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心理弹性在结直肠癌患者社会支持与工作生活质量间的中介效应OA

Mediating effect of resilience between social support and work-related quality of life among patients with colorectal cancer

中文摘要英文摘要

目的 探讨心理弹性在结直肠癌患者社会支持与工作生活质量之间的中介效应.方法 采用便利抽样法,2024年4-10月选取郑州市3所三级甲等医院260例已重返工作岗位的结直肠癌术后患者为研究对象,通过一般资料调查表、社会支持量表、恶性肿瘤患者特质心理弹性量表和癌症患者工作生活质量量表进行调查,使用SPSS 27.0分析工作生活质量、社会支持与心理弹性的相关性,采用SPSS宏程序Process 4.1分析中介效应.结果 结直肠癌术后患者工作生活质量总标准分为64.35(53.26,78.26)分,社会支持总分为29.00(25.00,34.00)分,心理弹性总分为80.00(61.50,91.00)分.结直癌术后患者心理弹性总分、社会支持总分与工作生活质量总标准分呈正相关(rs=0.410,P<0.001;rs=0.431,P<0.001),社会支持总分与心理弹性总分呈正相关(rs=0.364,P<0.001);心理弹性在社会支持与工作生活质量间起部分中介效应,效应值为0.178,占总效应的32.5%.结论 社会支持可能通过提升心理弹性与结直肠癌术后患者工作生活质量相关,提示临床可从社会支持与心理资源方面为重返工作患者提供干预线索.

Objective To explore the mediating effect of resilience between social support and work-related quality of life among pa-tients with colorectal cancer.Methods A convenience sampling was adopted to recruit 260 postoperative colorectal cancer patients who had returned to work from three tertiary grade-A hospitals in Zhengzhou from April to October 2024.Data were collected using a General Information Questionnaire,Social Support Rating Scale,Psychological Resilience Scale for Cancer Patients,and Work-related Quality of Life Scale for Cancer Survivors.SPSS 27.0 was used to analyze the correlations among work-related quality of life,social sup-port,and resilience.SPSS PROCESS macro(version 4.1)was applied to examine the mediating effect.Results The standardized to-tal score of work-related quality of life among postoperative colorectal cancer patients was 64.35(53.26,78.26).The total score of social support was 29.00(25.00,34.00),and that of resilience 80.00(61.50,91.00).Resilience and social support were positively correlated with work-related quality of life(rs=0.410,P<0.001;rs=0.431,P<0.001),and social support was positively correlated with resilience(rs=0.364,P<0.001).Resilience exerted a partial mediating effect on the relationship between social support and work-related quality of life,with an effect value of 0.178,accounting for 32.5%of the total effect.Conclusion Social support may be associated with work-related quality of life in postoperative colorectal cancer patients through improved resilience.Clinically,this provides insights for offer-ing intervention clues to patients returning to work from the perspectives of social support and psychological resources.

刘星歌;李珍;常淑莹;朱春雨;胡恒瑜;郭燕

河南大学护理与健康学院,河南 开封 475004河南省人民医院肿瘤中心,河南 郑州 450000河南省人民医院护理研究中心,河南 郑州 450000河南大学护理与健康学院,河南 开封 475004河南省人民医院护理研究中心,河南 郑州 450000河南省人民医院肿瘤中心,河南 郑州 450000

医药卫生

中介效应工作生活质量结直肠癌重返工作

mediating effectwork-related quality of lifecolorectal cancerreturn to work

《护理学报》 2026 (7)

14-19,6

河南省护理医学重点实验室开放课题(HNSYHLKT202107)

10.16460/j.issn2097-6569.2026.07.014

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