自我表露在尖锐湿疣患者恐惧疾病进展和心理弹性的中介效应分析

Mediating Effect of Self-Disclosure Between Fear of Disease Progression and Mental Resilience in Patients with Condyloma Acuminatum

目的探讨尖锐湿疣患者自我表露、恐惧疾病进展、心理弹性之间的关系。方法选择2021年12月—2023年4月于郑州市某三级甲等医院确诊为尖锐湿疣的295例患者为研究对象。采用患者一般资料调查表、中文版恐惧疾病进展简化量表、中文版痛苦表露指数量表、心理弹性量表简表等进行调查分析。结果患者恐惧疾病进展得分为(38.56±6.370)分,心理弹性得分为(68.64±11.085)分,自我表露得分为(35.00±4.653)分;恐惧疾病进展与心理弹性呈负相关(r=-0.665,P<0.001),与自我表露呈负相关(r=-0.669,P<0.001);自我表露在尖锐湿疣患者心理弹性和恐惧疾病进展间的中介效应为-0.165(95%CI:-0.221~-0.113),占总效应的43.20%。结论自我表露在尖锐湿疣患者心理弹性和恐惧疾病进展间起部分中介效应。通过提高患者心理弹性和自我表露水平,可有效降低患者对疾病进展和复发的恐惧感。

Objective To explore the relationship between self-disclosure,fear of disease progression and mental resilience in patients with condyloma acuminatum.Methods A total of 295 patients diagnosed with condyloma acuminatum from December 2021 to April 2023 in a tertiary hospital in Zhengzhou were enrolled.The patient general information questionnaire,the Fear of Progression Questionnaire-Short form,the Distress Disclosure Index,and the Connor-Davidson Resilience Scale were filled.Results The score for fear of disease progression was 38.56±6.370,the score for mental resilience was 68.64±11.085,and the score for self-disclosure was 35.00±4.653.The progression of fear disease was negatively correlated with mental resilience(r=-0.665,P<0.001)and self-disclosure(r=-0.669,P<0.001).The mediating effect of self-disclosure on mental resilience and fear of disease progression in patients with condyloma acuminatum was-0.165(95%CI:-0.221--0.113),accounting for 43.20%of the total effect.Conclusion Selfdisclosure may partially mediate the effect between mental resilience and fear of disease progression in patients with condyloma acuminatum.By improving patients'mental resilience and self-disclosure level,patients'fear of disease progression and recurrence can be effectively reduced.