Comprehensive Need as a Mediator Between Psychological Stress and Quality of Life Among Caregivers of Patients With Cancer.

IF 2.4 3区医学 Q1 NURSING

Cancer Nursing Pub Date : 2025-07-01 Epub Date: 2023-11-16 DOI:10.1097/NCC.0000000000001310

Danna Lin, Wenjuan Ying, Hong Zhang, Yuqi Xiu, E Li, Ruihua Zheng, Yanchun Wu

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引用次数: 0

Abstract

Background: Caregivers of patients with cancer are susceptible to profound psychological distress and low quality of life owing to the substantial demands of caregiving. The comprehensive needs of caregivers are closely linked to their quality of life. However, little is known about the relationship between these factors.

Objective: This study aimed to determine whether comprehensive needs mediate the relationships between psychological stress and quality of life in caregivers of patients with cancer.

Methods: A cross-sectional design was used to recruit 382 participants through convenience sampling. Psychological stress, comprehensive needs, and quality of life were measured using a questionnaire.

Results: Psychological stress was associated with higher comprehensive needs ( r = 0.30, P < .01) and lower quality of life ( r = -0.20, P < .01). Comprehensive needs were negatively associated with quality of life ( r = -0.28, P < .01). Mediation analysis findings revealed that both the indirect effect of psychological stress on quality of life via comprehensive needs ( β = -0.10; P < .001) and its direct effect on quality of life ( β = -0.16; P < .01) were statistically significant, suggesting a partial mediatory effect of comprehensive needs between psychological stress and quality of life.

Conclusions: Our findings suggest that reducing psychological stress can improve quality of life by promoting satisfaction with comprehensive needs.

Implications for practice: Interventions that help reduce psychological stress and meet the comprehensive needs of caregivers of patients with cancer can improve their quality of life.

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综合需求在癌症患者照护者心理压力与生活质量之间的中介作用

背景:癌症患者的照护者由于对照护的大量需求，容易产生深刻的心理困扰和较低的生活质量。护理人员的综合需求与他们的生活质量密切相关。然而，人们对这些因素之间的关系知之甚少。目的:本研究旨在探讨综合需求是否在癌症患者照护者的心理压力与生活质量之间起中介作用。方法:采用横断面设计，采用方便抽样法，共招募382名被试。心理压力、综合需求和生活质量通过问卷调查进行测量。结果:心理应激与综合需求增高相关(r = 0.30, P < 0.01)，与生活质量降低相关(r = -0.20, P < 0.01)。综合需求与生活质量呈负相关(r = -0.28, P < 0.01)。中介分析结果显示，心理压力通过综合需求对生活质量的间接影响(β = -0.10;P < 0.001)及其对生活质量的直接影响(β = -0.16;P < 0.01)，表明综合需求在心理应激与生活质量之间有部分中介作用。结论:减少心理压力可通过提高综合需求满意度来改善生活质量。实践意义:有助于减少心理压力和满足癌症患者护理人员的综合需求的干预措施可以改善他们的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Nursing 医学-护理

CiteScore

4.80

自引率

3.80%

发文量

244

审稿时长

6-12 weeks

期刊介绍： Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.