心理韧性在子宫颈癌患者家庭关怀度与述情障碍间的中介效应分析

Analysis on Mediating Effect of Psychological Resilience between Family Care and Alexithymia in Patients with Cervical Cancer

目的:调查子宫颈癌患者心理韧性、家庭关怀度、述情障碍现状,并探讨心理韧性在家庭关怀度与述情障碍之间的中介效应。方法:采用目的抽样法的方法选取2019年2月-2022年2月赣州市肿瘤医院收治的150例子宫颈癌患者,使用基线资料调查表、心理韧性量表(CD-RISC)、家庭亲密度与适应量表(FACESⅡ-CV)、多伦多述情障碍量表-20(TAS-20)进行问卷调查。采用Pearson相关系数、线性回归分析、中介效应分析心理韧性、家庭关怀度与述情障碍的关系。结果:150例子宫颈癌患者述情障碍评分(55.07±8.20)分,其中无述情障碍46例(30.67%),中度述情障碍72例(48.00%),重度述情障碍32例(21.33%);心理韧性评分(59.78±9.63)分,家庭关怀度评分(95.63±10.53)分。经Pearson相关系数检验,结果显示,子宫颈癌患者述情障碍与心理韧性、家庭关怀度之间呈负相关(P<0.05);心理韧性与家庭关怀度之间呈正相关(P<0.05)。经中介效应检验,结果显示,心理韧性在家庭关怀度与述情障碍之间起到完全中介效应的作用,中介效应值占总效应值为82.77%。结论:子宫颈癌患者心理韧性、家庭关怀度均与述情障碍具有相关性,且心理韧性在患者家庭关怀度与述情障碍之前起到完全中介效应,提高患者心理韧性、增加患者家庭关怀度是减轻患者述情障碍的有效途径。

Objective:To investigate the status of psychological resilience,family care and alexithymia in patients with cervical cancer,and to explore the mediating effect of psychological resilience between family care and alexithymia.Method:A total of 150 patients with cervical cancer admitted to Ganzhou Cancer Hospital from February 2019 to February 2022 were selected by purposive sampling,baseline data questionnaire,psychological resilience scale(CD-RISC),family adaptability and cohesion evaluation scaleⅡ(FACESⅡ-CV)and Toronto alexithymia scale-20(TAS-20)were used for questionnaire survey.Pearson correlation coefficient,linear regression analysis and mediating effect were used to analyze the relationship between psychological resilience,family care and alexithymia.Result:The alexithymia scores of 150 patients with cervical cancer was(55.07±8.20)points,including 46 cases(30.67%)of no alexithymia,72 cases(48.00%)of moderate alexithymia,and 32 cases(21.33%)of severe alexithymia;psychological resilience score was(59.78±9.63)points,family care score was(95.63±10.53)points.Through Pearson correlation coefficient test,the results showed that,there were negative correlation between alexithymia and psychological resilience and family care in patients with cervical cancer(P<0.05);there was positive correlation between psychological resilience and family care(P<0.05).Through intermediary effect test,the results showed that,psychological resilience played a complete mediating effect between family care and alexithymia,and the mediating effect value accounted for 82.77%of the total effect value.Conclusion:Psychological resilience and family care of patients with cervical cancer are correlated with alexithymia,and psychological resilience plays a complete mediating effect before family care and alexithymia of patients.Improving patients’psychological resilience and increasing patients’family care are effective ways to reduce patients’alexithymia.