中国肺癌患者的社会支持、应对方式、感知压力与心理困扰之间的关系。
Relationships among Social Support, Coping Style, Perceived Stress, and Psychological Distress in Chinese Lung Cancer Patients.
作者信息
Tian Xu, Jin Yanfei, Chen Hui, Tang Ling, Jiménez-Herrera Maria F
机构信息
Department of Nursing, Faculty of Nursing, Rovira I Virgili University, Tarragona, Spain.
Department of Gastroenterology, Chongqing University Cancer Hospital, School of Medicine, Chongqing, China.
出版信息
Asia Pac J Oncol Nurs. 2021 Jan 29;8(2):172-179. doi: 10.4103/apjon.apjon_59_20. eCollection 2021 Mar-Apr.
OBJECTIVE
Social support is associated with improved psychological distress in cancer patients. This study investigates the impact of social support on Chinese lung cancer patients' psychological distress and further clarifies the mediating role of perceived stress and coping style.
METHODS
A cross-sectional survey study examined social support and psychological distress in 441 patients diagnosed with lung cancer from seven hospitals in Chongqing, China, between September 2018 and August 2019. Coping style and perceived stress were considered to be potential mediators of adjustment outcomes.
RESULTS
We found a detection rate of 17.7% for psychological distress among Chinese lung cancer patients. Social support was in significantly negative association with psychological distress, which was partially mediated by confrontation coping and perceived stress.
CONCLUSIONS
Social support appears to contribute to ameliorate psychological distress by enhancing confrontation coping with cancer and enhancing perceived stress. There is a need for the development and evaluation of psychological intervention program to enhance the buffering effects of social support in lung cancer patients.
目的
社会支持与癌症患者心理困扰的改善相关。本研究调查社会支持对中国肺癌患者心理困扰的影响,并进一步阐明感知压力和应对方式的中介作用。
方法
一项横断面调查研究对2018年9月至2019年8月期间在中国重庆七家医院确诊为肺癌的441例患者的社会支持和心理困扰进行了调查。应对方式和感知压力被认为是调整结果的潜在中介因素。
结果
我们发现中国肺癌患者心理困扰的检出率为17.7%。社会支持与心理困扰呈显著负相关,其中部分通过对抗性应对和感知压力起中介作用。
结论
社会支持似乎通过增强对癌症的对抗性应对和增强感知压力来缓解心理困扰。有必要开展和评估心理干预项目,以增强社会支持对肺癌患者的缓冲作用。
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本文引用的文献
Cancer Rep (Hoboken). 2019-10
Asia Pac J Oncol Nurs. 2019-10-4
Support Care Cancer. 2019-11-9
J Natl Compr Canc Netw. 2019-10-1
Medicine (Baltimore). 2019-6
Chin J Cancer Res. 2018-12
CA Cancer J Clin. 2018-1-4