智谋在晚期肺癌患者家庭复原力与预感性悲伤之间的中介作用

doi:10.16460/j.issn1008-9969.2024.12.054

摘要/Abstract

摘要： 目的探讨智谋在晚期肺癌患者家庭复原力与预感性悲伤之间的中介效应。方法运用一般资料问卷、家庭复原力问卷、中文版智谋量表及晚期癌症患者预感性悲伤评估量表对广东省4家三级甲等医院住院的307例Ⅲ、Ⅳ期肺癌患者进行横断面调查,并构建结构方程模型。结果本组307例晚期肺癌患者家庭复原力总分为（70.71±14.19）分,智谋总分为（75.12±25.79）分,预感性悲伤总分为（20.33±10.09）分。家庭复原力与预感性悲伤呈负相关（r=-0.486,P<0.01）,智谋与预感性悲伤呈负相关（r=-0.602,P<0.01）,家庭复原力与智谋呈正相关（r=0.507,P<0.01）。中介检验结果显示,家庭复原力可负向预测预感性悲伤（β=-0.309,P<0.01）,家庭复原力与智谋可负向预测预感性悲伤（β=-0.314,P<0.01）。智谋在家庭复原力与预感性悲伤之间起中介作用,效应值为-0.314,占总效应的50.4%。结论晚期肺癌患者的家庭复原力处于中等偏上水平,智谋处于中等水平,预感性悲伤处于中等偏下水平。家庭复原力、智谋均可直接影响晚期肺癌患者的预感性悲伤,家庭复原力也可通过智谋间接影响患者的预感性悲伤。医护人员应积极采取相关措施增强晚期肺癌患者的家庭复原力,提升智谋水平,进而缓解其预感性悲伤。

关键词: 肺癌患者, 智谋, 家庭复原力, 预感性悲伤, 中介作用

Abstract: Objective To explore the mediating effect of resourcefulness between family resilience and anticipatory grief in patients with advanced lung cancer. Methods A cross-sectional survey was conducted among 307 stage III and IV lung cancer patients hospitalized in 4 tertiary grade-A hospitals in Guangdong Province. All patients were investigated using a General Information Questionnaire, the Family Resilience Questionnaire, the Chinese version of Resourcefulness Scale, and the Preparatory Grief in Advanced Cancer Patients. A structural equation model was constructed to analyze the data. Results In this group of patients with advanced lung cancer, the total score of family resilience, resourcefulness and anticipatory grief was 70.71±14.19, 75.12±25.79, and 20.33±10.09, respectively. Family resilience was negatively correlated with anticipatory grief (r=-0.486, P<0.01); resourcefulness was negatively correlated with anticipatory grief (r=-0.602, P<0.01), and family resilience was positively correlated with resourcefulness (r=0.507, P<0.01). Mediation test showed that family resilience could negatively predict anticipatory grief (β=-0.309, P<0.01); family resilience and resourcefulness can negatively predict anticipatory grief(β=-0.314, P<0.01). Resourcefulness played a mediating role between family resilience and anticipatory grief, with the effect value of -0.314, accounting for 50.4% of the total effect. Conclusion Patients with advanced lung cancer have an above-average level of family resilience, a moderate level of resourcefulness, and a lower-average level of anticipatory grief. Both family resilience and resourcefulness can directly affect anticipatory grief in advanced lung cancer patients, with family resilience also indirectly affecting patients’anticipatory grief through resourcefulness. Medical staff should actively take measures to enhance family resilience of patients with advanced lung cancer and improve their level of resourcefulness to relieve their anticipatory grief.

Key words: patient with lung cancer, resourcefulness, family resilience, anticipatory grief, mediating effect

中图分类号:

R473.73

. 智谋在晚期肺癌患者家庭复原力与预感性悲伤之间的中介作用[J]. 护理学报, 2024, 31(12): 54-58.

LI Li-xiang, LIU Qiong-ling, WAN Chong-hua, WANG Li-ping, LIN Hua-min, ZHU Xiao-jia, CHEN Zhen-fei, LIANG Wen-xin, LI Qi-zhen. Mediating effect of resourcefulness between family resilience and anticipatory grief in patients with advanced lung cancer[J]. Journal of Nursing, 2024, 31(12): 54-58.

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