广西医学2024，Vol.46Issue(10)：1501-1507,7.DOI:10.11675/j.issn.0253-4304.2024.10.09
乳腺癌患者心理复原力、二元应对与恐惧疾病进展的相关性及中介作用
Correlation and mediating effect of psychological resilience,dyadic coping with fear of progression in patients with breast cancer
摘要
Abstract
Objective To explore the current status of fear of progression(FOP)level in patients with breast cancer and its influencing factors,and to analyze the relation between psychological resilience,dyadic coping and FOP.Methods A total of 408 patients with breast cancer were selected as the research subjects.The general data inventory,Connor-Davidson Resilience Scale(CD-RISC),Dyadic Coping Inventory(DCI),and Fear of Progression Questionnaire-Short Form(FoP-Q-SF)were employed to perform investigation.The Pearson correlation analysis method was used to analyze the relation of psychological resilience,dyadic coping with FOP.The factors for influencing FOP in patients with breast cancer were analyzed by using the multivariate linear regression model,and the mediating effect of negatively dyadic coping between psychological resilience and FOP was analyzed by using the Process Bootstrap program.Results The total score of CD-RISC among 408 patients with breast cancer was 62.40±16.22,DCI total score was 118.10±21.40,and FoP-Q-SF total score was 31.89±8.26.There were statistically significant differences in FoP-Q-SF score between breast cancer patients with different nationalities,residences,educational levels,occupations,per capita monthly household incomes,number of children,medical burden degree,knowledge of disease,main caregivers,and treatment stages(P<0.05).The support coping dimension score,empowerment coping dimension score,and joint coping dimension score of DCI negatively correlated with FoP-Q-SF social family dimension score,whereas support coping dimension score and joint coping dimension score of DCI negatively correlated with FoP-Q-SF total score;furthermore,negative coping dimension score,coping quality assessment dimension score and total score of DCI,various dimensions scores and total score of CD-RISC negatively correlated with various dimensions scores and total score of FoP-Q-SF;in additon,various dimensions score and total score of CD-RISC positively correlated with various dimensions score and total score of DCI(P<0.05).The results of multivariate linear regression analysis revealed that CD-RISC self-improvement dimension score,DCI negative coping dimension score,treatment stage,medical burden,main caregivers,and disease knowledge degree were the influencing factors for the total score of FoP-Q-SF in patients with breast cancer(P<0.05).Psychological resilience could directly affect FOP in patients with breast cancer.Dyadic coping exerted partial mediating effect between psychological resilience and FOP,and its proportion of mediating effect was 13.29%.Conclusion FOP of patients with breast cancer is at a medium level,which is affected by self-improvement,negative coping,treatment stage,medical burden,main caregivers and disease knowledge degree.Psychological resilience can directly affect FOP in patients with breast cancer,and can indirectly affect FOP through dyadic coping.关键词
乳腺癌/心理复原力/二元应对/恐惧疾病进展/相关性/中介效应Key words
Breast cancer/Psychological resilience/Dyadic coping/Fear of progression/Correlation/Mediating effect分类
医药卫生引用本文复制引用
许露,王高华,张丽丽,王建英,孔德光,谢湘莹,李娜,张文佳..乳腺癌患者心理复原力、二元应对与恐惧疾病进展的相关性及中介作用[J].广西医学,2024,46(10):1501-1507,7.基金项目
国家自然科学基金(82103671) （82103671）
