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垂体瘤术后病人应对方式、希望水平与生活质量的结构方程模型 被引量:12

Structural equation model of coping style,hope level and quality of life of patients after pituitary tumor surgery
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摘要 [目的]探讨垂体瘤术后病人应对方式、希望水平与生活质量的关系。[方法]选取2010年1月—2014年10月在苏州大学附属第一医院接受垂体瘤手术后病人409例,采用自制垂体瘤术后一般资料调查表、健康状况调查问卷(SF-36中文版)、医学应对问卷、Herth希望指数量表进行调查,并建立垂体瘤术后病人应对方式、希望水平与生活质量关系的结构方程模型。[结果]垂体瘤术后病人应对方式面对、回避、屈服评分分别为(18.22±3.90)分、(17.35±3.32)分、(9.27±2.39)分;希望水平评分为(34.39±3.21)分;生活质量的8个维度躯体功能、躯体角色、躯体疼痛、总健康、生命力、社会功能、情感角色、心理健康评分分别是(84.59±11.69)分、(33.44±12.33)分、(43.97±10.90)分、(45.53±12.29)分、(53.64±11.45)分、(57.97±18.13)分、(41.73±17.86)分、(53.57±11.40)分;面对维度对希望水平之间有正向效应(β=0.053,P<0.01),对生活质量有直接的正向效应(β=0.491,P<0.01);屈服维度评分对希望水平有直接负向效应(β=-0.049,P<0.05),对生活质量有直接的负向效应(β=-1.456,P<0.01);希望水平对生活质量有直接正向效应(β=1.512,P<0.01)。[结论]垂体瘤术后病人的希望水平可直接影响生活质量,应对方式对生活质量有直接或间接影响。 Objective:To probe into the relationship among coping style,hope level and quality of life of patients after pituitary tumor surgery. Methods: A total of 409 pituitary tumor patients who received surgery were in affiliated first hospital of Soochow University from January 2010 to October 2014, then they were investigatedby using self - made pituitary adenoma postoperative general information questionnaire, SF - 36 Chineseversion medical coping questionnaire and Herth hope index scale,and to establish the structural equation modelof coping style, hope elvel and quality of life of patients after pituitary adenoma surgery. Results: The scores offace,avoidance and resignation in coping style of patients after pituitary adenoma surgerywere respectively(18. 22士3.90) ,(17.35士3.32) ,and (9.27士2.39) ;the score of hope level was(34.39士3.21) ;and therewere 8 dimensionsof quality of lifewhich included physical function, physical role, bodily pain, general health, vitality, socialfunction, emotional role,mental health; their scoreswere respectively (84.59士 11.69),(33.44士 12.33),(43.97士10.90) ,(45.53士 12.29),(53.64士 11. 4 5 ),(57. 97士 18. 13),(41. 73 士 17. 86 ),(53. 57 士 11. 40) ;facing dimensionscore had a positive effect for hope level score(^=0. 053,P <0. 01) also had a direct positive quality of life score(^=0. 491,P <0. 01) ;resignation dimension score had a direct negative effect for hope levelscore(/?= 一0. 049,P <0. 05) , also had a dirett negative effect for the quality of life score(^= 一 1. 456,P <0. 01) ;thehope level score had a direct positive effect for the quality of life score(/?=1. 512, P < 0 . 01). Conclusion: Thehope level of patients after pituitary adenoma surgery could directly influence their quality of life,style had a direct or indirect effect for the quality of life.
作者 吴超 沈梅芬 颜琪 张海英 丁建平 Wu Chao;Shen Meifen;Yan qi(The First Affiliated Hospital of Soochow University,Jiangsu 215006 China)
出处 《护理研究(中旬版)》 2016年第12期4402-4406,共5页 Chinese Nursing Researsh
关键词 垂体瘤 应对方式 希望 生活质量 结构方程模型 pituitary ademoma coping style hope quality of life structural equation model
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