希望水平在NSCLC免疫治疗病人心理韧性和应对方式间的中介效应

    Mediating effects of hope level between psychological resilience and coping style in NSCLC patients treated with immunotherapy

    • 摘要: 目的:调查非小细胞肺癌(NSCLC)免疫治疗病人希望水平、心理韧性及应对方式的现状,探讨希望水平在心理韧性和应对方式的中介效应关系。方法:采用便利抽样法选取行免疫治疗的124例NSCLC病人作为研究对象,采用一般资料问卷、Herth希望量表、医学应对方式问卷、心理韧性量表进行调查。结果:NSCLC免疫治疗病人希望水平得分为(36.84±4.01)分,心理韧性得分(60.12±16.08)分,医学应对方式得分(43.01±5.51)分。结构方程模型检验显示,希望水平在心理韧性与应对方式间存在部分中介作用,中介效应占总效应的45.93%。结论:在NSCLC免疫治疗病人中,希望水平能够提高病人的心理韧性,使病人采用积极的心态来应对疾病,并在其中起到部分中介调节作用。

       

      Abstract: Objective: To investigate the status quo of hope level,psychological resilience and coping style in non-small cell lung carcinoma(NSCLC) patients treated with immunotherapy,and mediating effects of hope level between psychological resilience and coping style. Methods: A total of 124 NSCLC patients treated with immunotherapy were selected using the convenience sampling,and investigated using the general information questionnaire,Herth hope scale,medical coping style questionnaire and psychological resilience scale. Results: The scores of hope level,psychological resilience and medical coping style of NSCLC patients treated with immunotherapy were (36.84±4.01) points,(60.12±16.08) points and (43.01±5.51) points,respectively.Through structural equation test,it was found that hope level had a partial mediating effect between psychological resilience and coping style,and the mediating effect accounted for 45.93% of total effect. Conclusions: For the NSCLC patients treated with immunotherapy,the hope level can improve the psychological resilience of patients,so that the patients adopt a positive attitude to cope with the disease,and play a part in mediating the role.

       

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