社会支持对甲状腺癌术后病人病耻感影响:心理一致感的中介效应

    The effects of social support on stigma in patients with thyroid cancer after surgery: the mediating effect of psychological congruence

    • 摘要:
      目的 探讨心理一致感在甲状腺癌术后病人病耻感与社会支持间的中介效应。
      方法 选取甲状腺癌术后病人248例为研究对象,采用一般资料调查表、心理一致感量表、社会影响量表(病耻感)及社会支持量表对病人进行问卷调查。
      结果 248例甲状腺癌术后病人病耻感得分为(45.91±6.13)分,心理一致感得分(49.38±7.46)分,社会支持得分为(38.70±5.63)分。Pearson相关分析显示,甲状腺癌术后病人心理一致感总分、社会支持总分均与病耻感总分呈明显负相关关系(P < 0.05~P < 0.01),心理一致感总分与社会支持得分呈明显正相关关系(P < 0.01)。心理一致感在社会支持与病耻感间起部分中介效应,中介效应值为13.7%。
      结论 甲状腺癌术后病人心理一致感处于较低水平,社会支持和病耻感处于中等水平,临床应提高对病人社会支持的重视程度,开展个性化认知干预提升病人心理一致感水平,从而降低甲状腺癌术后病人病耻感。

       

      Abstract:
      Objective To explore the mediating effect of psychological congruence between stigma and social support in patients with thyroid cancer after surgery.
      Methods A total of 248 postoperative thyroid cancer patients were selected for the study, and investigated using the general data questionnaire, psychological congruence scale, social impact scale(stigma) and social support scale.
      Results The score of stigma, psychological congruence, and social support in 248 postoperative patients with thyroid cancer were (45.91±6.13) points, (49.38±7.46) points and (38.70±5.63) points, respectively.The results of Pearson correlation analysis showed that the total scores of psychological congruence and social support were negatively correlated with the total score of stigma(P < 0.05 to P < 0.01), and the psychological congruence score was positively correlated with the score of social support(P < 0.01).The psychological congruence played partial mediating effect between social support and stigma, and the mediating effect value was 13.7%.
      Conclusions The psychological congruence of thyroid cancer patients after surgery is at a low level, and the social support and stigma are at a medium level.The clinical attention should be paid to the social support of patients, and personalized cognitive intervention should be carried out to improve the level of psychological coherence of patients, so as to reduce the stigma of thyroid cancer patients after surgery.

       

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