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Objective:To explore the mediating role of rumination thinking between demoralization and quality of life in malignant tumor patients, provide guidance and reference for helping tumor patients overcome rumination thinking and demoralization and improve quality of life.Methods:From February 2020 to June 2022, 189 patients with malignant tumors admitted to the Department of Oncology of the First Affiliated Hospital of Guangxi Medical University were selected by convenience sampling method as the research objects, and a cross-sectional survey was conducted using general information questionnaire, Demoralization Scale-Mandarin Version, Ruminative Responses Scale, Punctional Assessment of Cancer Therapy-General.Results:Among 189 malignant tumor patients, there were 102 males, 87 females, aged (43.54 ± 13.12) years old. The total score of loss of demoralization was (34.37 ± 10.34) points, the total score of rumination thinking was (41.01 ± 17.10) points, the total score of quality of life was (48.51 ± 15.41) points. The Pearson analysis results showed that the total score of demoralization in malignant tumor patients was negatively correlated with the total score of quality of life ( r = -0.502, P<0.01); the total score of rumination thinking was negatively correlated with the total score of quality of life ( r = -0.465, P<0.01), and the total score of demoralization was positively correlated with the total score of rumination thinking ( r = 0.628, P<0.01). Bootstrap mediation test results showed that ruminant thinking played a partial mediating effect between demoralization and quality of life of patients with malignant tumors, accounted for 30.9% of the total effect. Conclusions:Rumination plays a partially mediating role in the demoralization and quality of life of patients with malignant tumors, suggesting that clinical staff can improve the quality of life of patients with tumors by developing a systematic and comprehensive cognitive-behavioral intervention strategy to improve the demoralization and rumination.
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Objective To analyze the multiple mediating effects of ruminant thinking and mental resilience on ICU related memory and post-traumatic stress disorder in patients with hepatic ischemia reperfusion injury, and to provide guidance for the psychological intervention of patients with hepatic ischemia-reperfusion injury. Methods Totally 522 cases of patients with hepatic ischemia reperfusion injury were selected and selected from four three-class superior hospitals in Harbin City and two three-class superior hospitals in Shenzhen City from January 2017 to December 2017. To investigate ICU related-memory, post-traumatic stress disorder, ruminant thinking and resilience, and to analyze ICU related memory and post traumatic stress in ruminant thinking and heart elasticity Multiple mediating effects between obstacles. Results The scores of ICU-related memories in patients with hepatic ischemia reperfusion injury were (64.18±10.34) points, the score of ruminant thinking was (63.15±8.21) points, the score of mental resilience was (62.34 ± 8.41) points, and the score of post-traumatic stress disorder was (40.74±10.24) points. There were significant positive correlations between 22 patients with ICU related memory, ruminant thinking and post-traumatic stress barrier (ICU-related memory vs. ruminant thinking, r=0.777; ICU-related memory vs. post-traumatic stress disorder, r=0.724; ruminant thinking vs. post-traumatic stress disorder, r=0.734, P<0.01), which had a significant negative correlation with mental resilience (r=-0.718,-0.722, P<0.01). There was only a partial mediation effect between resilience and ruminant thinking in the relation of ICU related memory and post-traumatic stress disorder. Which took mediating effect at 29.0% and 20.7% of the total effect. Resilience-self-efficacy had a chain mediated effect between ICU related memory and post-traumatic stress disorder, with an effective value of 0.36, accounting for 15.6% of the total effect. Conclusion The ruminant thinking and ICU related-memory can be inhibited and the post-traumatic stress disorder can be alleviated by improving the mental resilience level of the patients with hepatic ischemia reperfusion injury from ICU.
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Objective@#To analyze the multiple mediating effects of ruminant thinking and mental resilience on ICU related memory and post-traumatic stress disorder in patients with hepatic ischemia reperfusion injury, and to provide guidance for the psychological intervention of patients with hepatic ischemia-reperfusion injury.@*Methods@#Totally 522 cases of patients with hepatic ischemia reperfusion injury were selected and selected from four three-class superior hospitals in Harbin City and two three-class superior hospitals in Shenzhen City from January 2017 to December 2017. To investigate ICU related-memory, post-traumatic stress disorder, ruminant thinking and resilience, and to analyze ICU related memory and post traumatic stress in ruminant thinking and heart elasticity Multiple mediating effects between obstacles.@*Results@#The scores of ICU-related memories in patients with hepatic ischemia reperfusion injury were (64.18±10.34) points, the score of ruminant thinking was (63.15±8.21) points, the score of mental resilience was (62.34±8.41) points, and the score of post-traumatic stress disorder was (40.74±10.24) points. There were significant positive correlations between 22 patients with ICU related memory, ruminant thinking and post-traumatic stress barrier (ICU-related memory vs. ruminant thinking, r=0.777; ICU-related memory vs. post-traumatic stress disorder, r=0.724; ruminant thinking vs. post-traumatic stress disorder, r=0.734, P<0.01), which had a significant negative correlation with mental resilience (r=-0.718, -0.722, P<0.01). There was only a partial mediation effect between resilience and ruminant thinking in the relation of ICU related memory and post-traumatic stress disorder. Which took mediating effect at 29.0% and 20.7% of the total effect. Resilience-self-efficacy had a chain mediated effect between ICU related memory and post-traumatic stress disorder, with an effective value of 0.36, accounting for 15.6% of the total effect.@*Conclusion@#The ruminant thinking and ICU related-memory can be inhibited and the post-traumatic stress disorder can be alleviated by improving the mental resilience level of the patients with hepatic ischemia reperfusion injury from ICU.