胆囊结石伴胆总管结石患者术后自我感受负担在领悟社会支持与应对方式间的中介效应

Mediating Effect of Self-perceived Burden on Perceived Social Support and Coping Style in Patients with Cholecystolithiasis and Choledocholithiasis After Operation

目的分析胆囊结石伴胆总管结石患者术后自我感受负担在领悟社会支持与应对方式间的中介效应。方法选取2017年1月至2021年6月在商丘市第一人民医院接受胆囊结石伴胆总管结石术的115例患者作为研究对象,于术后1周评估全部患者自我感受负担[自我感受负担量表(SPBS)]、领悟社会支持量表(PSSS)、应对方式[简易应对方式问卷(SCSQ)]评分,采用中介效应检验胆囊结石伴胆总管结石术后患者自我感受负担在领悟社会支持与应对方式间的中介效应。结果115例胆囊结石伴胆总管结石术后患者经评估,SPBS评分为(33.51±2.28)分;PSSS评分为(60.39±5.42)分;SCSQ积极应对评分为(26.21±2.19),消极应对评分为(17.08±2.02)分。经一般线性双变量Pearson直线相关性分析检验,胆囊结石伴胆总管结石术后患者SPBS评分与PSSS评分、积极应对方式呈负相关(r<0,P<0.05),与消极应对评分呈正相关(r>0,P<0.05);PSSS评分与消极应对呈负相关(r<0,P<0.05),与积极应对评分呈正相关(r>0,P<0.05)。考察领悟社会支持对应对方式的影响,得出回归效应显著;考察领悟社会支持对自我感受负担的影响,得出回归效应显著;考察自我感受负担在领悟社会支持与应对方式间的中介效应,为部分中介效应模型。结论自我感受负担在胆囊结石伴胆总管结石术后患者领悟社会支持与应对方式间发挥中介效应。

Objective To analyze the mediating effect of self-perceived burden on perceived social support and coping style in patients with cholecystolithiasis and choledocholithiasis after operation.Methods A total of 115 patients with cholecystolithiasis and choledocholithiasis who underwent cholecystolithiasis and choledocholithiasis surgery in Shangqiu First People’s Hospital from January 2017 to June 2021 were selected as the research subjects.The self-perceived burden[self-perceived burden scale(SPBS)],perceived social support scale(PSSS)and coping style(SCSQ)scores of all patients were assessed one week after operation.Mediating effect was used to test the mediating effect of self-perceived burden on perceived social support and coping style in patients with cholecystolithiasis and choledocholithiasis after operation.Results The SPBS score of 115 patients with cholecystolithiasis and choledocholithiasis was(33.51±2.28)after assessment,PSSS score was(60.39±5.42),the positive coping score of SCSQ was(26.21±2.19),and the negative coping score was(17.08±2.02).Through the general linear bivariate Pearson linear correlation analysis,the SPBS score was negatively correlated with PSSS score and positive coping style in patients with cholecystolithiasis and choledocholithiasis after operation(r<0,P<0.05),and positively correlated with negative coping style(r>0,P<0.05).PSSS score was negatively correlated with negative coping(r<0,P<0.05),and positively correlated with positive coping score(r>0,P<0.05).The effect of perceived social support on coping style was investigated,and the regression effect was significant,the impact of social support on self-perceived burden was investigated,and the regression effect was significant,the mediating effect of self-perceived burden on perceived social support and coping style was investigated,it was concluded that the regression effect was significant,which was a partial mediating effect model.Conclusion Self-perceived burden plays a mediating role between perceived social support and coping style in patients with cholecystolithiasis and choledocholithiasis after operation.