应对方式在胃癌患者术后自我感受负担与生活质量间的中介效应分析

Mediating Effect of Coping Style on Postoperative Self-perceived Burden and Quality of Life in Patients with Gastric Cancer

目的分析应对方式在胃癌患者术后自我感受负担与生活质量间的中介效应。方法选取2019年4月至2021年4月商丘市第一人民医院收治的100例胃癌患者为研究对象,于术后1个月采用自我感受负担量表(SPBS)评估患者自我感受负担,采用简易应对方式问卷(SCSQ)评估应对方式,采用生活质量核心问卷(QLQ-C30)评估生活质量。通过中介效应检验程序检验应对方式在胃癌患者术后自我感受负担与生活质量间的中介效应。结果术后1个月,100例胃癌患者术后SPBS评分为(32.62±2.36)分,SCSQ中积极应对评分为(26.25±2.29)分,消极应对评分为(17.15±2.15)分,QLQ-C30评分为(55.12±3.24)分。经Pearson直线相关性分析,胃癌患者术后SPBS评分与QLQ-C30评分、消极应对评分呈正相关(r>0,P<0.05),与积极应对评分呈负相关(r<0,P<0.05)。QLQ-C30评分与消极应对评分呈正相关(r>0,P<0.05),与积极极应对评分呈负相关(r<0,P<0.05)。中介效应分析结果显示,自我感受负担对生活质量影响显著(Y=cX+e_(1),c=0.989,P<0.001),消极应对方式在自我感受负担与生活质量间有部分中介效应(M=AX+e_(2),A=0.438,P<0.001;Y=c’X+bM+e_(3),c’=0.622,b=0.838,P<0.001),积极应对方式在自我感受负担与生活质量间有部分中介效应(M=AX+e_(2),A=-0.465,P<0.001;Y=c’X+bM+e_(3),c’=0.628,b=-0.776,P<0.001)。结论应对方式在胃癌患者术后自我感受负担与生活质量间具有部分中介效应。

Objective To analyze the mediating effect of coping style on postoperative self-perceived burden and quality of life in patients with gastric cancer.Methods A total of 100 gastric cancer patients admitted to Shangqiu First People’s Hospital from April 2019 to April 2021 were selected as the research objects.One month after the surgery,the self-perceived burden scale(SPBS)was used to evaluate the patients’self-perceived burden,the simplified coping style questionnaire(SCSQ)was used to evaluate the coping style,and the quality of life core questionnaire(QLQ-C30)was used to evaluate the quality of life.The mediating effect of coping style between postoperative self-perceived burden and quality of life in gastric cancer patients was tested by the mediating effect test procedure.Results One month after the operation,the postoperative SPBS score of 100 gastric cancer patients was(32.62±2.36)points,the positive coping score in SCSQ was(26.25±2.29)points,the negative coping score was(17.15±2.15)points,and the QLQ-C30 score was(55.12±3.24)points.The Pearson linear correlation analysis showed that postoperative SPBS score was positively correlated with QLQ-C30 score and negative coping score in gastric cancer patients(r>0,P<0.05),and negatively correlated with positive coping score(r<0,P<0.05).QLQ-C30 score was positively correlated with negative coping score(r>0,P<0.05),and negatively correlated with positive coping score(r<0,P<0.05).Mediating efect analysis showed that self-perceived burden had a significant impact on quality of life(Y=cX±e_(1),c=0.989,P<0.001),negative coping styles had a partial mediating effect between self-perceived burden and quality of life(M=AX±e_(2),A=0.438,P<0.001;Y=c'X±bM±e_(3),c'=0.622,b=0.838,P<0.001),and positive coping style had a partial mediating effect between self-perceived burden and quality of life(M=AX±e_(2),A=-0.465,P<0.001;Y=c'X±bM±e_(3),c’=0.628,b=-0.776,P<0.001).Conclusion Coping style has a partial mediating effect between self-perceived burden and quality of life in patients with gastric cancer after surgery.