自尊在晚期肺癌化疗病人领悟社会支持和经验性回避间的中介效应

Mediating effect of self-esteem on perceived social support and experiential avoidance in patients with advanced lung cancer undergoing chemotherapy

目的:探讨自尊在晚期肺癌化疗病人领悟社会支持和经验性回避间的中介效应。方法:采用便利抽样法,选取2023年6月—8月湖南省某肿瘤医院的392例晚期肺癌化疗病人,采用一般资料调查表、领悟社会支持量表、自尊量表和接纳与行动问卷第二版对病人进行调查。结果:晚期肺癌化疗病人经验性回避得分为(26.28±8.53)分,与领悟社会支持(r=-0.524,P<0.001)、自尊(r=-0.505,P<0.001)呈负相关;自尊在领悟社会支持与经验性回避间起部分中介作用[间接效应系数为-0.136,95%CI(-0.362,-0.182)],中介效应占比22.44%。结论:领悟社会支持可负向预测肺癌化疗病人经验性回避,自尊在其中起部分中介作用。建议医务工作者可以通过增强病人的领悟社会支持状况,提高病人的自尊水平,以减少晚期肺癌病人的经验性回避程度。

Objective:To explore the mediating effect of self-esteem on perceived social support and experiential avoidance in patients with advanced lung cancer undergoing chemotherapy.Methods:A total of 392 patients with advanced lung cancer undergoing chemotherapy in a cancer hospital in Hunan province from June 2023 to August 2023 were selected by convenience sampling.The patients were surveyed using the general information questionnaire,Perceived Social Support Scale,Self-esteem Scale,and Acceptance and Action Questionnaire II.Results:The experiential avoidance score of patients with advanced lung cancer undergoing chemotherapy was(26.28±8.53),which was negatively correlated with perceived social support(r=-0.524,P<0.001)and self-esteem(r=-0.505,P<0.001).Self-esteem partially mediated between perceived social support and experiential avoidance(indirect effect coefficient:-0.136,95%CI:-0.126,-0.032),and the mediating effect accounted for 22.44%.Conclusions:Perceived social support can negatively predict experiential avoidance in patients with lung cancer undergoing chemotherapy,and self-esteem plays a partial mediating role.It is suggested that medical workers can reduce the degree of experiential avoidance in patients with advanced lung cancer by enhancing the perceived social support of patients and improving their self-esteem.