天津护理2026，Vol.34Issue(2)：172-175,4.DOI:10.3969/j.issn.1006-9143.2026.02.010
自我效能在乳腺癌术后患者复发恐惧与创伤后成长间的中介效应分析
Analysis of the mediating effect of self-efficacy between fear of recurrence and posttraumatic growth in breast cancer patients after surgery
摘要
Abstract
Objective:To analyze the mediating effect of self-efficacy between fear of recurrence and posttraumatic growth(PTG)in breast cancer patients after surgery.Methods:A total of 196 postoperative patients with breast cancer admitted to our hospital were collected,using General Self-Efficacy Scale(GSES),Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and Posttraumatic Growth Inventory(PTGI)from January 2019 to January 2024.The mediating effect of self-efficacy between fear of recurrence and PTG in breast cancer patients after surgery was analyzed by SPSS Process Model 4 and bootstrap analysis.Results:Among 196 patients with breast cancer after surgery,the GSES score was(21.74±5.55)points,the FoP-Q-SF score was(25.69±6.12)points,and the PTGI score was(59.93±10.29)points.Fear of recurrence was negatively correlated with self-efficacy(r=-0.894)and negatively correlated with PTG(r=-0.814),while self-efficacy was positively correlated with PTG(r=0.830)(all P<0.05).Self-efficacy plays a partial mediating role between fear of recurrence and PTG in postoperative patients with breast cancer,with a mediating effect value was-0.764,accounting for 55.84%of the total effect.Conclusion:The fear of recurrence in breast cancer patients after surgery can directly predict PTG,and can also indirectly predict PTG through self-efficacy.关键词
自我效能/乳腺癌/复发恐惧/创伤后成长/中介效应Key words
Self efficacy/Breast cancer/Fear of recurrence/Posttraumatic growth/Mediating effect分类
医药卫生引用本文复制引用
邓建红,李小康,杨惠莉,王海英,李嘉,路红..自我效能在乳腺癌术后患者复发恐惧与创伤后成长间的中介效应分析[J].天津护理,2026,34(2):172-175,4.基金项目
国家自然科学基金面上项目(82172025) （82172025）
天津市医学重点学科建设项目(TJYXZDXK-011A) （TJYXZDXK-011A）
