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目的 探讨领悟社会支持和压力知觉在乳腺癌患者述情障碍和家庭适应之间的链式中介作用。方法 使用便利抽样法，以山东省青岛市某三级甲等医院住院的乳腺癌患者作为研究对象，使用一般资料调查表、多伦多述情障碍量表(Toronto alexithymia scale, TAS-20)、家庭亲密度与适应性量表(family adaptability and cohesion evaluation scale-II,FACES II)、领悟社会支持量表(perceived social support scale, PSSS)及压力知觉量表(Chinese perceived stress scale, CPSS)进行调查，并构建链式中介模型。结果 共纳入228例患者，乳腺癌患者述情障碍总分(54.99±7.53)分，家庭适应总分(50.67±3.02)分，领悟社会支持总分(55.18±3.46)分，压力知觉总分(42.73±4.57)分。乳腺癌患者述情障碍对家庭适应的直接效应显著，效应值为-0.054。间接效应显著，总间接效应为-0.153,其中领悟社会支持在述情障碍与家庭适应间的效应值为-0.086,占总间接效应的41.59%,压力知觉在述情障碍与家庭适应间的效应值为-0.044,占总间接效应的21.26%,领悟社会支持与压力知觉在述情障碍与家庭适应间的链式中介效应成立，效应值为-0.023,占总间接效应的11.26%。结论 领悟社会支持和压力知觉在乳腺癌患者述情障碍和家庭适应之间的多重中介效应成立。临床工作人员可以通过改善乳腺癌患者述情障碍，提供个多元化支持增强领悟社会支持能力、减少压力感知进而提高家庭适应。
Abstract：Objective To explore the chain mediating effect of perceived social support and perceived of stress between alexithymia and family adaptation among breast cancer patients. Methods Using the convenience sampling method, breast cancer patients who were hospitalized in a tertiary Grade A hospital in Qingdao city, Shandong province were selected as the study subjects, and were investigated by using the general information questionnaire, proactive personality scale, Toronto alexithymia scale(TAS-20), family adaptability and cohesion evaluation scale-Ⅱ(FACES Ⅱ), perceived social support scale(PSSS), Chinese perceived stress scale(PSSS) to construct and validate the chained mediation model. Results A total of 228 patients were enrolled.The scores of alexithymia, family adaptability, perceived social support, and perceived of stress were(54.99±7.53) points,(50.67±3.02) points,(55.18±3.46) points, and(42.73±4.57) points. The direct effect of alexithymia on family adjustment in breast cancer patients was significant, with an effect size of-0.054. The indirect effect was significant, and the total indirect effect was-0.153, among which the effect value of perceptive social support between alexithymia and family adaptation was-0.086, accounting for 41.59% of the total indirect effect, and the effect value of stress perception between alexithymia and family adaptation was-0.044, accounting for 21.26% of the total indirect effect. The mediated chain effect of social support and stress perception between alexithymia and family adaptation was established, and the effect value was-0.023, accounting for 11.26% of the total indirect effect. Conclusion The chain mediating role of perceived social support and perceived of stress between alexithymia and family adaptation of breast cancer patients is established. Clinical staff can improve family adaptability by improving alexithymia in breast cancer patients, providing a variety of supports to enhance understanding of social support, and reducing stress perceptions.
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基本信息:
DOI：10.16821/j.cnki.hsjx.2026.02.003
中图分类号:R473.73
引用信息:
[1]王开心,吕富岩,王盈,等.领悟社会支持和压力知觉在乳腺癌患者述情障碍与家庭适应间的链式中介效应[J].护士进修杂志,2026,41(02):125-131.DOI:10.16821/j.cnki.hsjx.2026.02.003.
基金信息:
青岛市2023年度医药卫生科研指导项目(编号：2023-WJZD163)
2026-01-28
2026-01-28