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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