身体形象作为肠道功能障碍症状和结直肠癌患者心理结果之间的调解者
Van Du Phung1,2, Su-Ying Fang3,4
1Department of Nursing, College of Medicine, National Cheng Kung University, 1 University Rd, Tainan, 70101, Taiwan.
概括
患有肠道功能障碍的结直肠癌幸存者经历了心理困扰,身体形象困扰部分介于焦虑和抑郁. 解决身体症状和身体形象对于改善福祉至关重要.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 医学和健康科学医学和健康科学
背景情况:
- 大肠直肠癌 (CRC) 幸存者经常经历治疗后的肠功能障碍,导致心理痛苦.
- 虽然对静脉管的影响进行了研究,但非静脉管CRC患者也面临心理困扰,包括由肠道功能障碍引起的身体形象问题.
- 身体形象困扰可能会将肠道功能障碍症状与CRC患者的心理结果联系起来.
研究的目的:
- 在CRC幸存者中识别肠道功能障碍症状,身体形象困扰和心理结果.
- 检查身体形象在肠道功能障碍症状和心理结果之间的关系中的调解作用.
主要方法:
- 使用了193名CRC幸存者的横截面,相关设计.
- 使用了低前切除综合征 (LARS) 评分,身体图像量表 (BIS) 和医院焦虑和抑郁量表 (HADS).
- 通过使用海斯的PROCESS宏,分析了身体形象的调解作用.
主要成果:
- 65.8%的CRC幸存者报告了肠道功能障碍,44.6%的身体形象困扰,40.4%的焦虑/抑郁症.
- 身体形象部分介导了肠道功能障碍对焦虑 (β=0.0446) 和抑郁 (β=0.0411) 的影响.
- 在对焦虑和抑郁症的调解效果中观察到统计学意义.
结论:
- 身体形象显著调解了肠道功能障碍和CRC幸存者的心理结果之间的关系.
- 强调解决肠道功能障碍症状和身体形象困扰的重要性.
- 建议为CRC幸存者整合身体和心理护理,以提高整体福祉.
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