育龄期乳腺癌患者自我表露与夫妻亲密关系对心理弹性与生育忧虑的影响

doi:10.3761/j.issn.1672-9234.2021.07.014

摘要/Abstract

摘要：

目的探讨育龄期乳腺癌患者的自我表露与夫妻亲密关系在其心理弹性与生育忧虑关系中的作用机制。方法采用一般资料调查表、中文版癌症后生育忧虑量表、痛苦表露指数量表、心理弹性量表简表于2019年11月—2020年8月对广州市某2所三级甲等医院的201例育龄期乳腺癌患者进行调查。分别通过SPSS 22.0 Process中的Model 4和Model 14来检验中介效应和有调节的中介效应。结果心理弹性、自我表露均与癌症后生育忧虑呈负相关(r=-0.42,-0.44,均P<0.001),心理弹性与自我表露呈正相关(r=0.32,P<0.001)。自我表露在心理弹性对癌症后生育忧虑的影响中起部分中介作用(效应值为-0.09,95%CI:-0.14~-0.05),占总效应的23.21%。夫妻亲密关系在自我表露与癌症后生育忧虑间起调节作用(β=-0.14,P<0.05),夫妻亲密关系水平越高,自我表露对癌后生育忧虑的影响越大。结论育龄期乳腺癌患者的心理弹性、自我表露及夫妻亲密关系可影响其对癌症后生育的担忧,可作为开展癌症后生育护理的参考依据。

关键词: 乳腺肿瘤, 韧性,心理, 生育力, 自我揭露, 问卷调查

Abstract:

Objective To explore the mechanism of self-disclosure and marital intimacy in breast cancer patients of childbearing age in relation to their mental resilience and reproductive concerns after cancer. Methods The general questionnaire,Chinese Version of the Reproductive Concerns After Cancer,and the Distress Disclosure Index and the 14-Item Resilience Scale were distributed to 201 breast cancer of childbearing age from November 2019 to August 2020 in two tertiary hospitals in Guangzhou. Model 4 and Model 14 in the SPSS 22.0 Process macro Model are respectively used to verify mediating effect and regulated mediating effect. Results Resilience,self-disclosure were negatively correlated with post-cancer reproductive concerns(r=-0.42,-0.44,all P<0.001). Resilience was positively correlated with self-disclosure(r=0.32,P<0.001). Self-disclosure played a partial mediating role in the effect of mental resilience on reproductive concerns after cancer(effect value was -0.09,95%CI:-0.14~-0.05),accounting for 23.21% of the total effect. Spousal intimacy played a moderating role in the relationship between self-disclosure and reproductive concerns after cancer(β=-0.14,P<0.05),the higher the level of intimate relationship between husband and wife,the greater the influence of self-disclosure on reproductive concerns after cancer.Conclusion Mental resilience of breast cancer patients of childbearing age and their intimate relationship can alleviate their worries about fertility after cancer,which can be used as a reference for the nursing of fertility after cancer.

Key words: Breast Neoplasms, Resilience,Psychological, Fertility, Self Disclosure, Questionnaires

于雅,刘素婷,陶元玲,朱夏雪,张立力. 育龄期乳腺癌患者自我表露与夫妻亲密关系对心理弹性与生育忧虑的影响[J]. 中华护理教育, 2021, 18(7): 644-649.

YU Ya,LIU Su-ting,TAO Yuan-ling,ZHU Xia-xue,ZHANG Li-li. The mechanism of self-disclosure and marital intimacy in breast cancer patients in relation to their mental resilience and reproductive concerns after cancer[J]. Chinese Journal of Nursing Education, 2021, 18(7): 644-649.

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