心理弹性在育龄期乳腺癌患者社会支持与生育忧虑间的中介效应

Mediating effect of psychological resilience in breast cancer patients on social support and fertility anxiety

目的分析乳腺癌患者生育忧虑的现状,探讨心理弹性在年轻乳腺癌患者社会支持与生育忧虑间的中介作用。方法于2020年1—5月在天津医科大学肿瘤医院采用一般资料调查表、癌症后生育忧虑量表、领悟社会支持量表、心理弹性量表对120例年轻乳腺癌患者进行问卷调查。分析心理弹性、社会支持与生育忧虑之间的关系以及心理弹性在其中的中介效应。结果社会支持、心理弹性均与生育忧虑总分及各维度得分呈显著负相关(r值为-0.428~-0.126,P<0.05),社会支持对生育忧虑有显著负性预测作用(β=-0.386,P<0.001)。心理弹性在社会支持与生育忧虑中具有部分中介效应,中介效应占总效应的35.8%。结论心理弹性在社会支持与生育忧虑间具有中介作用。护理人员可从提高患者的心理弹性水平和社会支持两个角度来改善育龄期乳腺癌患者的生育忧虑水平。

Objective To study the status and influencing factors of fertility anxiety in breast cancer patients,and analyze the relationship between social support and fertility anxiety and the mediating role of psychological resilience.Methods From January to May,2020,120 young breast cancer patients were investigated by the Cancer Reproductive Anxiety Scale,the Perceived Social Support Scale,and the Self-Resilience Scale and analyze the relationship of psychological resilience,social support with fertility anxiety,as well as the mediating role of psychological resilience among them.Results Social support,psychological resilience were significantly negatively related to fertility anxiety and all dimensions(r value was-0.428 to-0.126,P<0.05).Social support had negative predicting effect on fertility anxiety(βvalue was-0.386,P<0.001).Psychological resilience of breast cancer patients had a partial mediating role between social support and fertility anxiety,accounting for the 35.8%of the total effect.Conclusions Psychological resilience plays an important role in alleviating the fertility anxiety of breast cancer patients.Enhancing the psychological elasticity of breast cancer patients is an effective way to alleviate the anxiety of breast cancer patients.