心理弹性在中青年乳腺癌患者应对方式与自我调节疲劳关系中的中介作用研究

doi:10.3969/j.issn.1006-5253.2021.04.006

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摘要目的分析中青年乳腺癌患者应对方式、心理弹性及自我调节疲劳的关系，探讨心理弹性在应对方式与自我调节疲劳间的中介作用。方法选取2018年6月至2020年6月某三级甲等医院263例中青年乳腺癌患者（18～＜60岁）为研究对象，采用Pearson法分析患者应对方式、心理弹性与自我调节疲劳间的关系，采用bootstrap法检验心理弹性在应对方式和自我调节疲劳间的中介效应。结果自我调节疲劳总分为（51.36±8.79）分，积极应对得分为（29.04±4.65）分，消极应对得分为（16.89±5.47）分，心理弹性得分为（20.96±5.82）分。年龄40～＜60岁的乳腺癌患者自我调节疲劳得分为（53.15±7.88）分,高于18～＜40岁的患者（50.68±9.04）分。家庭月收入≤3 000元的患者自我调节疲劳得分为（53.79±9.31）分,高于其他组。Person相关分析显示自我调节疲劳得分与积极应对得分、心理弹性得分均呈负相关（r =-0.269、-0.275，P＜0.01），与消极应对得分呈正相关（r =0.414，P＜0.01）。bootstrap检验中介效应显示，心理弹性在积极应对方式与自我调节疲劳间具有部分中介效应，间接效应为-0.12；心理弹性在消极应对方式与自我调节疲劳间具有部分中介效应，间接效应为0.04。结论中青年乳腺癌患者存在自我调节疲劳问题,应对方式和心理弹性是影响自我调节疲劳的因素，心理弹性在应对方式与自我调节疲劳间有部分中介作用。

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	周丽芳
	李琼
	阙巧艳

关键词 ：中青年乳腺癌患者, 应对方式, 心理弹性, 自我调节疲劳, 中介作用

Abstract：Objective To analyze the relationship between coping style, resilience and self-regulatory fatigue in young and middle-aged breast cancer survivors, and to explore the mediating effect of resilience between coping style and self-regulatory fatigue. Methods Totally 263 young and middle-aged breast cancer survivors were investigated by convenient sampling in the department of breast cancer from June 2018 to June 2020. Pearson method was used to analyze the relationship between coping style, mental resilience and self-regulation fatigue, and bootstrap method was used to test the mediating effect of mental resilience on coping style and self-regulation fatigue. Results The total score of self-regulatory fatigue was (51.36±8.79), positive coping style was (29.04±4.65), negative coping style was (16.89±5.47), and resilience was (20.96±5.82). The self-regulated fatigue score (53.15±7.88) of patients with breast cancer aged 40 to 59 years old was higher than that of patients aged 18 to 39 (50.68±9.04). The self-regulated fatigue score of patients with a monthly household income of ≤3 000 ( 53.79±9.31) was higher than that in other groups. The Pearson correlation analysis showed that the self-regulated fatigue score was negatively correlated with the positive coping style score and the resilience score (r =-0.269, -0.275, P<0.01), and positively correlated with the negative coping style score (r=0.414, P<0.01). Bootstrap test indicated that resilience mediated the relationship between positive coping style and self-regulatory fatigue, with the indirect effect -0.12, and resilience mediated the relationship between negative coping style and self-regulatory fatigue, with the indirect effect 0.04.Conclusion Young and middle-aged breast cancer survivors have the problem of self-regulated fatigue. Coping style and resilience could affect self-regulatory fatigue, and resilience could mediate the relationship between coping style and self-regulatory fatigue.

Key words： young and middle-aged breast cancer survivor coping style resilience self-regulatory fatigue mediating effect

收稿日期: 2020-03-29

通讯作者: 周丽芳，Email:zhu3636363@163.com

引用本文:

周丽芳，李琼，阙巧艳. 心理弹性在中青年乳腺癌患者应对方式与自我调节疲劳关系中的中介作用研究[J]. 中国医院统计, 2021, 28(4): 315-320.
Zhou Lifang, Li Qiong, Que Qiaoyan. Mediating effect of resilience on the relationship between coping style and self-regulatory fatigue in young and middle-aged breast cancer survivors. journal1, 2021, 28(4): 315-320.

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http://manu58.magtech.com.cn/Jwk_zgyytj/CN/10.3969/j.issn.1006-5253.2021.04.006 或 http://manu58.magtech.com.cn/Jwk_zgyytj/CN/Y2021/V28/I4/315

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