Mediating effect of medical coping style on psychological resilience and death anxiety in cancer patients
10.3760/cma.j.cn115682-20210611-02578
- VernacularTitle:癌症患者医学应对方式在心理弹性与死亡焦虑间的中介效应
- Author:
Youhui GU
1
;
Hong YANG
;
Yuhan LU
;
Zhanying WANG
;
Jinxing SHAO
;
Miaoning YOU
;
Shuling MA
Author Information
1. 北京大学肿瘤医院 北京市肿瘤防治研究所护理部，北京 100142
- Keywords:
Neoplasms;
Death anxiety;
Psychological resilience;
Coping style;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2022;28(2):189-194
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of medical coping style on psychological resilience and death anxiety in cancer patients.Methods:Using the convenient sampling method, a total of 330 inpatients from 2 cancer hospitals in Beijing were selected as the research objects from June to August 2020. The general information questionnaire, Chinese Version of Templer 's Death Anxiety Scale (C-T-DAS) , Medical Coping Modes Questionnaire (MCMQ) and the Connor-Davidson Resilience Scale (CD-RISC) were used to investigate them. Pearson correlation analysis and multiple linear regression were used to analyze the relationship between death anxiety, medical coping style and psychological resilience in cancer patients. AMOS 21.0 was used to establish the structural equation model and verify the mediation effect. A total of 330 questionnaires were sent out in this study, and 302 were effectively received, with the effective recovery of 91.5%. Results:The score of Chinese Version of Templer's Death Anxiety Scale for 302 cancer patients was (40.12±10.23) , the score of Connor-Davidson Resilience Scale was (70.97±13.43) and the scores of confrontation, avoidance and resighation dimension of Medical Coping Modes Questionnaire were (18.80 ±3.65) , (15.64±3.16) and (8.75±2.84) . The psychological resilience of cancer patients was negatively correlated with death anxiety and the resignation dimension in medical coping styles ( P<0.01) , and positively correlated with the facing and avoiding dimensions in medical coping styles ( P<0.05) . The face and yield dimensions in the medical coping style of cancer patients were positively correlated with death anxiety ( P<0.05) . Medical coping styles played a partial mediating role between psychological resilience and death anxiety, and the mediating effect accounted for 32.47% of the total effect. Conclusions:Clinical medical staff should pay attention to the death anxiety of cancer patients, improve their psychological resilience and encourage patients to actively cope with the disease, so as to reduce their death anxiety level and promote mental health.
