摘要
目的探讨社会支持和健康素养在乳腺癌术后化疗患者自我效能感与自我倡权之间的中介作用。方法采用便利抽样法,选取西安市三级甲等医院乳腺外科的术后化疗患者作为研究对象,采用一般资料调查表、一般自我效能感量表、社会支持评定量表、慢性病患者健康素养量表和女性癌症患者自我倡权量表对患者进行调查。采用Pearson相关性分析探索变量之间的相关性。运用SPSS宏程序PROCESS组件的模型6构建结构方程模型。结果共纳入295例乳腺癌术后化疗患者,患者自我倡权总分为(76.16±5.59)分。自我效能感、社会支持、健康素养与自我倡权均呈正相关(均P<0.05)。路径分析结果显示,患者自我效能感对自我倡权具有显著直接效应(β=0.130,P<0.05),自我效能感还通过社会支持(β=0.057,P<0.05)、健康素养(β=0.096,P<0.05)间接影响自我倡权。社会支持和健康素养在自我效能感与自我倡权间起中介作用(β=0.162,P<0.05),总间接效应占总效应的55.48%。结论乳腺癌术后化疗患者自我倡权处于中等水平,自我效能感可以直接影响患者的自我倡权,也可通过社会支持与健康素养间接影响其自我倡权。医护人员可通过多元化的途径提升患者的自我效能感,拓宽社交支持渠道,加强健康知识素养,提高患者的自我倡权水平。
Objective To explore the mediating effect of social support and health literacy on selfefficacy and self-advocacy in patients with postoperative chemotherapy for breast cancer.Methods By convenient sampling method,patients with postoperative chemotherapy in the breast surgery department of Xi'an tertiary hospitals were selected as the research objects.The general data questionnaire,General Self-Efficacy Scale,Social Support Rating Scale,Health Literacy Management Scale and Female Self-Advocacy in Cancer Survivorship were used to collect information.Pearson correlation analysis was performed to explore the correlation between variables.The model 6 of the PROCESS component of the SPSS macro program was used to construct the structural equation model.Results A total of 295 patients with postoperative chemotherapy for breast cancer were included.The total score of self-advocacy was(76.16±5.59),and self-efficacy,social support,and health literacy were positively correlated with self-advocacy(all P<0.05).The results of path analysis showed that selfefficacy had a significant direct effect on self-advocacy(β=0.130,P<0.05),and it also had indirect effects on self-advocacy through social support(β=0.057,P<0.05)and health literacy(β=0.096,P<0.05).Social support and health literacy played a mediation role between self-efficacy and self-advocacy(β=0.162,P<0.05),with a total indirect effect accounting for 55.48%of the total effect.Conclusion The self-advocacy in patients with postoperative chemotherapy for breast cancer was at a medium level,and self-efficacy can directly affect the self-advocacy of patients,but also indirectly affect the self-advocacy through social support and health literacy.Medical staff can improve patients'self-efficacy,broaden social support channels,strengthen health literacy and improve patients'self-advocacy through various ways.
作者
王心怡
张珊
张韶顺
胡梦依
李雪
曹宝花
WANG Xinyi;ZHANG Shan;ZHANG Shaoshun;HU Mengyi;LI Xue;CAO Baohua(Department of Nursing,Air Force Military Medical University,Xi’an 710032,China;School of Nursing,Shaanxi University of Chinese Medicine,Xianyang 712046,Shaanxi Province,China;Department of Outpatient,The 950th Army Hospital,Kashgar 844900,Xinjiang Uygur Autonomous Region,China;Department of Oncology,Weihai Municipal Hospital,Weihai 264200,Shandong Province,China)
出处
《医学新知》
2025年第8期918-925,共8页
New Medicine
基金
陕西省重点研发计划项目(2022SF-371)。
关键词
乳腺癌
自我效能感
自我倡权
社会支持
健康素养
中介效应
Breast cancer
Self-efficacy
Self-advocacy
Social support
Health literacy
Mediating effect
作者简介
通信作者:曹宝花,博士,教授,硕士研究生导师,Email:cbh528@fmmu.edu.cn。
