease uncertainty and medical coping style of parents of children with cancer was 37.78%.Conclusion Mental toughness is significantly related to the uncertainty of illness and medical coping style of parents of children with cancer,and the uncertainty of illness can affect the psychologi-cal toughness of parents of children with cancer and then affect the medical coping style of parents of children with cancer.关键词
心理韧性/肿瘤患儿父母/疾病不确定感/医学应对方式/中介效应/横断面研究Key words
mental toughness/parents of children with cancer/disease uncertainty/medical coping style/mediating effect/cross-sectional study分类
医药卫生引用本文复制引用
周迎春,胡蕖,汪春雨,王敏,李术彬,王静,田春燕..心理韧性在肿瘤患儿父母疾病不确定感和医学应对方式间的中介效应分析[J].检验医学与临床,2024,21(9):1312-1316,1320,6.基金项目
重庆市科卫联合医学科研项目(2021MSXM175). （2021MSXM175）
