在癌症患者的自我负担和生命结束时的沟通困难之间,自我效率的调解效应
Yalin Zhu1, Linlin Shi2, Yuanyuan Jiang3
1Department of Rehabilitation, Renmin Hospital, Hubei University of Medicine, Shiyan, 442000, Hubei, P. R. China.
概括
癌症患者 癌症患者
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 医疗保健通讯 医疗保健通讯
背景情况:
- 患者自我感知的负担和生命末期的沟通困难是癌症护理中的重大挑战.
- 自我有效性在患者如何应对疾病和沟通需求方面发挥着至关重要的作用.
研究的目的:
- 研究自我效能在癌症患者自我感知负担和生命末期沟通困难之间的关系中的调解作用.
- 为改善癌症息护理中的沟通策略提供见解.
主要方法:
- 这是一项涉及西安市三家医院的癌症患者的横截面研究.
- 使用了包括自我感知负担量表 (SPBS),自我效能量表 (SUPPH) 和终身讨论-家庭库存 (DEOLD-FI) 的困难等问卷.
- 3.4 用调解分析来检查自我效能的作用.
主要成果:
- 在自我感知负担和自我有效性之间发现了显著的负相关性 (r = -0.439,P < 0.01).
- 自我感知的负担与生命终端沟通困难有正相关 (r = 0.600,P < 0.01),而自我有效性则与负相关 (r = -0.608,P < 0.01).
- 自我有效性部分调解了自我感知负担和沟通困难之间的关联,解释了总影响的31.19%.
结论:
- 自我效能是影响癌症患者自我感知负担如何影响生命末期沟通的关键因素.
- 旨在提高患者自我有效性的干预措施可能会降低感知负担并改善生命终端的沟通.
- 医疗保健提供者应专注于增强患者的自我效能,以减轻沟通障碍和患者负担.
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