心理韧性模型在乳腺癌患者中的构建及应用

The Exploratory Evaluation of Resilience Model for Breast Cancer(RM-BC)among Patients with Breast Cancer Diagnosis

根据Shift-Persist模型以及Kumpfer理论,探讨乳腺癌患者心理韧性模型(RM-BC)的构建。采用潜变量结构方程(SEM)对420名乳腺癌患者的心理韧性进行因子分析。RM-BC识别了3个主要的风险因子,分别是情绪困扰(焦虑、抑郁、疾病不确定感)、生理困扰(疼痛、呕吐、疲倦)以及侵入性想法;4个主要的保护因素是积极应对方式、自我效能、社会支持以及对未来的希望,共能解释乳腺癌患者67%的心理韧性变异以及54%的自我超越变异量,该模型增加了我们对乳腺癌患者心理韧性结构的理解,可以为今后其他的干预措施提供借鉴。

The purpose of article was to report on evaluation of resilience model for breast cancer（RM-BC）among breast cancer patients based on the Kumpfer＇s theory and Model of ＂ Shift-Persist＂.An exploratory evaluation of RM-BC was done using exploratory latent variable structural equation modeling with a sample from three hospitals in Guangzhou（n=420）.Results supporting the RM-BC as a theory with a high level of explained variance for outcomes of resilience（67%）and transcendence（54%）,and the influencing factors are courageous coping strategies,emotional distress（anxiety,depression,illness uncertainty）,intrusive thoughts,physical distress（pain,nausea,fatigue）,hope for the future and social support.Understanding of the resilience and its structure among breast cancer patients is increased.RM-BC can be a useful guideline to develop targeted interventions to improve the quality of life of breast cancer survivors.