恶性肿瘤患者主要照顾者心理弹性影响的路径分析

Path analysis on the influencing factors of resilience among earegivers of cancer patients

目的探讨恶性肿瘤患者主要照顾者心理弹性影响因素及不同因素对心理弹性的作用机制。方法应用康纳一戴维森韧性量表、社会支持评定量表、自我效能感量表、简易应对方式量表及正负性情绪量表对407例恶性肿瘤患者主要照顾者进行问卷调查。结果照顾者心理弹性总分为（67．86±11．36）分；回归分析显示照顾者主观支持、客观支持、自我效能感、积极和消极应对、正性情绪是心理弹性的影响因素（均P〈0．01），共解释了总变异的44．9％；路径分析显示主观支持、客观支持、自我效能感既有直接影响也有间接影响。结论恶性肿瘤患者主要照顾者心理弹性处于中等偏上水平，照顾者的主观支持、客观支持是影响心理弹性的重要因素。

Objective To describe the status quo of influencing factors of resilience among caregivers of cancer patients, and to analyze the influence path. Methods A total of 407 caregivers of cancer patients in tertiary hospital in Xinjiang uygur autonomous region were recruited by cross-sectional survey method. Caregivers were investigated using the Connor-Davidson Resilience Scale, the Social Support Rating Scale, the Self-Efficacy Questionnaire, the Coping Modes Questionnaire, Positive and Negative Affect Schedule. Results The overall resilience score was （67.86 ± 11.36） points. Multiple linear regression analysis showed that caregivers＇ resilience was affected by subjective support, objectivesupport, the self-efficacy, positive and negative coping modes, positive affect （P〈0.01） and explained 44.9% of all the variation, subjective support, objective support and the self-efficacy directly and indirectly influenced resilience of caregivers of cancer patients. Conclusion Caregivers of cancer patient have a relatively high resilience level, subjective support and objective support were important factors.