以质量求发展，以服务铸品牌

护理学报 ›› 2019, Vol. 26 ›› Issue (10): 7-10.doi: 10.16460/j.issn1008-9969.2019.10.007

• 研究生园地 • 上一篇    下一篇

心理弹性在女性乳腺癌术后上肢淋巴水肿患者正念水平与生活质量间的中介效应

佟阳1, 金咏梅2, 王恬1, 李晶晶3, 陆海英1   

  1. 1.上海中医药大学护理学院,上海 201203;
    2.上海中医药大学附属第七人民医院 普外科,上海200137;
    3.上海中医药大学附属曙光医院 普外科,上海 200120
  • 收稿日期:2019-02-18 发布日期:2020-07-17
  • 作者简介:佟 阳（1993-）,女,辽宁铁岭人,本科学历,硕士研究生在读。
  • 基金资助:
    上海中医药大学预算内项目（18LK023）

Mediating Effect of Psychological Resilience on Mindfulness and Quality of Life in Female Patients with Upper Extremity Lymphedema after Mastectomy

TONG Yang1, JIN Yong-mei2, WANG Tian1, LI Jing-jing3, LU Hai-ying1   

  1. 1. School of Nursing, Shanghai University of TCM, Shanghai 201203, China;
    2. Dept. of General Surgery, the Seventh People's Hospital Affiliated to Shanghai University of TCM, Shanghai 200137,China;
    3. Dept. of General Surgery, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200120, China
  • Received:2019-02-18 Published:2020-07-17

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摘要： 目的 探讨女性乳腺癌术后上肢淋巴水肿患者心理弹性、正念水平与生活质量间的关系,以期提高该部分人群的生活质量。方法 通过目的抽样的方法,应用心理弹性量表、正念注意觉知量表及生活质量量表对上海2家三级甲等医院就诊的156例女性乳腺癌术后上肢淋巴水肿患者进行测评,采用AMOS 17.0构建和分析心理弹性的中介效应,并用Bootstrap法对中介效应模型进行验证。结果 乳腺癌术后上肢淋巴水肿患者心理弹性得分与正念水平、生活质量得分呈正相关关系（r=0.436,r=0.527,P<0.001）,正念水平得分与生活质量得分也呈正相关关系（r=0.662,P<0.001）,心理弹性在正念水平与生活质量间起部分中介作用,中介效应占总效应的比例为31.6%。结论 心理弹性在乳腺癌术后上肢淋巴水肿患者正念水平与生活质量之间起部分中介效应,可以通过提高正念水平和心理弹性来提高患者的生活质量。

关键词: 乳腺癌术后上肢淋巴水肿, 心理弹性, 中介效应

Abstract: Objective To explore the relationship among psychological resilience, mindfulness level and quality of life in female patients with upper extremity lymphedema after mastectomy, and to improve their quality of life. Methods With purposive sampling method, 156 patients with upper limb lymphedema after mastectomy in 2 tertiary grade A hospitals were investigated by using Connor-Davidson Resilience Scale, Mindful Attention Awareness Scale and Functional Assessment of Cancer Therapy breast+4. The mediation effect of psychological resilience was constructed and analyzed by AMOS 17.0, and the mediation effect model was verified by Bootstrap method. Results The score of psychological resilience in patients with upper extremity lymphedema after mastectomy was positively correlated with that of mindfulness level and quality of life (r=0.436, r=0.527, P<0.001). There was also a positive correlation between the score of mindfulness and that of quality of life (r=0.662,P<0.001). Resilience played a partial mediating role between quality of life and mindfulness level, accounting for 31.6% of the total effect. Conclusion Psychological resilience plays a partial mediating role between mindfulness level and quality of life, and patients' quality of life could be promoted through improving the level of mindfulness and psychological resilience.

Key words: upper limb lymphedema after mastectomy, psychological resilience, mediating effect

中图分类号: 

  • R473.73
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