癌症复发患者照顾者准备度在社会支持和获益感间的中介效应

Mediating Effects of Caregiver Readiness on Social Support and Perceived Benefit Among Caregivers of Patients with Recurrent Cancer

目的探讨照顾者准备度在癌症复发患者照顾者社会支持和照顾者获益感间的中介效应。方法采用一般资料调查表、社会支持评定量表、照顾者准备度量表及疾病获益感量表修订版对郑州大学第二附属医院收治的259例癌症复发患者的照顾者进行调查。结果癌症复发患者照顾者社会支持、照顾者准备度、获益感得分分别为(40.90±5.32)分、(17.81±3.46)分、(69.17±12.56)分。癌症复发患者照顾者的社会支持与照顾者准备度、照顾者获益感呈正相关(r=0.222,P<0.001;r=0.337,P<0.001);照顾者准备度与照顾者获益感呈正相关(r=0.779,P<0.001)。中介效应模型表明,照顾者准备度是癌症复发患者照顾者社会支持和获益感之间的中介变量,中介效应占总效应的43.63%。结论癌症复发患者照顾者社会支持、照顾者准备度可直接预测其获益感,医护人员应重视癌症复发患者的照顾者心理状况。

Objective To explore the mediating effect of caregiver preparedness between social support and benefit finding among caregivers of patients with cancer recurrence.Methods The caregivers of 259 patients with cancer recurrence in the Second Affiliated Hospital of Zhengzhou University were investigated by using the general information questionnaire,social support rate scale,preparedness for caregiving scale and the revised Chinese version of benefit finding scale.Results The scores of social support,caregiver preparedness and benefit finding of caregiver were(40.90±5.32),(17.81±3.46)and(69.17±12.56).The social support of caregivers of patients with cancer recurrence was positively correlated with caregiver preparedness and benefit finding of caregiver(r=0.222,P<0.001;r=0.337,P<0.001).There was also a positive correlation between caregiver preparedness and benefit finding of caregiver(r=0.779,P<0.001).The mediation effect model shows that caregiver preparedness is an intermediary variable between social support and benefit finding of caregiver,and the mediating effect accounts for 43.63%of the total effect.Conclusion The social support and caregiver preparedness can directly predict their benefit finding.Medical staff should pay attention to the psychological status of caregivers of patients with cancer recurrence.