关键词: medical coping modes non‐small cell lung cancer oncology psychological resilience psycho‐oncology self‐efficacy social support

Mesh : Adaptation, Psychological Adult Aged Carcinoma, Non-Small-Cell Lung / psychology surgery China / epidemiology Cross-Sectional Studies Female Humans Lung Neoplasms / psychology surgery Male Middle Aged Postoperative Period Quality of Life / psychology Resilience, Psychological Self Efficacy Social Support Surveys and Questionnaires

来  源:   DOI:10.1002/pon.5485   PDF(Sci-hub)

Abstract:
The psychological resilience of postoperative non-small cell lung cancer (NSCLC) patients is influenced by many factors. The purpose of this study is to investigate the current state of psychological resilience and identify its influencing factors in postoperative NSCLC patients.
This descriptive cross-sectional study used a convenience sampling method and recruited 382 inpatients from two Class A hospitals in Hunan, China. The Connor-Davidson Resilience Scale (CD-RISC), Strategies Used by People to Promote Health (SUPHH), Medical Coping Modes Questionnaire (MCMQ), and Multidimensional Scale of Perceived Social Support (MSPSS) were used.
Postoperative NSCLC patients\' psychological resilience was at a low level, with a score of (57.18 ± 8.55). Stepped Linear Regression showed that the related influencing factors of psychological resilience of postoperative NSCLC patients were age (β = -0.313, P < .001), family average income (β = 0.143, P < .001), self-efficacy (β = 0.416, P < .001), confrontation (β = 0.116, P < .001) and acceptance-resignation (β = -0.155, P < .001), which could explain 58.0% of the total variation in psychological resilience (F = 103.68, P<.001).
Psychological resilience is positively predicted by average income, self-efficacy, confrontation, but negatively predicted by age and acceptance-resignation. Self-efficacy is the most important variable influencing psychological resilience in postoperative NSCLC patients. In the future, a series of targeted interventions need to be implemented to strengthen patients\' self-efficacy and psychological resilience, which can also improve the quality of life of postoperative NSCLC patients.
摘要:
非小细胞肺癌(NSCLC)患者术后心理弹性受多种因素影响。目的探讨非小细胞肺癌术后患者心理弹性的现状及其影响因素。
这项描述性横断面研究采用便利抽样的方法,从湖南两家甲级医院招募了382名住院患者,中国。康纳-戴维森弹性量表(CD-RISC)人们用来促进健康的策略(SUPHH),医学应对方式问卷(MCMQ),并使用多维感知社会支持量表(MSPSS)。
术后非小细胞肺癌患者的心理弹性处于较低水平,得分为(57.18±8.55)分。逐步回归结果显示,影响NSCLC患者术后心理韧性的相关因素为年龄(β=-0.313,P<.001),家庭平均收入(β=0.143,P<.001),自我效能感(β=0.416,P<.001),对抗(β=0.116,P<.001)和接受辞职(β=-0.155,P<.001),这可以解释心理弹性总变异的58.0%(F=103.68,P<.001)。
心理弹性是由平均收入正向预测的,自我效能感,对抗,但对年龄和接受辞职的预测是负面的。自我效能是影响NSCLC患者术后心理弹性的最重要变量。在未来,需要实施一系列有针对性的干预措施来增强患者的自我效能感和心理韧性,提高NSCLC患者术后生活质量。
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