【摘要】：目的本研究嘗試探索口腔頜面部惡性腫瘤患者的心理資本(自我效能、希望)是否在壓力與抑郁傾向之間起中介和或調(diào)節(jié)作用,并建立口腔頜面部惡性腫瘤患者壓力-心理資本-抑郁傾向的模型。方法以中國醫(yī)科大學附屬盛京醫(yī)院口腔頜面外科病房確診為惡性腫瘤的住院患者為研究對象,應用自我效能量表(GSES)、Herth希望量(HHI)、自編生活質(zhì)量調(diào)查問卷、壓力感覺量表(PSS)及抑郁自評量表SAS對口腔頜面部惡性腫瘤患者實施測量。使用Excel軟件統(tǒng)一錄入數(shù)據(jù),采用SPSS 16.0統(tǒng)計軟件進行描述性統(tǒng)計分析、獨立樣本t檢驗,方差分析,相關分析和分層回歸分析以及結(jié)構方程模型分析。結(jié)果通過回歸分析,教育背景、收入及是否吸煙和口腔頜面部惡性腫瘤患者的心理資本的回歸系數(shù)在P0.01顯著,以低教育背景、低收入及吸煙患者為高;口腔頜面部惡性腫瘤患者的壓力和心理資本(自我效能、希望)的回歸系數(shù)在P0.01顯著,壓力對自我效能及希望的直接效應非常顯著(P0.01),解釋的變異量分別增加了38.0%及33.2%,相比,壓力對自我效能的直接效應更為顯著;口腔頜面部惡性腫瘤患者的壓力和抑郁傾向的回歸系數(shù)在P0.01顯著,解釋的變異量增加了50.1%;口腔頜面部惡性腫瘤患者的心理資本(自我效能、希望)和抑郁傾向的回歸系數(shù)在P0.01顯著,心理資本對壓力和抑郁傾向的顯著性有影響。結(jié)論口腔頜面部惡性腫瘤患者的壓力對心理資本(自我效能、希望)起到負向預測作用�？谇活M面部惡性腫瘤患者的壓力對抑郁傾向起到正向預測作用�？谇活M面部惡性腫瘤患者的心理資本(自我效能、希望)對抑郁傾向起到負向預測作用。口腔頜面部惡性腫瘤患者的希望在壓力與抑郁傾向的關系中起到部分中介作用,口腔頜面部惡性腫瘤患者的自我效能在壓力與抑郁傾向的關系中起到調(diào)節(jié)作用。
[Abstract]:Objective to explore whether psychological capital (self-efficacy, hope) plays an intermediary or regulatory role between stress and depression in patients with oral and maxillofacial malignant tumors. The model of stress-psychological capital-depression tendency of patients with oral and maxillofacial malignant tumor was established. Methods the inpatients who were diagnosed as malignant tumor in oral and maxillofacial surgery ward of Shengjing Hospital affiliated to China Medical University were studied. The self-designed questionnaire of quality of life (QOL) of (HHI), was used by (GSES), Herth. Stress perception scale (PSS) and self-rating Depression scale (SAS) were used to measure oral and maxillofacial malignant tumors. Excel software was used to input data uniformly, and SPSS 16.0 statistical software was used to carry out descriptive statistical analysis, independent sample t-test, variance analysis, correlation analysis and hierarchical regression analysis, as well as structural equation model analysis. Results the regression coefficients of regression analysis, educational background, income, smoking and oral and maxillofacial malignant tumor patients' psychological capital were significantly higher than those with low education background, low income and smoking. The regression coefficient of pressure and psychological capital (self-efficacy, hope) of patients with malignant tumor of oral and maxillofacial region was significant in P0.01, and the direct effect of stress on self-efficacy and hope was very significant (P0.01). The variance of explanation increased by 38.0% and 33.2% respectively, and the direct effect of stress on self-efficacy was more significant than that of stress. The regression coefficient of stress and depression tendency of patients with oral and maxillofacial malignant tumor was significantly higher than that of control group (P0.01), and the variance of explanation increased by 50.1%. The regression coefficient of psychological capital (self-efficacy, hope) and depression tendency was significant in patients with oral and maxillofacial malignant tumor (P0.01). Psychological capital had significant influence on stress and depression tendency. Conclusion stress in patients with oral and maxillofacial malignant tumors plays a negative role in predicting psychological capital (self-efficacy, hope). The stress of patients with oral and maxillofacial malignant tumors plays a positive role in predicting depression tendency. The psychological capital (self-efficacy, hope) of patients with oral and maxillofacial malignant tumor plays a negative role in predicting depression tendency. The hope of patients with oral and maxillofacial malignant tumors plays a role in mediating the relationship between stress and depression tendency, and the self-efficacy of patients with oral and maxillofacial malignant tumors plays a regulating role in the relationship between stress and depression tendency.
【作者單位】： 中國醫(yī)科大學附屬盛京醫(yī)院口腔科;中國醫(yī)科大學衛(wèi)生統(tǒng)計教研室;沈陽農(nóng)業(yè)大學畜牧獸醫(yī)學院;
【基金】：高等學校博士學科點專項科研基金資助課題(20132104110012)
【分類號】：R739.8

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