在接受化疗的胃肠癌患者中自我管理的决定因素:结构方程建模分析
Yuling Cao1, Suna Zheng1, Xiaoju Zhang2
1School of Nursing, Fudan University, Shanghai, China.
概括
心理社会因素对接受化疗的胃肠癌患者的自我管理有显著的影响. 提高自我效能和社会支持,同时管理心理痛苦,改善患者的结果.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 健康 行为 健康行为
背景情况:
- 胃肠道癌症是全球主要的健康挑战,东亚的高发病率.
- 化疗是一种关键的治疗方法,但副作用可能会损害坚持和幸福感.
研究的目的:
- 在接受化疗的胃肠道癌症患者中调查自我管理行为的心理社会决定因素.
- 应用结构方程建模 (SEM) 来理解这些复杂的关系.
主要方法:
- 一项横截面研究涉及753名在中国接受化疗的胃肠癌患者.
- 经过验证的仪器测量了自我管理行为,自我效能,应对策略,社会支持和心理痛苦.
- 在这些变量之间,SEM分析了直接,间接和中介效应.
主要成果:
- 自我有效性直接和间接地影响了自我管理,通过适应性应对进行调解.
- 社会支持与自我效能和适应性应对正相关.
- 心理困扰通过降低自我效能和增加不适应性应对,对自我管理产生了负面影响.
结论:
- 这一患者群的自我管理是由相互关联的心理社会因素所塑造的.
- 干预措施应侧重于提高自我效能,促进适应性应对,加强社会支持系统.
- 这些策略对于提高治疗坚持和改善患者结果至关重要.
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