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Open Access Article

Contemporary Nursing. 2024; 5: (2) ; 1-5 ; DOI: 10.12208/j.cn.20240042.

Mediating effect of positive coping style on fear of cancer recurrence and sleep qualityin convalescent breast cancer patients
积极应对方式在康复期乳腺癌患者癌症复发恐惧与睡眠质量间的中介效应

作者: 王月香, 王丽丽, 史龙华, 何思文, 严靖雯 *

中山大学孙逸仙纪念医院乳腺肿瘤中心 广东广州

*通讯作者: 严靖雯,单位:中山大学孙逸仙纪念医院乳腺肿瘤中心 广东广州;

发布时间: 2024-02-18 总浏览量: 255

摘要

目的 分析积极应对方式与康复期乳腺癌患者癌症复发恐惧和睡眠质量间的相关性,明确积极应对的中介作用。方法 采用便利抽样法选取2022年1月-2023年6月就诊于孙逸仙纪念医院的160例康复期乳腺癌患者作为研究对象,采用中文版癌症复发恐惧量表(FCRI)、简易应对方式问卷(SCSQ)及匹茨堡睡眠质量指数量表(PSQI)对患者进行问卷调查。结果 本组康复期乳腺癌患者癌症复发恐惧总分为(79.52±6.63)分、匹茨堡睡眠质量指数总分为(14.51±2.10)分、积极应对方式总分为(31.91±6.81)分。睡眠质量与癌症复发恐惧呈正相关(r=0.243,P<0.05),与积极应对方式总分呈负相关(r=-0.246,P<0.05),积极应对方式总分与癌症复发恐惧总分呈负相关(r=-0.312,P<0.05)。积极应对方式在癌症复发恐惧与睡眠质量间的中介效应值为0.0186,占总效应的 24.2%。结论 积极应对方式在康复期乳腺癌患者癌症复发恐惧与睡眠质量间的中介变量,临床医务人员应鼓励患者采取积极的应对方式,减少癌症复发恐惧的发生,以便提高患者的睡眠质量。

关键词: 康复期乳腺癌患者;积极应对;癌症复发恐惧;睡眠质量;中介效应

Abstract

Objective To analyze the correlation between active coping style and fear of cancer recurrence and sleep quality in convalescent breast cancer patients, and to clarify the mediating role of active coping.
Methods A total of 160 patients with breast cancer who were admitted to Sun Yat-sen Memorial Hospital from January 2022 to June 2023 were selected by convenience sampling method. The Chinese version of Fear of Cancer Recurrence Scale (FCRI), Simple Coping Style Questionnaire (SCSQ) and Pittssburg Sleep Quality Index (PSQI) were used to investigate the patients.
Results The total score of fear of cancer recurrence, Pittsburg sleep quality index and positive coping style were 79.52±6.63, 14.51±2.10 and 31.91±6.81 respectively. Sleep quality was positively correlated with fear of cancer recurrence (r=0.243, P < 0.05), and negatively correlated with total score of positive coping style (r=-0.246, P < 0.05), and total score of positive coping style was negatively correlated with total score of fear of cancer recurrence (r=-0.312, P < 0.05). The mediating effect between fear of cancer recurrence and sleep quality was 0.0186, accounting for 24.2% of the total effect.
Conclusion   Positive coping style is the mediating variable between fear of cancer recurrence and sleep quality in breast cancer patients during recovery. Clinical staff should encourage patients to adopt positive coping style to reduce the occurrence of fear of cancer recurrence, so as to improve the sleep quality of patients.

Key words: Convalescent breast cancer patients; Actively respond to; Fear of cancer recurrence; Sleep quality; Mediating effect

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引用本文

王月香, 王丽丽, 史龙华, 何思文, 严靖雯, 积极应对方式在康复期乳腺癌患者癌症复发恐惧与睡眠质量间的中介效应[J]. 当代护理, 2024; 5: (2) : 1-5.