癌症患者创伤后成长与健康促进行为:精神幸福感的中介作用

IF 0.4 Q4 NURSING
Shu-Jing Piao, P. Oh
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引用次数: 0

摘要

目的:本研究是一项描述性相关性研究,旨在检验精神幸福感在癌症患者创伤后成长与健康促进行为之间的中介作用。方法:收集3所医院145例癌症患者的临床资料。这些工具是创伤后成长量表、促进健康的生活方式档案和精神幸福感量表。使用描述性统计、相关性和多元回归分析数据,使用Baron和Kenny的调解步骤。结果:创伤后生长的平均得分为3.57。健康促进行为的平均得分为2.98。精神幸福感的平均得分为2.96。变量、创伤后成长、健康促进行为和精神幸福感之间存在显著相关性。精神健康受到创伤后成长的直接影响(Adj R=25)。健康促进行为受到创伤后生长的直接影响(Adj R=26)。创伤后成长和精神健康影响健康促进行为(Adj R=31)。精神幸福感对创伤后成长和健康促进行为之间的关系具有部分中介作用(β=0.25,p<.001)(Sobel检验:Z=2.84,p<0.001)。结论:基于本研究的结果,强烈建议开展以管理创伤后成长和提高精神健康为重点的护理干预计划,以改善癌症患者的健康促进行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posttraumatic Growth and Health Promotion Behavior in Patients with Cancer: The Mediating Effect of Spiritual Well-Being
Purpose: This study is a descriptive correlation research to test the mediating effect of spiritual well-being in the relationship between posttraumatic growth and health promotion behaviors of cancer patients. Methods: The data were collected from 145 cancer patients of three hospitals. The instruments were Posttraumatic Growth Inventory, Health-Promoting Lifestyle Profile, and Spiritual Well-Being Scale. Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny’s steps for mediation. Results: The mean score for posttraumatic growth was 3.57. The mean score was 2.98 for health promotion behaviors. The mean score for spiritual well-being was 2.96. There were significant correlations among the variables, posttraumatic growth, health promotion behaviors, and spiritual well-being. Spiritual well-being was directly affected by posttraumatic growth (Adj R=25). Health promotion behaviors were directly affected by posttraumatic growth (Adj R=26). Posttraumatic growth and spiritual well-being affected health promotion behaviors (Adj R=31). Spiritual well-being had a partial mediating effect (β=.25, p<.001) on the relationship between posttraumatic growth and health promotion behaviors (Sobel test: Z=2.84, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing posttraumatic growth and increasing spiritual wellbeing are highly recommended to improve health promotion behaviors in cancer patients.
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