正念水平在肠造口病人造口适应与疾病获益感间的中介作用

The mediating effect of mindfulness between ostomy adjustment and disease benefit finding in patients with enterostomy

[目的]分析正念水平在肠造口病人造口适应与其疾病获益感间的中介作用。[方法]采用一般资料调查表、造口病人社会心理适应量表、正念注意觉知量表、癌症病人疾病获益感量表对180例肠造口病人进行调查。[结果]肠造口病人造口适应得分(44.85±7.58)分,正念水平得分(61.83±7.63)分,疾病获益感得分(64.17±7.37)分;正念与造口适应呈正相关(r=0.727,P<0.05),与疾病获益感呈正相关(r=0.586,P<0.05),疾病获益感与造口适应呈正相关(r=0.578,P<0.05);正念在造口适应与疾病获益感间起部分中介作用,中介效应为0.36,占总效应的59.89%。[结论]应重视癌症病人疾病获益感对造口适应的影响,采取有效措施提高病人的疾病获益感及正念水平,从而提升造口适应能力。

Objective:To analyze the mediating effect of mindfulness between ostomy adjustment and benefit finding in patients with enterostomy.Methods:A total of 180 patients with enterostomy were investigated by general information questionnaire,ostomy adjustment inventory,mindfulness level scale and benefit finding scale of cancer patients.Results:The mean scores of ostomy adjustment,mindfulness and benefit finding were 44.85±7.58,61.83±7.63,and 64.17±7.37,respectively.Mindfulness was positively correlated with ostomy adjustment(r=0.727,P<0.05),and was positively correlated with benefit finding(r=0.586,P<0.05),and benefit finding was positively correlated with ostomy adjustment(r=0.578,P<0.05).Mindfulness played a partial mediating role between ostomy adjustment and benefit finding,and its mediating value was 0.36,accounting for 59.89%of the total effect value.Conclusion:It is suggested that we should pay more attention to the effect of cancer patients'benefit finding on ostomy adjustment,and take effective measures to improve patients'benefit finding and mindfulness level,so as to improve ostomy adjustment.