摘要
Abstract
Objective:To construct a structural equation model to explore the mediating roles of perceived social support and core self-evaluations in the relationship between family functioning and death anxiety in first-degree relative caregivers of colorectal cancer patients.Methods:A convenience sampling approach was used to recruit 400 first-degree relative caregivers of colorectal cancer patients from three grade A ter-tiary hospitals in Chengdu between January and July 2024 as research participants.Data were collected using a general infor-mation questionnaire,the Family Adaptability and Cohesion Evaluation Scale,the Perceived Social Support Scale,and the Core Self-Evaluations Scale.Mediation analysis was subsequently performed with Amos 24.0.Results:A total of 400 ques-tionnaires were administered,with 380 valid responses obtained,resulting in a 95.00%response rate.The mean death anxi-ety score among first-degree relative caregivers of colorectal cancer patients was 6.36±3.08.A total of 170 caregivers(44.74%)scored≥7 on the death anxiety scale,indicating the presence of high death anxiety.The mean scores for family functioning,perceived social support,and core self-evaluations were 124.63±17.11,68.41±11.13,and 37.42±5.96,re-spectively.Univariate analysis revealed that age,gender,family discussions about death,and prior experience in end-of-life care significantly influenced death anxiety levels among these caregivers(P<0.05).The results of Pearson correlation analy-sis revealed that all correlations between any two scale scores were statistically significant(P<0.01).Structural equation modeling demonstrated that perceived social support and core self-evaluations sequentially mediated the relationship between family functioning and death anxiety in first-degree relative caregivers of colorectal cancer patients,with a mediation effect value of-0.100(95%CI:-0.180～-0.052).Conclusion:The death anxiety among first-degree relative caregivers of colorectal cancer patients requires attention,which is influenced by multiple factors.Specifically,perceived social support and core self-evaluation act as sequential mediators between family functioning and death anxiety in this population,provi-ding practical implications for mitigating caregiver death anxiety.关键词
结直肠癌/照顾者/死亡焦虑/家庭功能/领悟社会支持/核心自我评价/中介作用Key words
Colorectal cancer/Caregiver/Death anxiety/Family functioning/Perceived social support/Core self-evalua-tion/Mediation effect分类
医药卫生
