宫颈癌患者社会支持对病耻感的影响：心理弹性的中介作用

目的 探讨心理弹性在宫颈癌患者社会支持和病耻感间的中介作用。方法 采用一般资料调查问卷、社会影响量表（SIS）、社会支持评定量表（SSRS）、心理弹性量表（CD-RISC）对258例宫颈癌住院患者进行问卷调查。结果 宫颈癌患者SIS得分（57.75±8.890）分，SSRS得分（35.76±7.499）分，CD-RISC得分（54.65±15.852）分。SIS得分与SSRS得分（r=-0.347）和CD-RISC得分（r=-0.274）均呈负相关（P <0.05）,SSRS得分与CD-RISC得分（r=0.236）呈正相关（P <0.05）。心理弹性在患者社会支持和病耻感间起中介作用，且中介效应占总效应的12.22%。结论 社会支持可通过心理弹性的中介作用对宫颈癌患者病耻感产生间接影响，心理弹性可提高社会支持对宫颈癌患者病耻感的抑制作用。

Effect of social support on stigma in cervical cancer patients: mediating role of resilience

Objective To explore the mediating effects of resilience between social support and stigma in cervical cancer patients.Methods The general information questionnaire, the Social Impact Scale (SIS), the Social Support Rating Scale (SSRS) and the Connor-Davidson Resilience Scale (CD-RISC) were used to survey 258 cervical cancer inpatients.Results The scores of SIS, SSRS and CD-RISC were (57.75 ± 8.890), (35.76 ± 7.499) and (54.65 ± 15.852) respectively. The stigma were negatively correlated with the social support (r = -0.347 ) and the resilience (r = -0.274) (P < 0.05 ), The resilience was positively correlated with the social support (r = 0.236, P < 0.05 ). The resilience had mediation effect between the social support and the stigma, and the mediation effect accounted for 12.22% of the total effect.Conclusions Social support plays an indirect effect on stigma in cervical cancer patients by the mediating effect of resilience, and the resilience can improve the inhibitory effect of social support on stigma in them.