社会支持对乳腺癌患者癌症复发恐惧与创伤后成长的中介作用

doi:10.3969/j.issn.1006-9143.2021.02.008

摘要/Abstract

摘要： 目的: 采用结构方程模型探讨社会支持在乳腺癌患者癌症复发恐惧与创伤后成长间的中介作用。方法: 采用一般资料调查表、中文版癌症复发恐惧量表（Fear of Cancer Recurrence Inventory-Chinese Version,FCRI-CV）、领悟社会支持量表（Perceived Social Support Scale,PSSS）和中文版创伤后成长问卷（The Posttraumatic Growth Inventory,PTGI）,对358例乳腺癌患者进行横断面调查。结果: 乳腺癌患者创伤后成长总分与癌症复发恐惧总分呈负相关（r=-0.462,P<0.01）,与社会支持总分呈正相关（r=0.668,P<0.01）;结构方程模型显示社会支持在癌症复发恐惧和创伤后成长间具有部分中介作用（GFI=0.963,AGFI=0.900,RMSEA=0.052）,中介效应占总效应的60.43%。结论: 癌症复发恐惧既可直接预测创伤后成长,又可通过社会支持对创伤后成长起间接预测作用。

关键词: 乳腺癌, 癌症复发恐惧, 社会支持, 创伤后成长, 中介作用

Abstract: Objective: To explore the mediating role of social support in post-traumatic growth and cancer recurrence fear in breast cancer patients by using structural equation model. Methods: A cross-sectional survey was conducted in 358 patients with breast cancer, they were assessed with the self-reported questionnaire, the perceived social support scale (PSSS), the posttraumatic growth inventory-Chinese version(PTGI) and the fear of cancer recurrence inventory-Chinese version(FCRI-CV). Results: The total score of posttraumatic growth of breast cancer patients was negatively correlated with the total score of fear of cancer recurrence（r=-0.462, P<0.01）, and positively correlated with the total score of social support（r=0.668, P<0.01）. Structural equation model showed that social support partially mediated the relationship between fear of cancer recurrence and posttraumatic growth(GFI=0.963, AGFI=0.900, RMSEA=0.052), accounting for 60.43% of the total effect. Conclusion: Fear of cancer recurrence can not only directly predict posttraumatic growth, but also indirectly predict posttraumatic growth through social support.

Key words: Breast cancer, Fear of cancer recurrence, Social support, Posttraumatic growth, Mediating effect

中图分类号:

R473.73

周朋芸. 社会支持对乳腺癌患者癌症复发恐惧与创伤后成长的中介作用[J]. 天津护理, 2021, 29(2): 156-160.

ZHOU Pengyun. Study on mediating role of social support between fear of cancer recurrence and post-traumatic growth in breast cancer patients[J]. Tianjin Journal of Nursing, 2021, 29(2): 156-160.

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