目的 探讨自我同情在宫颈癌患者疾病感知与失志间的中介作用。方法 采用便利抽样法,选取2022年10月至2023年12月在山西省太原市2所三级甲等医院妇科治疗的306例宫颈癌患者为研究对象，采用一般资料调查表、中文版失志综合征量表Ⅱ、简易疾病感知问卷和自我同情量表对其进行调查。结果 宫颈癌患者疾病感知、失志和自我同情平均得分分别为(37.58±8.69)分、15.00（11.00，18.00）分和(78.33±9.89)分。疾病感知与失志呈正相关（r=0.298，P＜0.01）、与自我同情呈负相关（r=-0.291，P＜0.01），自我同情与失志呈负相关（r=-0.482，P＜0.01）。自我同情是疾病感知和失志的中介变量，其中介效应占总效应的56.50%。结论 医护人员需采取有效干预措施降低患者消极疾病感知水平，提升其自我同情，改善失志。

Objective To explore the mediating effect of self-compassion between illness perception and demoralization in cervical cancer patients.Methods The convenience sampling method was used to select a total of 306 cervical cancer patients treated in the department of gynecology in two tertiary A hospitals in Taiyuan,Shanxi Province,from October 2022 to December 2023 as study subjects.The general information questionnaire,Demoralization Scale-Ⅱ,Brief Illness Perception Questionnaire,and Self-Compassion Scale were used for investigation.Results The mean scores of illness perception,demoralization,and self-compassion of patients with cervical cancer were (37.58±8.69),15.00(11.00,18.00)and (78.33±9.89),respectively.Illness perception was positively correlated with demoralization (r=0.298,P＜0.01),and was negatively correlated with self-compassion(r=-0.291,P＜0.01). Self-compassion was negatively correlated with demoralization(r=-0.482,P＜0.01).Self-compassion was a mediating variable between illness perception and demoralization,with its mediating effect accounting for 56.50% of the total effect.Conclusions Medical staff should take effective measures to reduce the level of patients’ negative illness perception,enhance self-compassion,and improve demoralization.

R473.71;R473.73