胰腺癌术后患者主要照顾者相依关系现状及其与领悟社会支持和心理弹性的相关性分析

Correlations among mutuality,perceived social support and resilience among main caregivers of pancreatic cancer patients after surgery

目的探讨胰腺癌手术患者主要照顾者的相依关系现状及其与领悟社会支持和心理弹性的相关性。方法采用便利抽样法,选取2019年3-7月在南京医科大学第一附属医院进行胰腺癌手术的150名患者主要照顾者为研究对象。采用一般资料调查表、相依关系量表、领悟社会支持量表及10条目心理弹性量表进行调查。本研究共发放问卷150份,回收有效问卷144份。结果144名胰腺癌术后患者主要照顾者的相依关系总均分为(2.75±0.73)分。Pearson相关分析结果显示,主要照顾者相依关系与领悟社会支持和心理弹性呈正相关(P<0.01)。分层回归分析显示,性别、经济收入、领悟社会支持和心理弹性均进入回归方程,除一般资料的影响外,领悟社会支持和心理弹性能够解释变量的24.5%。结论胰腺癌手术患者照顾者相依关系处于中等偏高水平,与领悟社会支持能力和心理弹性密切相关。建议医护人员应该重视维持照顾者与患者之间的积极关系,促进照顾者身心健康。

Objective To explore the mutuality among main caregivers of pancreatic cancer patients with surgery,and its correlations with the perceived social support and resilience.Methods From March to July 2019,this study selected 150 main caregivers of pancreatic cancer patients with surgery of the First Affiliated Hospital with Nanjing Medical University as subjects by convenience sampling.All of patients were investigated with the General Information Questionnaire,the Mutuality Scale(MS),Perceived Social Support Scale(PSSS)and the 10-item Connor-Davidson Resilience Scale(CD-RISC-10).A total of 150 questionnaires were sent out and 144 valid of them were collected.Results Among 144 main caregivers of pancreatic cancer patients after surgery,the total average score of MS was(2.75±0.73).Pearson correlation analysis results showed that the mutuality of main caregivers had positive correlations with the perceived social support and resilience with statistical differences(P<0.05).Hierarchical regression analysis showed that the genders,income,perceived social support and resilience went into the regression equation;except for the general information,the perceived social support and resilience could explain 24.5%of the variation.Conclusions Main caregivers of pancreatic cancer patients with surgery have the above medium level of mutuality which has close correlations with the perceived social support and resilience.Medical staff should pay attention to maintaining the positive relations between caregivers and patients so as to promote the physical and mental health of caregivers.