文章摘要

癌症患者疾病应对方式和疾病获益感的关系:中介变量和调节变量的作用

作者: 1孙蓉, 1高华, 2赵婧莎, 3全怡
1 成都市第三人民医院血液科,成都 610031
2 成都市第三人民医院肿瘤科,成都 610031
3 成都市第三人民医院护理部,成都 610031
通讯: 孙蓉 Email: 1848757985@qq.com
DOI: 10.3978/j.issn.2095-6959.2019.01.022

摘要

目的:探讨社会支持在癌症患者医学应对方式和疾病获益感之间的中介作用及身体锻炼在癌症患者医学应对方式和疾病获益感之间的调节作用。方法:选取2015年2月至12月住院治疗的350例癌症患者作为调查对象,采用一般资料和临床资料调查表、社会支持量表、医学应对方式量表、癌症患者疾病获益感量表对癌症患者进行问卷调查。结果:医学应对方式的面对、屈服、回避维度与疾病获益感有相关性(r=0.562,r=−0.101,r=−0.109;P<0.05);回归方程纳入社会支持后,医学应对方式预测疾病获益感的回归系数减小;将身体锻炼及社会支持两个变量以及两者的交互项计入回归方程,医学应对各维度R2的改变差异均有统计学意义(P<0.01),且交互变量的未标准化回归系数β也具有显著性差异(P<0.01);身体锻炼与社会支持的交互作用在面对及回避维度和疾病获益感之间关系中预测作用显著。结论:社会支持在医学应对方式对疾病获益感的预测中起部分中介作用;身体锻炼对在医学应对方式对疾病获益感的预测中起着调节作用;身体锻炼对社会支持的中介效应具有调节作用。
关键词: 癌症;应对方式;疾病获益感

Effect of moderator and mediator on the relationship between medical coping and benefit finding in patients with cancer

Authors: 1SUN Rong, 1GAO Hua, 2ZHAO Jingsha, 3QUAN Yi
1 Department of Hematology, Chengdu Third People’s Hospital, Chengdu 610031, China
2 Department of Oncology, Chengdu Third People’s Hospital, Chengdu 610031, China
3 Department of Nursing, Chengdu Third People’s Hospital, Chengdu 610031, China

CorrespondingAuthor: SUN Rong Email: 1848757985@qq.com

DOI: 10.3978/j.issn.2095-6959.2019.01.022

Abstract

Objective: To explore the mediating role of social support in medical coping style and benefit finding of cancer patients, as well as the moderating effect of physical exercise on patients’ medical coping mode and benefit finding. Methods: Three hundreds and fifty cases of hospitalized cancer patients were included as the research object from February to December in 2015, and the general information and clinical data of questionnaire, Social Support Scale, Medical Coping Mode Questionnaire, Benefit Finding Scale were adopted to identify the correlations between medical coping and benefit finding. Results: The dimensions of medical coping mode were correlated to benefit finding in different degrees (r=0.562, r=−0.101, r=−0.109; P<0.05), which showed that benefit finding and medical coping mode are related to each other; when social support was included in the regression equation, regression coefficient of medical coping mode’s prediction on benefit finding decreased; taking physical exercise and social support and their interaction as variables into regression equation, the changes of R2 in medical coping dimensions were significantly different (P<0.01), and the non-standardized regression coefficient β of interactive variables was also significantly different (P<0.01). The interaction of physical exercise and social support in the prediction effect on the relationship between medical coping mode-avoidance/confrontation and benefit finding was significant. Conclusion: Social support in the medical coping style on the prediction of the disease benefit sense plays a partly intermediary role; regulating effect of physical exercise on the medical coping style on the prediction of disease benefit sense plays; physical exercise has a moderating effect on the mediating effect of social support.
Keywords: cancer; coping mode; benefit finding

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