社会关系质量与自我护理能力在宫颈癌患者病耻感与社交回避及苦恼间的中介效应
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女,本科,主管护师

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安徽省重点研究与开发计划项目(202104j07020009)


The mediating effect of social relational quality and self-care ability on the relationship between stigma and social avoidance and distress in patients with cervical cancer
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    摘要:

    目的 探讨社会关系质量与自我护理能力在宫颈癌患者病耻感与社交回避及苦恼影响间的链式中介效应,为采取措施促进宫颈癌患者融入社会提供参考。方法 采用社会关系质量量表、自我护理能力测定量表、社会影响量表和社交回避及苦恼量表对225例宫颈癌患者进行调查。采用Amos软件建立结构方程模型并进行链式中介效应检验。结果 宫颈癌患者社交回避及苦恼评分(17.38±3.72)分;患者社交回避及苦恼与病耻感呈正相关,与社会关系质量、自我护理能力呈负相关(均P<0.05);社会关系质量和自我护理能力在宫颈癌患者病耻感与社交回避及苦恼的链式中介效应成立,总间接效应为42.79%。结论 宫颈癌患者的社交回避及苦恼处于中等水平,患者的病耻感越高社交回避及苦恼越严重,可以通过降低病耻感、提高社会关系质量和自我护理能力以减少社交回避及苦恼。

    Abstract:

    Objective To explore the chain mediating effect of social relational quality and self-care ability on the relationship between stigma and social avoidance and distress in patients with cervical cancer, so as to provide reference for taking measures to promote social integration of patients with cervical cancer. Methods A total of 225 patients with cervical cancer were surveyed with Social Relational Quality Scale, the Exercise of Self-Care Agency Scale, Social Impact Scale, Social Avoidance and Distress Scale. Amos software was used to establish the structural equation model and to test the chain mediation effect. Results Score of social avoidance and distress in patients with cervical cancer was (17.38±3.72). Social avoidance and distress in patients with cervical cancer were positively correlated with stigma, and negatively correlated with social relational quality and self-care ability (all P<0.05). The chain mediation effect of social relational quality and self-care ability on cervical cancer patients′ stigma, social avoidance and distress was established, and the total indirect effect was 42.79%. Conclusion The social avoidance and distress of cervical cancer patients are at a moderate level, and the higher the stigma of the patients, the more serious the social avoidance and distress. Social avoidance and distress can be reduced by reducing the stigma, improving the social relational quality and self-care ability.

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陈飞燕,朱凤琴,陈旦旦,郭兵,徐承,何梦婷,孙咏梅,潘婉星,吕雪娥.社会关系质量与自我护理能力在宫颈癌患者病耻感与社交回避及苦恼间的中介效应[J].护理学杂志,2023,28(22):6-9

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  • 收稿日期:2023-05-18
  • 最后修改日期:2023-07-28
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  • 在线发布日期: 2024-01-13