自我关怀在头颈癌患者领悟社会支持与身体意象间的中介效应分析

doi:10.3761/j.issn.1672-9234.2026.04.018

摘要/Abstract

摘要：

目的探讨自我关怀在头颈癌患者领悟社会支持与身体意象间的中介作用。方法采用横断面调查设计，于2024年5月—8月选取浙江省某三级甲等医院住院及门诊复查的头颈癌术后患者610例为研究对象，使用一般资料调查表、领悟社会支持量表、自我同情量表和身体意象量表进行调查。结果最终577例患者参与调查，存在身体意象失调221例（38.30%）。结构方程模型分析结果显示，领悟社会支持不仅可直接负向预测身体意象（直接效应值为-0.135，P<0.05），还可通过自我关怀间接影响身体意象（间接效应值为-0.513，P<0.001），间接效应占总效应的79.17%。结论自我关怀在头颈癌患者领悟社会支持与身体意象间起部分中介作用，提示临床护理中可通过提升患者的领悟社会支持水平，并注重培养其自我关怀能力，从而改善其身体意象水平。

关键词: 头颈部肿瘤, 自我同情, 社会支持, 身体意象, 中介效应

Abstract:

Objective To explore the mediating effect of self-compassion between perceived social support and body image in postoperative patients with head and neck cancer. Methods A cross-sectional survey was conducted from May to August 2024. A total of 610 postoperative patients with head and neck cancer who were hospitalized or attended follow-up outpatient visits in a tertiary Grade A hospital in Zhejiang Province were continuously selected as the research subjects. Data were collected using the General Information Questionnaire，Perceived Social Support Scale，Self-Compassion Scale，and Body Image Scale. Results A total of 577 valid questionnaires were collected，of which 221 patients（38.30%） exhibited body image disturbance. Structural equation modeling analysis revealed that perceived social support not only directly predicted body image（direct effect was -0.135，P<0.05），but also indirectly influenced body image through self-compassion（indirect effect was -0.513，P<0.001）. The indirect effect accounted for 79.17% of the total effect. Conclusion Self-compassion plays a partial mediating role between perceived social support and body image in postoperative patients with head and neck cancer. In clinical nursing，enhancing patients’ perceived social support and focusing on cultivating their self-compassion ability may help improve their body image.

Key words: Head and Neck Neoplasms, Self-Compassion, Social Support, Body Image, Mediation Analysis

邵艳虹, 尹慧芳, 任海燕, 方水萍, 徐静思, 高迪亚, 施佳清, 朱晓亚, 黄丽华. 自我关怀在头颈癌患者领悟社会支持与身体意象间的中介效应分析[J]. 中华护理教育, 2026, 23(4): 498-504.

SHAO Yanhong, YIN Huifang, REN Haiyan, FANG Shuiping, XU Jingsi, GAO Diya, SHI Jiaqing, ZHU Xiaoya, HUANG Lihua. Mediating effect of self-compassion between perceived social support and body image in postoperative patients with head and neck cancer[J]. Chinese Journal of Nursing Education, 2026, 23(4): 498-504.

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