摘要
目的探讨脑胶质瘤患者术后应对方式、自我效能感及情绪状态之间的相互关系。方法选取2022年6月至2023年5月在复旦大学附属华山医院虹桥院区神经外科手术的98例脑胶质瘤患者,采用结构方程模型分析应对方式量表、自我效能感量表、9项病例健康问卷和7项广泛性焦虑之间的关系。结果自我效能感与积极应对方式呈正相关(估计值为7.419,P<0.01),与消极应对方式呈负相关(估计值为-2.419,P=0.019)。自我效能感对焦虑有负向预测作用(估计值为-0.323,P=0.005),对抑郁有正向预测作用(估计值为0.477,P<0.01)。积极应对方式有效缓解焦虑和抑郁症状。结论积极应对策略有助于术后心理恢复并增强自我效能感,而消极应对方式可能对心理调节产生负面影响。加强心理干预和提升自我效能感对脑胶质瘤患者的康复尤为重要。
Objective To explore the relationship among coping styles,self-efficacy,and emotional states in patients after glioma surgery.Methods A total of 98 patients who received surgery for glioma in the Department of Neurosurgery at Hongqiao Branch of Huashan Hospital Affiliated to Fudan University from June 2022 to May 2023 were selected.The relationship among coping styles,self-efficacy,the 9-item Patient Health Questionnaire,and the 7-item Generalized Anxiety Disorder Scale was analyzed using structural equation modeling.Results Self-efficacy had a significant positive correlation with positive coping(estimated value=7.419,P<0.01)and a significant negative correlation with negative coping(estimated value=-2.419,P=0.019).It negatively predicted anxiety(estimated value=-0.323,P=0.005)and positively predicted depression(estimated value=0.477,P<0.01).Positive coping effectively alleviated symptoms of anxiety and depression.Conclusions Positive coping strategies contribute to postoperative psychological recovery and enhance self-efficacy,while negative coping strategies may adversely affect psychological adjustment.Strengthening psychological intervention and improving self-efficacy are crucial for the rehabilitation of glioma patients.
作者
尉晨
朱美霞
姚方园
Wei Chen;Zhu Meixia;Yao Fangyuan(Hongqiao Branch,Huashan Hospital,Fudan University,Shanghai 200040,China)
出处
《中华转移性肿瘤杂志》
2025年第2期215-218,共4页
Chinese Journal of Metastatic Cancer
关键词
脑胶质瘤术后
应对方式
自我效能
负向预测模型
After glioma surgery
Coping style
Self-efficacy
Negative prediction mode
作者简介
通信作者:尉晨,weichen0327@126.com。
