Wu Yongcai, Meng Zhaoxuan, Bao Yinan, Zhao Xin, Fan Yannan, Gao Pengxia, Li Chong
School of Nursing, Inner Mongolia Medical University, Hohhot, 010059, Inner Mongolia Autonomous Region, China.
Support Care Cancer. 2024 Dec 11;33(1):15. doi: 10.1007/s00520-024-09055-4.
To explore the mechanism by which coping styles of bladder cancer patients influence the relationship between family functioning and delay in seeking medical care. This knowledge could provide a basis for developing interventions to address delayed medical care for patients with bladder cancer.
A total of 312 patients with bladder cancer were investigated using the General Information Questionnaire, Questionnaire on the patient's medical condition, the Medical Coping Style Scale, and the Family Functioning Rating Scale.
The median delay time for bladder cancer patients was 44.5 days, and the family functioning score at (124.50 ± 24.86), with the face dimension score at (1.66 ± 0.53), the recuse dimension score at (2.48 ± 0.66), and the yield dimension score at (1.34 ± 0.57). The total score of family functioning and each dimension were positively correlated with the delay time of medical care, the coping styles (face) were negatively correlated with the delay time of medical care, and the coping styles (recuse and yield) were positively correlated with it. The mediating effect model showed that family function had an indirect effect through coping styles (face, recuse, and yield), with a total effect of 0.369, and coping styles (face, recuse, and yield) had a mediating effect on the delay time of medical care (indirect effect sizes were 0.123, 0.096, and 0.114, respectively).
The coping styles of patients with bladder cancer play a mediating role between family functioning and the delay in seeking medical care. Medical staff should encourage bladder cancer patients to adopt a proactive coping approach and improve the support capacity of bladder cancer patients' families to effectively shorten the delay time.
探讨膀胱癌患者的应对方式影响家庭功能与就医延迟之间关系的机制。这一知识可为制定干预措施以解决膀胱癌患者的就医延迟问题提供依据。
采用一般信息问卷、患者病情问卷、医学应对方式量表和家庭功能评定量表对312例膀胱癌患者进行调查。
膀胱癌患者的中位延迟时间为44.5天，家庭功能得分（124.50±24.86），其中面对维度得分（1.66±0.53），回避维度得分（2.48±0.66），屈服维度得分（1.34±0.57）。家庭功能总分及各维度与就医延迟时间呈正相关，应对方式（面对）与就医延迟时间呈负相关，应对方式（回避和屈服）与就医延迟时间呈正相关。中介效应模型显示，家庭功能通过应对方式（面对、回避和屈服）产生间接效应，总效应为0.369，应对方式（面对、回避和屈服）对就医延迟时间具有中介效应（间接效应大小分别为0.123、0.096和0.114）。
膀胱癌患者的应对方式在家庭功能与就医延迟之间起中介作用。医护人员应鼓励膀胱癌患者采取积极的应对方式，提高膀胱癌患者家庭的支持能力，以有效缩短延迟时间。
