The mediating effect of hope between psychological distress and quality of life in radiotherapy patients with cervical cancer
10.3760/cma.j.issn.1672-7088.2019.31.007
- VernacularTitle: 宫颈癌放疗期患者希望水平在心理痛苦与生命质量之间的中介效应
- Author:
Lirong LI
1
;
Jiaxin CHEN
;
Hongyan FANG
;
Juan LING
;
Yuanhong MO
;
Limei SHI
;
Minjun ZANG
Author Information
1. Department of Radiation Oncology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
- Publication Type:Clinical Trail
- Keywords:
Cervical cancer;
Psychological distress;
Hope;
Quality of life;
Mediating effect
- From:
Chinese Journal of Practical Nursing
2019;35(31):2434-2438
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the relationship between hope, mental suffering and quality of life in radiotherapy patients with cervical cancer, to provide the basis for the cancer patient′s psychological intervention.
Methods:A cross-sectional study of 120 cases of radiotherapy cervical cancer patients was conducted, using the psychological distress thermometer, Herth Hope Scale, Life Quality Measurement Scale for patients with cervical cancer to evaluate patients′ hope, quality of life and psychological distress.
Results:Radiotherapy cervical cancer patients′ psychological distress and hope were negatively correlated (r=-0.385, P <0.01), psychological distress and quality of life were negatively correlated (r=-0.602, P <0.01), hope and quality of life were positive correlation (r=0.711, P <0.01). Patients′ hope played partially mediated effect between psychological distress and quality of life, emotional status, functional status, played fully mediated effect between psychological distress and social family status. The Mediated effect sizes were 35.9%, 36.3%, 55.9% and 100.0%.
Conclusions:Psychological distress has not only a direct negative effect on the quality of life of cancer patients, but also an indirect negative effect through hope. During the Medical care, we should accurately assess of patient's psychological distress and hope, and take measures to help improve patients' hope and alleviate psychological distress, so as to improve patients′ quality of life.
