癌症的社会污名与癌症患者家庭照顾者的癌症心理习惯之间关系的结构方程模型

Omid Mazlumi, M. Parsamehr, Akbar Zare-shahabadi
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引用次数: 0

摘要

导言:在社会中,对癌症的不正确看法会导致对癌症的污名化,并削弱医疗保健和患者的治疗。本研究旨在调查癌症习惯对癌症患者家庭照顾者的癌症社会污名化的影响。研究方法采用调查法,统计人群包括 1401 年德黑兰医院的癌症患者家属护理人员。样本量包括参照研究医院,通过多阶段分层便利抽样法选出的 384 人。数据收集工具为标准癌症耻辱指数问卷和研究人员自制的癌症习惯问卷。数据分析采用 SPSS 和 Amos 的相关检验、均值差异、路径分析和结构方程模型。结果结果显示,癌症成见(以他人回避、自我回避和被释放为维度)与癌症习性(以陶醉和治疗回避为维度)之间存在关系;根据路径模型,习性解释了成见变异的 19/6%。此外,"着迷 "和 "逃避治疗 "对解释成见的贡献率最高和最低,影响因子分别为 0/29 和 0/25。结构方程模型检验结果也表明,所提出的概念模型具有适当的拟合度(GFI=0/973,RMSEA=0/067,CFI=0/958)。结论癌症患者的护理人员作为患者的主要支持者,总是受到社会上不正确的文化成见的影响。确定习惯的不同维度(尤其是陶醉方面),更加关注摆脱成见方面,重视教育和宣传在减少错误观念方面的作用,以及与患者进行更多的互动,对于减少癌症的成见具有重要作用,使患者更容易承受癌症带来的痛苦。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Structural Equation Modeling of the Relationship between Social Stigma of Cancer and Mental Habitus of Cancer among Family Caregivers of Cancer Patients
Introduction: In societies, incorrect beliefs about cancer cause stigma and weaken the health care and patients' treatment. The purpose of this studu is to investigate the impact of cancer habitus on cancer social stigma among family caregivers of cancer patients. Methods: Survey method was usedand the statistical population included family caregivers of cancer patients in Tehran hospitals in 1401. Sample size included 384 people selected by convenience sampling method of multi-stage stratified type by referring to the hospitals under study. Data collection tool was the standard cancer stigma index questionnaire and the researcher-made cancer habitus questionnaire. Data were analyzed through correlation tests, mean difference, path analysis and structural equation modeling in SPSS and Amos. Results: According to the results, there was a relationship between cancer stigma (with dimensions of others-avoidance, self-avoidance, and being released) and cancer habitus (with dimensions of enchantment and cure-avoidance); according to the path model, habitus explains 19/6% of the variation in stigma. Moreover, enchantment and cure-avoidance had the highest and lowest contribution to explaning stigma with an impact factor of 0/29 and 0/25. The results of structural equation model test also indicated appropriate fit of the presented conceptual model (GFI=0/973, RMSEA=0/067, CFI=0/958). Conclusion: Caregivers of cancer patients, as the main supporters of the patient, are always influenced by incorrect cultural stereotypes of society. Identifying different dimensions of habitus (especially the aspect of enchanment), paying more attention to the aspect of being released of stigma, paying attention to the role of education and awareness in reducing false beliefs and more interaction with patients have a significant role in reducing the stigma of cancer and makes it easier for patients to bear the pain and suffering of cancer
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