护理学报2024，Vol.31Issue(12)：54-59,6.DOI:10.16460/j.issn1008-9969.2024.12.054
智谋在晚期肺癌患者家庭复原力与预感性悲伤之间的中介作用
Mediating effect of resourcefulness between family resilience and anticipatory grief in patients with advanced lung cancer
摘要
Abstract
Objective To explore the mediating effect of resourcefulness between family resilience and anticipatory grief in patients with advanced lung cancer.Methods A cross-sectional survey was conducted among 307 stage Ⅲ and Ⅳ lung cancer patients hospitalized in 4 tertiary grade-A hospitals in Guangdong Province.All patients were investigated using a General Information Questionnaire,the Family Resilience Questionnaire,the Chinese version of Resourcefulness Scale,and the Preparatory Grief in Advanced Cancer Patients.A structural equation model was constructed to analyze the data.Results In this group of patients with advanced lung cancer,the total score of family resilience,resourcefulness and anticipatory grief was 70.71±14.19,75.12±25.79,and 20.33±10.09,respectively.Family resilience was negatively correlated with anticipatory grief(r=-0.486,P<0.01);resourcefulness was negatively correlated with anticipatory grief(r=-0.602,P<0.01),and family resilience was positively correlated with resourcefulness(r=0.507,P<0.01).Mediation test showed that family resilience could negatively predict anticipatory grief(β=-0.309,P<0.01);family resilience and resourcefulness can negatively predict anticipatory grief(β=-0.314,P<0.01).Resourcefulness played a mediating role between family resilience and anticipatory grief,with the effect value of-0.314,accounting for 50.4％of the total effect.Conclusion Patients with advanced lung cancer have an above-average level of family resilience,a moderate level of resourcefulness,and a lower-average level of anticipatory grief.Both family resilience and resourcefulness can directly affect anticipatory grief in advanced lung cancer patients,with family resilience also indirectly affecting patients'anticipatory grief through resourcefulness.Medical staff should actively take measures to enhance family resilience of patients with advanced lung cancer and improve their level of resourcefulness to relieve their anticipatory grief.关键词
肺癌患者/智谋/家庭复原力/预感性悲伤/中介作用Key words
patient with lung cancer/resourcefulness/family resilience/anticipatory grief/mediating effect分类
医药卫生引用本文复制引用
李丽香,刘琼玲,万崇华,王丽萍,林华敏,朱小佳,陈振飞,梁文鑫,李奇珍..智谋在晚期肺癌患者家庭复原力与预感性悲伤之间的中介作用[J].护理学报,2024,31(12):54-59,6.基金项目
国家自然科学基金项目(72381240026) （72381240026）
2020年广东省本科高校教学质量与教学改革工程建设项目(粤教高函[2020]19号) （粤教高函[2020]19号）
