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中国癌症防治杂志

中国癌症防治杂志 ›› 2023, Vol. 15 ›› Issue (1): 70-74.doi: 10.3969/j.issn.1674?5671.2023.01.11

• 临床研究 • 上一篇    下一篇

自我表露在鼻咽癌患者述情障碍和恐惧疾病进展中的中介效应分析

  

  1. 广西医科大学第一附属医院肿瘤内科
  • 出版日期:2023-02-25 发布日期:2023-03-01
  • 通讯作者: 杨丽 E?mail：1194052159@qq.com
  • 基金资助:
    中华护理学会2019年度科研课题（ZHKY201919）；2020年广西医科大学第一附属医院自设科研培育项目-护理临床研究攀登计划项目（YYZS2020030）

Analysis of the mediating effect of self⁃representation in alexithymia and fear of disease progression in patients with nasopharyngeal carcinoma

  • Online:2023-02-25 Published:2023-03-01

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摘要： 目的 探讨鼻咽癌患者自我表露在述情障碍与恐惧疾病进展中的中介作用。方法 选取2020年12月至2021年 6月在广西医科大学第一附属医院肿瘤内科就诊的241例鼻咽癌患者为研究对象。采用自我表露量表（the distress disclosure index，DDI）、多伦多述情障碍量表（Toronto alexithymia scale，TAS）、恐惧疾病进展量表（fear of progression questionnaire⁃short form，FoP⁃Q⁃SF）进行问卷调查，分析鼻咽癌患者述情障碍、自我表露及恐惧疾病进展的相关性，并对自我表露在述情障碍与恐惧疾病进展之间的中介作用进行分析。结果 鼻咽癌患者自我表露总得分为（29.39±8.26）分、恐惧疾病进展总得分为（34.51±5.68）分、述情障碍总得分为（54.67±8.91）分；Pearson相关分析结果显示，述情障碍总分与自我表露总分呈负相关（P<0.001），与恐惧疾病进展总分呈正相关（P<0.001），自我表露与恐惧疾病进展呈负相关（P<0.001）；中介分析结果显示，自我表露在述情障碍与恐惧疾病进展间存在部分中介效应（中介效应占比21.6%）。结论 鼻咽癌患者自我表露意愿较低，述情障碍和恐惧疾病进展亟需改善，述情障碍可以通过自我表露的中介作用对患者恐惧疾病进展心理产生影响。

关键词: 鼻咽癌, 述情障碍, 自我表露, 恐惧疾病进展, 中介效应

Abstract: Objective To investigate the mediating role of self⁃representation in alexithymia and fear of disease progression in patients with nasopharyngeal carcinoma. Methods A total of 241 patients with nasopharyngeal carcinoma, who attended the Department of Medical Oncology of the First Affiliated Hospital of Guangxi Medical University from December 2020 to June 2021, were selected as the research objects. The distress disclosure index (DDI), the Toronto alexithymia scale (TAS) and the fear of progression questionnaire⁃short form (FoP⁃Q⁃SF) were used to analyze the correlation between the alexithymia, self⁃representation and the fear of disease progression in patients with nasopharyngeal carcinoma, and to analyze the mediating role of self⁃representation in alexithymia and fear of disease progression. Result The total scores of self⁃representation, fear of disease progression and alexithymia were (29.39±8.26) points, (34.51±5.68) points and (54.67±8.91) points, respectively, in patients with nasopharyngeal carcinoma. The results of Pearson correlation analysis showed that the total scores of alexithymia was negatively correlated with self⁃representation (P<0.001), and positively correlated with fear of disease progression (P<0.001). Self⁃representation was negatively correlated with fear of disease progression (P<0.001). The results of mediation analysis showed that there was a partial mediating effect of self⁃representation between alexithymia and fear of disease progression (the mediating effect accounted for 21.6%). Conclusions Patients with nasopharyngeal carcinoma are less willing to self⁃representation, and alexithymia and fear of disease progression need to be improved. Alexithymia can have an impact on patients' fear of disease progression through the mediation of self⁃representation.

Key words: Nasopharyngeal carcinoma, Alexithymia, Self?representation, Fear of disease progression, Mediating effect

中图分类号: 

  • R739.63