| 陈辉.领悟社会支持在晚期肺癌经外周静脉穿刺中心静脉置管病人出院准备度与生存质量间的中介效应[J].安徽医药,2025,29(2):302-305. |
| 领悟社会支持在晚期肺癌经外周静脉穿刺中心静脉置管病人出院准备度与生存质量间的中介效应 |
| Mediating effect of perceived social support between discharge readiness and quality of life in advanced lung cancer patients with peripherally inserted central catheter |
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| DOI：10.3969/j.issn.1009-6469.2025.02.018 |
| 中文关键词: 肺肿瘤 外周静脉穿刺中心静脉置管 出院准备度 生存质量 领悟社会支持 |
| 英文关键词: Lung neoplasms Peripherally inserted central catheter Discharge readiness Quality of life Perceived social sup-port |
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| 中文摘要: |
| 目的基于领悟社会支持的中介效应分析晚期肺癌经外周静脉穿刺中心静脉置管( PICC)带管病人出院准备度与生存质量的关系。方法选取河南省肿瘤医院 2022年 7月至 2023年 6月收治的晚期肺癌 PICC带管病人 84例，分别采用出院准备度量表( RHDS)、癌症生命质量共性部分一般量表( FACT-G)与肺癌附加模板、领悟社会支持量表( PSSS)评价病人的出院准备度、生存质量、领悟社会支持； Pearson法分析上述每 2项间的相关性；建立结构方程模型分析领悟社会支持在出院准备度与生存质量间的中介效应并采用 Bootstrap法检验。结果有效问卷回收率为 95.24%；病人出院准备度、生存质量和领悟社会支持总分分别为( 112.00±12.50)分、(68.66±10.15)分、(46.00±7.12)分，均处于低水平；病人出院准备度与生存质量、领悟社会支持与生存质量、出院准备度与领悟社会支持之间均存在正相关性( r=0.70、0.52、0.53，P<0.001)；病人出院准备度可影响病人的生存质量( P<0.05)；病人出院准备度可影响领悟社会支持( P<0.05)；领悟社会支持在病人出院准备度与生存质量间有中介效应(P<0.05)；中介效应模型路径良好，出院准备度对生存质量的直接效应为 0.64，领悟社会支持对生存质量的间接效应为 0.25，总效应为 0.89，间接效应占总效应的 28.09%。结论晚期肺癌 PICC带管病人的出院准备度、生存质量、领悟社会支持间存在相关性，其中领悟社会支持在出院准备度与生存质量间起中介效应。 |
| 英文摘要: |
| Objective To analyze on the relationship between discharge readiness and quality of life in patients with advanced lung cancer treated with peripherally inserted central catheter (PICC) based on the mediating effect of perceived social support. Methods Eighty-four PICC patients with advanced lung cancer treated in He'nan Cancer Hospital were enrolled from July 2022 to June 2023,and patient discharge readiness, quality of life, and perceived social support were evaluated using the readi-ness for hospital discharge scale (RHDS), functional assessmentof cancer therapy-general (FACT-G) and lung cancer additional template, and perceived social sup-port scale (PSSS). Pearson method was used to analyze the relationships between each of the two items mentioned above. A structural equation model was established to analyze the mediating effect of perceived social support between discharge readiness and quality of life,and the Bootstrap method was used to test.Results The effective questionnaire recovery rate was 95.24%. The total scores of pa-tient discharge readiness, quality of life and perceived social support were (112.00 ± 12.50)points, (68.66 ± 10.15)points and (46.00 ±7.12)points respectively, all at low levels. There were positive relationships between patient discharge readiness and quality of life, per-ceived social support and quality of life, discharge readiness and perceived social support (r=0.70, 0.52, 0.53, P<0.001). The patient discharge readiness could affect their quality of life (P<0.05). The patient discharge readiness could affect their understanding of social support (P<0.05). Perceived social support had a mediating effect between patient discharge readiness and quality of life (P<0.05). The mediating effect model had a good pathway, with a direct effect of 0.64 on discharge readiness on quality of life. The indirect effect of perceived social support on quality of life was 0.25,with a total effect of 0.89. The indirect effect accounted for 28.09% of the total ef-fect.Conclusion There are relationships between discharge readiness, quality of life and perceived social support in PICC patients with advanced lung cancer, with perceived social support playing a mediating role between discharge readiness and quality of life. |
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