口腔恶性肿瘤患者心理资本在压力与抑郁倾向关系中的作用

发布时间：2018-11-09 16:58

【摘要】：目的本研究尝试探索口腔颌面部恶性肿瘤患者的心理资本(自我效能、希望)是否在压力与抑郁倾向之间起中介和或调节作用,并建立口腔颌面部恶性肿瘤患者压力-心理资本-抑郁倾向的模型。方法以中国医科大学附属盛京医院口腔颌面外科病房确诊为恶性肿瘤的住院患者为研究对象,应用自我效能量表(GSES)、Herth希望量(HHI)、自编生活质量调查问卷、压力感觉量表(PSS)及抑郁自评量表SAS对口腔颌面部恶性肿瘤患者实施测量。使用Excel软件统一录入数据,采用SPSS 16.0统计软件进行描述性统计分析、独立样本t检验,方差分析,相关分析和分层回归分析以及结构方程模型分析。结果通过回归分析,教育背景、收入及是否吸烟和口腔颌面部恶性肿瘤患者的心理资本的回归系数在P0.01显著,以低教育背景、低收入及吸烟患者为高;口腔颌面部恶性肿瘤患者的压力和心理资本(自我效能、希望)的回归系数在P0.01显著,压力对自我效能及希望的直接效应非常显著(P0.01),解释的变异量分别增加了38.0%及33.2%,相比,压力对自我效能的直接效应更为显著;口腔颌面部恶性肿瘤患者的压力和抑郁倾向的回归系数在P0.01显著,解释的变异量增加了50.1%;口腔颌面部恶性肿瘤患者的心理资本(自我效能、希望)和抑郁倾向的回归系数在P0.01显著,心理资本对压力和抑郁倾向的显著性有影响。结论口腔颌面部恶性肿瘤患者的压力对心理资本(自我效能、希望)起到负向预测作用。口腔颌面部恶性肿瘤患者的压力对抑郁倾向起到正向预测作用。口腔颌面部恶性肿瘤患者的心理资本(自我效能、希望)对抑郁倾向起到负向预测作用。口腔颌面部恶性肿瘤患者的希望在压力与抑郁倾向的关系中起到部分中介作用,口腔颌面部恶性肿瘤患者的自我效能在压力与抑郁倾向的关系中起到调节作用。
[Abstract]:Objective to explore whether psychological capital (self-efficacy, hope) plays an intermediary or regulatory role between stress and depression in patients with oral and maxillofacial malignant tumors. The model of stress-psychological capital-depression tendency of patients with oral and maxillofacial malignant tumor was established. Methods the inpatients who were diagnosed as malignant tumor in oral and maxillofacial surgery ward of Shengjing Hospital affiliated to China Medical University were studied. The self-designed questionnaire of quality of life (QOL) of (HHI), was used by (GSES), Herth. Stress perception scale (PSS) and self-rating Depression scale (SAS) were used to measure oral and maxillofacial malignant tumors. Excel software was used to input data uniformly, and SPSS 16.0 statistical software was used to carry out descriptive statistical analysis, independent sample t-test, variance analysis, correlation analysis and hierarchical regression analysis, as well as structural equation model analysis. Results the regression coefficients of regression analysis, educational background, income, smoking and oral and maxillofacial malignant tumor patients' psychological capital were significantly higher than those with low education background, low income and smoking. The regression coefficient of pressure and psychological capital (self-efficacy, hope) of patients with malignant tumor of oral and maxillofacial region was significant in P0.01, and the direct effect of stress on self-efficacy and hope was very significant (P0.01). The variance of explanation increased by 38.0% and 33.2% respectively, and the direct effect of stress on self-efficacy was more significant than that of stress. The regression coefficient of stress and depression tendency of patients with oral and maxillofacial malignant tumor was significantly higher than that of control group (P0.01), and the variance of explanation increased by 50.1%. The regression coefficient of psychological capital (self-efficacy, hope) and depression tendency was significant in patients with oral and maxillofacial malignant tumor (P0.01). Psychological capital had significant influence on stress and depression tendency. Conclusion stress in patients with oral and maxillofacial malignant tumors plays a negative role in predicting psychological capital (self-efficacy, hope). The stress of patients with oral and maxillofacial malignant tumors plays a positive role in predicting depression tendency. The psychological capital (self-efficacy, hope) of patients with oral and maxillofacial malignant tumor plays a negative role in predicting depression tendency. The hope of patients with oral and maxillofacial malignant tumors plays a role in mediating the relationship between stress and depression tendency, and the self-efficacy of patients with oral and maxillofacial malignant tumors plays a regulating role in the relationship between stress and depression tendency.
【作者单位】：中国医科大学附属盛京医院口腔科;中国医科大学卫生统计教研室;沈阳农业大学畜牧兽医学院;
【基金】：高等学校博士学科点专项科研基金资助课题(20132104110012)
【分类号】：R739.8

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