实用老年医学

实用老年医学 ›› 2021, Vol. 35 ›› Issue (2): 145-148.doi: 10.3969/j.issn.1003-9198.2021.02.009

• 临床研究 • 上一篇    下一篇

老年胃癌病人乐观倾向对心理韧性的影响路径分析

王蕾, 李雁飞, 徐莉   

  1. 210009 江苏省南京市,江苏省人民医院老年消化科
  • 收稿日期:2020-03-06 发布日期:2021-02-08
  • 基金资助:
    江苏省卫生计生委科研课题(BJ15015)

Analysis of the influencing path of optimism on psychological toughness in elderly patients with gastric cancer

WANG Lei, LI Yan-fei, XU Li   

  1. Department of Elderly Digestive, Jiangsu Province Hospital,Nanjing 210009, China
  • Received:2020-03-06 Published:2021-02-08

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摘要： 目的 探讨乐观倾向对老年胃癌病人心理韧性的影响路径。方法 选取2017年3月至2019年10月收治的老年胃癌病人138例进行问卷调查,回收有效问卷132例。通过问卷调查收集病人一般资料,并采用中文版心理弹性量表(CD-RISC)评估心理韧性,采用生活定向测验修订版(LOT-R)评估乐观倾向,采用社会支持量表(SSQ)评估社会支持,采用一般自我效能感量表(GSES)评估自我效能。采用Pearson相关性分析探讨心理韧性与乐观倾向、社会支持、自我效能的相关性;采用多元回归分析探讨心理韧性的影响因素;采用路径分析探讨乐观倾向对心理韧性的影响。结果 老年胃癌病人心理韧性与乐观倾向、社会支持、自我效能均呈显著正相关(P<0.05)。多元逐步回归分析结果显示,LOT-R评分、SSQ评分、GSES评分是自我韧性的影响因素。自我韧性的影响路径模型显示,社会支持和自我效能对心理韧性有直接效应,而乐观倾向对心理韧性同时具有直接和间接效应。结论 乐观倾向对老年胃癌病人的心理韧性具有直接影响,同时也可通过对自我效能的间接作用影响心理韧性。

关键词: 胃癌, 乐观倾向, 心理韧性, 社会支持, 自我效能, 影响路径

Abstract: Objective To explore the effect of optimism on the psychological toughness of the elderly patients with gastric cancer. Methods A questionnaire survey was performed on 138 elderly patients with gastric cancer treated in Jiangsu Province Hospital from March 2017 to October 2019. The effective questionnaire recovery rate was 95. 65% (132/138). The general information of the patients was collected through questionnaires, and the psychological resilience was assessed with Chinese version of Psychological Resilience Scale (CD-RISC), optimism was assessed with life-oriented test revised version (LOT-R), social support was assessed with adopted social Support scale (SSQ) assessment, self-efficacy was assessed with General Self-Efficacy Scale (GSES). Pearson correlation was used to analyze the correlation between psychological toughness and optimism, social support, and self-efficacy. Multivariate regression analysis was used to analyze the factors affecting psychological toughness. Path analysis was used to analyze the effects of optimism on psychological toughness. Results The psychological toughness was positively correlated with optimism, social support, and self-efficacy in the elderly patients with gastric cancer. The results of multiple stepwise regression analysis showed that LOT-R score, SSQ score, and GSES score were the influencing factors of self-resilience. The influencing path model of self-resilience showed that social support and self-efficacy had a direct effect on mental toughness, while optimism had both direct and indirect effects on mental toughness. Conclusions Optimism has a direct impact on the psychological resilience in the elderly patients with gastric cancer.

Key words: gastric cancer, optimism, psychological toughness, social support, self-efficacy, influencing path

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