自我效能、社会支持及应对方式对直肠癌患者心理弹性影响的路径分析

Path analysis of the impact of self-efficacy, social support and coping style on resilience in rectal cancer patients

目的：探讨直肠癌患者的自我效能、社会支持、应对方式对心理弹性的影响，并分析其影响路径。方法采用横断面调查方法，应用心理弹性量表、一般自我效能量表、社会支持量表以及医学应对问卷对2014年7月—2015年8月在哈尔滨医科大学附属第二医院住院的192例直肠癌患者进行问卷调查，应用SPSS 19.0和AMOS21软件进行统计分析。结果直肠癌患者的心理弹性总分为（56.73±13.44）分；直肠癌患者的自我效能、主观支持、面对应对及屈服应对进入心理弹性的多元回归方程，其自我效能、主观支持对心理弹性既有直接影响也有间接影响，面对应对及屈服应对心理弹性水平具有直接影响。结论直肠癌患者的心理弹性较差，个体的自我效能、主观支持、面对应对及屈服应对是影响心理弹性的重要因素。

Objective To determine the impact of self-efficacy, social support and coping style on resilience in rectal cancer patients and analyze the path influences.Methods From July 2014 to August 2015,a total of 192 patients with rectal cancer in the 2nd Affiliated Hospital of Harbin Medical University were recruited by cross-sectional survey method. They were investigated using the Connor-Davidson resilience scale, the self-efficacy questionnaire, social support rating scale and medical coping modes questionnaire. SPSS 19. 0 and AMOS21 software were applied for statistical analysis. Results The resilience score for rectal cancer patients was（56.73±13.44）; self efficacy, subjective support, confront and resignation coping style in rectal cancer patients entered the multiple regression equation;self-efficacy and subjective support not only directly but also indirectly impacted on resilience of rectal cancer patients; confront coping style and resignation coping style could influence resilience directly.Conclusions Rectal cancer patients have poor resilience, and the patients′self-efficacy, subjective support, confront and resignation coping style play an important role to enhance resilience of rectal cancer patients.