沈阳医学院学报2025，Vol.27Issue(4)：380-384,395,6.DOI:10.16753/j.cnki.1008-2344.2025.04.008
疾病不确定感在癌症患者心理弹性与灵性健康间的中介效应分析
Mediating effect of illness uncertainty on the relationship between psychological resilience and spiritual health in cancer patients
摘要
Abstract
Objective:To explore the relationships among psychological resilience,spiritual health,and illness uncertainty in cancer patients,and to analyze the mediating role of disease uncertainty.Methods:The cancer patients were selected by convenience sampling method from Feb 2024 to May 2024 in the Department of Oncology of a Grade Ⅲ-A general hospital in Wuhu City.Data were collected using a general information questionnaire,the Mishel Uncertainty in Illness Scale(MUIS),the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale(FACIT-SP-12,Chinese version),and the Connor-Davidson Resilience Scale(CD-RISC-10).Pearson correlation analysis was conducted to assess the relationships among psychological resilience,illness uncertainty,and spiritual health.The mediating effect of illness uncertainty was tested using Hayes'PROCESS Model 4 and the Bootstrap method.Results:The total scores of spiritual health,psychological resilience and illness uncertainty of cancer patients was(25.11±7.19),(24.36±6.75)and(67.75±13.06),respectively.The spiritual health was positively correlated with psychological resilience(r=0.415,P＜0.01)and negatively correlated with illness uncertainty(r=-0.398,P＜0.01).The psychological resilience was negatively correlated with illness uncertainty(r=-0.668,P＜0.01).Illness uncertainty partially mediated the relationship between psychological resilience and spiritual health,accounting for 35.29%of the total effect.Conclusions:The spiritual health of cancer patients is at a moderate level.Enhancing psychological resilience and reducing illness uncertainty can alleviate psychological burden and improve spiritual health,thereby promoting overall quality of life.关键词
癌症患者/疾病不确定感/心理弹性/灵性健康/自我决定理论/中介作用Key words
cancer patients/illness uncertainty/psychological resilience/spiritual health/self-determination/mediating effect分类
医药卫生引用本文复制引用
刘雯静,陈凝,束萍,洪雯倩,胡海丹,周文虎,童小梨,车恒英..疾病不确定感在癌症患者心理弹性与灵性健康间的中介效应分析[J].沈阳医学院学报,2025,27(4):380-384,395,6.基金项目
安徽省教育厅2023年高等学校省级质量工程项目(No.2023kcszsf150) （No.2023kcszsf150）
安徽省教育厅2023年高等学校省级工程项目(No.2023xxkc283) （No.2023xxkc283）
