The mediating effect of stigma on the relationship between fear of disease progression and social alienation in patients with haematological malignancies.

IF 2 4区 医学 Q3 HEMATOLOGY Hematology Pub Date : 2024-12-01 Epub Date: 2024-10-28 DOI:10.1080/16078454.2024.2416723
Dan Shi, Run Li, PeiXin Chen, JiaQing Zhong, KuiLi Wang, Dan Wang, HuiJuan Zhu
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Abstract

Objective: To explore the mediating effect of shame in patients with malignant haematological diseases between fear of disease progression and social alienation.

Methods: Recruiting 310 patients with haematological malignancies as the research population, the convenience sampling method was used to investigate the general information questionnaire, the fear of disease progression scale, the social influence scale and the general alienation scale.

Results: The patients with haematological malignancies scored (36.02 ± 9.74) points for fear of disease progression, (58.02 ± 9.52) points for stigma and (31.31 ± 5.85) points for social alienation. Social alienation in patients with haematologic malignancies was positively correlated with stigma (r = 0.500, P < 0.01) and fear of disease progression (r = 0.424, P < 0.01), and fear of disease progression was also positively correlated with stigma (r = 0.405, P < 0.01). Bootstrap test results showed that the mediating effect of stigma on the relationship between fear of disease progression and social alienation in patients with haematological malignancies was 0.159, accounting for 37.5% of the total effect.

Conclusion: The sense of shame plays an intermediary role between fear of disease progression and social alienation in patients with malignant haematological diseases. Clinical nurses should pay attention to the current situation of fear and shame in patients with such diseases and take appropriate intervention measures to reduce the occurrence of negative emotions such as social alienation.

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污名化对血液恶性肿瘤患者对疾病进展的恐惧与社会疏离之间关系的中介效应。
目的探讨羞耻感在恶性血液病患者对疾病进展的恐惧和社会疏离感之间的中介作用:方法:以 310 名血液恶性肿瘤患者为研究对象,采用便利抽样法,对一般信息问卷、疾病进展恐惧量表、社会影响量表和一般疏离感量表进行调查:结果:血液恶性肿瘤患者对疾病进展的恐惧得分为(36.02±9.74)分,耻辱感得分为(58.02±9.52)分,社会疏离感得分为(31.31±5.85)分。血液恶性肿瘤患者的社会疏离感与耻辱感呈正相关(r = 0.500,P P P 结论:羞耻感在恶性血液病患者对疾病进展的恐惧和社会疏离感之间起着中介作用。临床护士应关注此类疾病患者的恐惧感和羞耻感现状,并采取适当的干预措施,减少社会疏离感等负面情绪的发生。
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来源期刊
Hematology
Hematology 医学-血液学
CiteScore
2.60
自引率
5.30%
发文量
140
审稿时长
3 months
期刊介绍: Hematology is an international journal publishing original and review articles in the field of general hematology, including oncology, pathology, biology, clinical research and epidemiology. Of the fixed sections, annotations are accepted on any general or scientific field: technical annotations covering current laboratory practice in general hematology, blood transfusion and clinical trials, and current clinical practice reviews the consensus driven areas of care and management.
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