自尊在肠癌患者心理弹性与社交回避及苦恼间的中介效应分析

Mediating effect of self-esteem between psychological resilience and social avoidance and distress in colorectal cancer patients

目的探讨自尊在肠癌患者心理弹性与社交回避及苦恼间的中介效应。方法采用便利抽样法,于2023年2—7月选取在山西省肿瘤医院门诊复查的210例肠癌患者为研究对象。采用一般资料调查表、心理弹性量表(CD-RISC)、自尊量表(SES)、社交回避及苦恼量表(SADS)对患者进行调查。本研究共发放问卷210份,回收有效问卷205份。结果本研究结果显示,肠癌患者SADS总分为(13.41±6.51)分;SES总分为(23.14±5.68)分;CD-RISC总分为(57.27±13.33)分。中介效应分析结果显示,自尊在肠癌患者心理弹性与社交回避及苦恼间起部分中介效应,中介效应占总效应的37.08%。结论肠癌患者的社交回避及苦恼处于中等偏高水平,心理弹性既可以直接影响患者的社交回避及苦恼,也可以通过自尊间接影响患者的社交回避及苦恼。医护人员应采取一定的干预措施提高肠癌患者的心理弹性和自尊水平,从而降低其社交回避及苦恼,帮助患者顺利回归社会。

ObjectiveTo explore the mediating effect of self-esteem between psychological resilience and social avoidance and distress in colorectal cancer patients.MethodsTotally 210 colorectal cancer patients who visited the outpatient clinic for follow-up at Shanxi Province Cancer Hospital from February to July 2023 were selected by convenience sampling.Data were collected using a general information questionnaire,the Connor-Davidson Resilience Scale(CD-RISC),the Self-Esteem Scale(SES),and the Social Avoidance and Distress Scale(SADS).A total of 210 questionnaires were distributed,with 205 valid responses.ResultsThe results showed that the total SADS score of colorectal cancer patients was(13.41±6.51),the total SES score was(23.14±5.68),and the total CD-RISC score was(57.27±13.33).Mediating effect analysis indicated that self-esteem partially mediated the relationship between psychological resilience and social avoidance and distress,accounting for 37.08%of the total effect.ConclusionsColorectal cancer patients exhibit moderate to high levels of social avoidance and distress.Psychological resilience can directly affect patients'social avoidance and distress and can also have an indirect effect through self-esteem.Healthcare providers should implement intervention measures to enhance psychological resilience and self-esteem in colorectal cancer patients,thereby reducing social avoidance and distress and facilitating their reintegration into society.