自我效能与社会支持在造血干细胞移植患者乐观倾向与心理韧性间的并列中介效应

Self-efficacy and social support in the coordinating mediating effect between optimistic tendency and psychological resilience in patients with hematopoietic stem cell transplantation

目的探讨造血干细胞移植患者自我效能、社会支持在乐观倾向与心理韧性的中介效应关系。方法采用便利抽样法,于2018年5月~2019年5月使用一般资料调查问卷、心理韧性量表(RS-14)、生活定向测验修订版(LOT-R)、一般自我效能感量表(GSES)、多元领悟社会支持量表(PSSS)对安徽省某三甲医院228例造血干细胞移植患者进行问卷调查,依次检验自我效能、社会支持在乐观倾向与心理韧性间的中介效应,并用Bootstrap法进行验证。结果造血干细胞移植患者心理韧性平均(73.04±13.41)分。乐观倾向、自我效能、社会支持和心理韧性相互呈正相关(均P<0.01)。自我效能和社会支持在乐观倾向与心理韧性间的中介作用显著。结论乐观倾向可直接作用于心理韧性,还可通过自我效能、社会支持中介作用,以及自我效能-社会支持的并列中介作用间接影响心理韧性。

Objective To export the mediating effect of self-efficacy and social support in patients with hemopoietic stem cell transplantation on optimistic tendency and psychological resilience.Methods A total of 228 hospitalized patients with hemopoietic stem cell transplantation in a top three hospital in Anhui Province were enrolled from May 2018 to May 2019 by convenient sampling.Questionnaires were surveyed using the general information questionnaire,the mental resilience scale(RS-14),the life orientation test revision(LOT-R),the general self-efficacy scale(GSES),and the multiple comprehension social support scale(PSSS),to investigate the mediating effect between self-efficacy and social support on optimism tendency and psychological resilience.While the bootstrap method were used for verification.Results The average score of psychological resilience for patients with hemopoietic stem cell transplantation was(73.04±13.41)points.Optimism tendency,self-efficacy,social support and psychological resilience were positively correlated with each other(all P<0.01).Self-efficacy and social support have a significant mediating effect between optimism tendency and psychological resilience.Conclusion The optimistic tendency can directly affect the psychological resilience,while it can also indirectly affect psychological resilience through the mediation effect of self-efficacy and social support,and the coordinating mediating effect of self-efficacy-social support.