肺癌患者希望水平在家庭功能与心理痛苦间的中介作用

Mediating role of hope between family functioning and psychological distress in patients with lung cancer

目的:探讨家庭功能和希望水平对肺癌患者心理痛苦的影响及其作用机制。方法:对142名肺癌患者施测家庭功能量表、心理痛苦管理筛查工具和希望量表。结果:肺癌患者家庭功能与希望水平呈显著负相关(r=-0.39,P<0.01),与心理痛苦呈显著正相关(r=0.35,P<0.01)。肺癌患者希望与其心理痛苦得分呈显著负相关(r=-0.52,P<0.01)。希望在家庭功能与肺癌患者心理痛苦之间存在部分中介作用。结论:家庭功能与希望是肺癌患者心理痛苦的影响因素,家庭功能除了可以直接影响肺癌患者心理痛苦外,还可以通过希望的中介作用影响肺癌患者心理痛苦。

Objective:To explore the influence of family function and hope on psychological distress of lung cancer patients and its mechanism.Methods:The family function scale,psychological distress management screening measure and hope scale were applied to 142 lung cancer patients.Results:Family function was negatively correlated with hope(r=-0.39,P<0.01)and positively correlated with psychological pain(r=0.35,P<0.01).Lung cancer patients had a significantly negative correlation with their scores of psychological distress(r=-0.52,P<0.01).And hope partially mediated the relationship between family functioning and psychological distress in patients with lung cancer.Conclusion:Family function and hope are the influencing factors of psychological distress in lung cancer patients.A good family system helps to cultivate positive personal beliefs and further improve their psychological distress.