心理弹性在乳腺癌病人领悟社会支持与生活质量关系中的作用

Role of resilience in relationship between perceived social support and quality of life of breast cancer patients

[目的]在了解乳腺癌病人领悟社会支持和生活质量现状的基础上,探讨心理弹性在两者关系中的作用。[方法]采用领悟社会支持量表、心理弹性量表及乳腺癌病人生活质量测定量表对124例乳腺癌病人进行调查,采用Pearson相关分析、中介效应检验分析其中的关系。[结果]乳腺癌病人领悟社会支持得分为(61.69±11.37)分,处于中等水平,朋友支持得分最低;心理弹性得分为(53.58±19.77)分,处于较低水平,乐观维度得分最低;生活质量得分为(84.15±20.23)分,处于中等水平;领悟社会支持、心理弹性、生活质量两两呈正相关(P<0.01)。心理弹性在领悟社会支持和生活质量间起中介作用(P<0.01),中介效应为60.6%。[结论]乳腺癌病人生活质量有待进一步提高,可以通过加强领悟社会支持尤其是朋友支持来直接提高,也可以通过提高心理弹性水平尤其是对力量性格的锻炼来间接提高。

Objective:On the basis of understanding the status quo of perceived social support and quality of life in breast cancer patients to probe into the effect of resilience in the relationship between them.Methods:A total of 124 breast cancer patients were surveyed by Perceived Social Support Scale,Psychological Elasticity Scale and Quality of Life Scale.Pearson correlation analysis and mediation effect test were used to analyze the relationship among them.Results:Breast cancer patients′perceived social support score was(61.69±11.37),which was at the middle level,while friends′support score was the lowest.The score of resilience was(53.58±19.77),which was at a low level,and the score of optimism dimension was the lowest.The score of quality of life was(84.15±20.23),which was in the middle level.There was a positive correlation between perceived social support,resilience and quality of life(P<0.01).Psychological resilience played a mediating role between perceived social support and quality of life(P<0.01),and the mediating effect was 60.6%.Conclusions:The quality of life of breast cancer patients needed to be further improved.It could be directly improved by strengthening the perceived social support,especially the support of friends.It could also be indirectly improved by improving the level of resilience,especially the exercise of strength and character.