结直肠癌患者社会限制与癌症复发恐惧间的中介效应分析

Mediating effect between social restriction and fear of cancer recurrence in patients with colorectal cancer

摘要:

目的 探讨结直肠癌术后疾病感知和非适应性认知情绪调节策略在社会限制与癌症复发恐惧间的中介作用。方法 于2024年3-8月，采用便利抽样法选取成都市某3家三级甲等医院接受手术治疗的290例结直肠癌患者为研究对象，采用一般资料调查问卷、恐惧疾病进展简化量表、社会限制量表、简易疾病感知问卷、认知情绪调节策略问卷进行调查。结果 术后55.86%的结直肠癌患者存在癌症复发恐惧；社会限制对复发恐惧的总效应中，直接效应占39.88%。进一步中介效应分析显示，疾病感知(占总效应的38.89%)和非适应性认知情绪调节策略(占总效应的9.52%)分别具有独立中介作用，且二者形成链式中介效应。结论 社会限制通过疾病感知作用于非适应性情绪调节的连续中介机制，间接影响结直肠癌患者癌症复发恐惧。

Abstract:

Objective Toexplorethemediatingroleofdiseaseperceptionandmaladaptivecognitiveemotionregulation strategiesbetweensocialconstraintsandfearofcancerrecurrence(FCR)inpatientsaftercolorectalcancer(CRC)surgery. Methods From MarchtoAugust2024,aconveniencesamplingmethodwasusedtoselect290CRCpatientsaftersurgery fromthreetertiaryhospitalsinChengduastheresearchsubjects.Generalinformationquestionnaire,simplifiedFearof DiseaseProgressionScale,SocialConstraintsScale,simplified DiseasePerception Questionnaire,andCognitiveEmotion RegulationStrategy Questionnaire were usedforthesurvey.Results Thesurvey resultsshowedthat55.86% of postoperativepatientsexhibitedclinicallysignificantFCR.Inthetotaleffectofsocialconstraintsonfearofrecurrence,direct effectaccountedfor39.88%.Furthermediationanalysisrevealedthatdiseaseperception(accountingfor38.89% ofthetotal effect)andmaladaptivecognitiveemotionregulationstrategies(accountingfor9.52% ofthetotaldffect)playedindependent mediatingroles,andthetwoformedachain-mediationeffect.Conclusion SocialconstraintsindirectlyaffectFCRthroughthe chain-mediationmechanismofdiseaseperceptionactingonmaladaptivecognitiveemotionregulationstrategy.