Mediating effect of coping styles on early postoperative cognitive appraisal of health and stigma in patients with radical prostatectomy
10.3969/j.issn.1671-8283.2025.05.004
- VernacularTitle:应对方式在前列腺癌患者术后早期健康认知评价与病耻感的中介效应
- Author:
Li'e LIN
1
;
Li LAN
;
Yanwen GONG
;
Ke LIU
Author Information
1. 中山大学附属第一医院泌尿外科,广东 广州,510080
- Publication Type:Journal Article
- Keywords:
prostate cancer;
radical prostatectomy;
stigma;
cognitive appraisal;
coping style;
mediating effect;
cross-sectional study
- From:
Modern Clinical Nursing
2025;24(5):25-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating effect of coping styles on the early postoperative cognitive appraisal of health and stigma in patients with radical prostatectomy,so as to provide a reference for an early intervention in postoperative stigma.Methods Convenience sampling was used to select 223 patients who received radical prostatectomy at 5 Tier-ⅢA hospitals in Guangzhou from November 2022 to December 2023.Data were collected using the demographic data questionnaire,social impact scale,brief health cognition appraisal scale and medical coping style scale.Pearson correlation analysis was performed to examine the correlations between the stigma,health cognition appraisal and coping styles.Structural equation modelling was employed to analyse the mediating effect of coping styles on the health cognition appraisals and stigma.Results A total of 210 patients completed the study.The score of stigma for the patients after the radical prostatectomy was(49.46±13.56).Stigma exhibited positive correlations with negative cognitive appraisals(threat and harm)and negative coping styles(avoidance and submission)(both P<0.01).There were negative correlations between stigma and challenging cognitive appraisal and confrontation coping style(both P<0.01).Submission coping style played a mediating role between the cognitive appraisal of health(harm,threat and challenge)and stigma(β=0.072,0.075,-0.121,all P<0.01),accounting for 14.06％,23.15％and 100.00％,respectively,of the total effect.Conclusion Submission coping style is the mediator between the early postoperative cognitive appraisals and stigma in patients with radical prostatectomy.Negative cognitive appraisal positively predicts stigma through the submission coping style,while challenging cognitive appraisal negatively predicts stigma through the submission coping style.Caregivers should assess the early coping styles of patients after surgery,guide patients to correctly cope with the disease,and help them to avoid submissive responses to the postoperative stress hence to reduce the sense of stigma.
