全科护理2024，Vol.22Issue(12)：2189-2193,5.DOI:10.12104/j.issn.1674-4748.2024.12.003
肺癌术后病人恐惧疾病进展对创伤后应激障碍的影响:自我效能感的中介效应
The influence of fear of disease progression on post-traumatic stress disorder in patients after lung cancer surgery:mediating effect of self-efficacy
摘要
Abstract
Objective:To explore the mediating effect of self-efficacy between fear of progression(FoP)and post-traumatic stress disorder(PTSD)in patients after lung cancer surgery.Methods:From January to April 2023,290 primary lung cancer patients who received thoracoscopic surgery in a third grade-A hospital in Tianjin were selected by convenience sampling method and surveyed by using general information questionnaire,Strategies Used by People to Promote Health(SUPPH),Fear of Progression Questionnaire Short Form(FoP-Q-SF)and Post-Traumatic Stress Disorder Checklist-Civilian(PCL-C),and the relationships among self-efficacy,FoP and PTSD were analyzed.Results:The total score of SUPPH was(100.50±22.90),FoP-Q-SF was(29.79±8.34),and PCL-C was(30.68±11.41).PTSD was negatively correlated with self-efficacy(r=-0.364,P＜0.001),while positively correlated with FoP(r=0.504,P＜0.001),and self-efficacy was negatively correlated with FoP(r=-0.281,P＜0.001).The total effect of FoP on PTSD was 0.796[95％CI(0.667,0.925)],the direct effect was 0.724[95％CI(0.549,0.899)],and the indirect effect was 0.072[95％CI(0.011,0.131)].The mediating effect accounted for 9.05％.Conclusions:FoP is a direct predictor of PTSD in patients undergoing lung cancer surgery,and self-efficacy plays a partial mediating role between FoP and PTSD.Medical staff should reduce patients'FoP and enhance their self-efficacy through targeted interventions to improve the post-traumatic stress state.关键词
肺癌/自我效能感/恐惧疾病进展/创伤后应激障碍/中介效应Key words
lung cancer/self-efficacy/fear of disease progression/post-traumatic stress disorder/mediating effect引用本文复制引用
刘丽峰,崔嘉,王海楠,孙潇楠,张方圆..肺癌术后病人恐惧疾病进展对创伤后应激障碍的影响:自我效能感的中介效应[J].全科护理,2024,22(12):2189-2193,5.基金项目
天津市医学重点学科(专科)建设项目,编号:TJYXZDXK-011A. （专科）
