癌癥幸存者生育憂慮與醫(yī)學(xué)應(yīng)對、風(fēng)險感知結(jié)構(gòu)方程模型的構(gòu)建

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Construction of structural equation models for fertility concerns， medical coping，and risk perception among cancer survivors

Abstract  Objective：To explore the relationship between fertility concerns，medical coping，and risk perception among cancer survivors and apply stepwise regression and Bootstrap method to verify the mediating effect.Methods：A questionnaire survey was conducted on 516 cancer survivors using the Reproductive Concerns after Cancer Scale，Medical Coping Scale，and Risk Perception Scale.And apply stepwise regression and Bootstrap method to verify the mediating effect.Results：The score of fertility anxiety among cancer survivors was（63.23±12.66） points；The score for the medical coping dimension was（21.11±6.48） points，the score for the avoidance dimension was （16.68±6.80） points，and the score for the surrender dimension was（13.16±4.67） points；The risk perception score was （39.95±11.87） points.The results of the structural equation model showed that risk perception had a negative impact on facing（P<0.05），and a positive impact on avoidance，surrender，and fertility concerns（P<0.05）；Avoidance and submission had a positive impact on fertility concerns（P<0.05），while facing fertility concerns had a negative impact（P<0.05）；Medical coping served as a mediating variable between risk perception and fertility concerns.Conclusion：Cancer survivors have moderate levels of fertility concerns and risk perception，and are more inclined to adopt face-to-face coping strategies.Medical coping can regulate the interaction between risk perception and fertility concerns.

Keywords  cancer； fertility concerns； medical coping； risk perception； structural equation model

摘要  目的：探討癌癥幸存者生育憂慮與醫(yī)學(xué)應(yīng)對、風(fēng)險感知間的關(guān)系。（剩余10812字）