智谋在初诊乳腺癌患者知觉压力与抑郁间的中介效应

doi:10.3761/j.issn.0254-1769.2019.08.016

中华护理杂志 ›› 2019, Vol. 54 ›› Issue (8): 1197-1200.DOI: 10.3761/j.issn.0254-1769.2019.08.016

智谋在初诊乳腺癌患者知觉压力与抑郁间的中介效应

郭玉茹,刘延锦(),郭丽娜,王静,余溯源,朱义如,魏苗,李砺锋,赵杰

450052 郑州市郑州大学第一附属医院护理部（郭玉茹,刘延锦）,神经内科（郭丽娜,余溯源,朱义如,魏苗）,乳腺外科（王静）,药学部（李砺锋,赵杰）

收稿日期:2019-01-14 出版日期:2019-08-15 发布日期:2019-08-05
通讯作者:
作者简介:郭玉茹：女,本科（硕士在读）,E-mail： guoyuru66@163.com
基金资助:
国家自然科学基金项目(71673254)

The mediating effect of resourcefulness between perceived pressure and depression in newly diagnosed breast cancer patients

GUO Yuru,LIU Yanjin(),GUO Lina,WANG Jing,YU Suyuan,ZHU Yiru,WEI Miao,LI Lifeng,ZHAO Jie

Received:2019-01-14 Online:2019-08-15 Published:2019-08-05

摘要/Abstract

摘要：

目的探讨智谋在初诊乳腺癌患者知觉压力与抑郁间的作用机制,为乳腺癌患者的心理干预提供参考。方法于2018年5月—11月采用智谋量表、中文版知觉压力量表及汉密尔顿抑郁量表,对河南省某三级甲等医院的510例初诊乳腺癌患者进行调查。结果知觉压力、抑郁与智谋呈负相关,知觉压力与抑郁呈正相关（P<0.01）;智谋在知觉压力与抑郁间的中介效应为0.203,占总效应的36.8%。结论智谋是初诊乳腺癌患者知觉压力与抑郁间的中介变量,医护人员应关注乳腺癌患者的智谋水平,对新确诊患者积极进行智谋水平的评估,以便采取干预措施减少其压力、降低其抑郁水平。

关键词: 乳腺肿瘤, 智谋, 压力, 抑郁, 肿瘤护理

Abstract:

Objective To explore the mechanism of resourcefulness between perceived pressure and depression in newly diagnosed breast cancer patients,and to provide a reference for psychological intervention of breast cancer patients from a new perspective. Methods From May to November 2018,510 newly diagnosed breast cancer patients from a tevtiary hospital in Henan Province were investigated with the Resourcefulness Scale,the Chinese version of the Perceived Stress Scale,and the Hamilton Depression Scale. Results Perceived stress,depression and resourcefulness were negatively correlated,and perceived stress was positively correlated with depression（P<0.01）. The mediating effect of resourcefulness on perceived stress and depression was 0.203,accounting for 36.8% of the total effect. Conclusion Resourcefulness is a mediator between perceived stress and depression in newly diagnosed breast cancer patients,suggesting that medical staff should pay attention to the level of resourcefulness of breast cancer patients and actively evaluate the resourcefulness level of newly diagnosed patients in order to redule patient stress and depression levels.

Key words: Breast Neoplasms, Resourcefulness, Stress, Depression, Oncologic Nursing

郭玉茹, 刘延锦, 郭丽娜, 王静, 余溯源, 朱义如, 魏苗, 李砺锋, 赵杰. 智谋在初诊乳腺癌患者知觉压力与抑郁间的中介效应[J]. 中华护理杂志, 2019, 54(8): 1197-1200.

GUO Yuru, LIU Yanjin, GUO Lina, WANG Jing, YU Suyuan, ZHU Yiru, WEI Miao, LI Lifeng, ZHAO Jie. The mediating effect of resourcefulness between perceived pressure and depression in newly diagnosed breast cancer patients[J]. Chinese Journal of Nursing, 2019, 54(8): 1197-1200.

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智谋在初诊乳腺癌患者知觉压力与抑郁间的中介效应

The mediating effect of resourcefulness between perceived pressure and depression in newly diagnosed breast cancer patients

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