| 王雯雯,张萍,高珂,尚君风,贾萌.疾病恐惧进展在乳腺癌患者自我效能和失志综合征之间的中介效应[J].上海护理,2025,25(12): |
| 疾病恐惧进展在乳腺癌患者自我效能和失志综合征之间的中介效应 |
| Mediating Effect of Fear of Disease Progression between Self-efficacy and Demoralization Syndrome in Breast Cancer Patients |
| 投稿时间：2024-12-26 修订日期：2025-12-09 |
| DOI： |
| 中文关键词: 乳腺癌 失志综合征 恐惧疾病进展 自我效能 |
| 英文关键词:breast cancer demoralization syndrome fear of progression self-efficacy |
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| 中文摘要: |
| 目的:疾病恐惧进展在乳腺癌患者自我效能和失志综合征之间的中介作用。方法:采用便利抽样法,于2022年9月-2023年3月选取山东省某三甲医院乳腺外科接受治疗的273例乳腺癌患者作为研究对象,采用一般资料调查表、一般自我效能量表、疾病恐惧进展简化量表和失志量表对其进行问卷调查。结果:乳腺癌患者失志综合征得分为(29.20±15.50)分。失志综合征总分与恐惧疾病进展总分呈正相关(r=0.522,P<0.010),与自我效能总分呈负相关(r=-0.384,P<0.010)。自我效能对失志综合征的总效应为-0.353(95%CI:-0.482, -0.209,P<0.001),疾病恐惧进展是自我效能和失志综合征的中介变量,中介效应占总效应的44.47%。结论:疾病恐惧进展在乳腺癌患者自我效能和失志综合征间起中介作用,医护人员可以通过提高患者的自我效能,降低恐惧疾病进展程度,从而改善其失志综合征。 |
| 英文摘要: |
| Objective: the mediating effect of disease fear progression between self-efficacy and loss of ambition syndrome in breast cancer patients. Methods: A convenience sampling method was used to select 273 breast cancer patients treated in the Breast Surgery Department of a tertiary hospital in Shandong Province from September 2022 to March 2023, and questionnaires were administered to them using the General Information Questionnaire, the General Self-Efficacy Scale, the Fear of Disease Progression Simplified Scale, and the Loss of Willingness Scale. Results: The score of Lost Aspiration Syndrome in breast cancer patients was (29.20±15.50). The total score of loss of will syndrome was positively correlated with the total score of fear of disease progression (r=0.522, P<0.010) and negatively correlated with the total score of self-efficacy (r=-0.384, P<0.010). The total effect of self-efficacy on Demoralization syndrome was -0.353(95%CI:-0.482, -0.209,P<0.001), and fear of disease progression was a mediating variable between self-efficacy and Demoralization syndrome, with the mediating effect accounting for 44.47% of the total effect. Conclusions: Fear of disease progression mediates between self-efficacy and loss of will syndrome in breast cancer patients, and healthcare professionals can improve patients" loss of will syndrome by increasing their self-efficacy and decreasing their fear of disease progression. |
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