Family Resilience and Quality of Life Among Chinese Patients With Acute Leukaemia: A Moderated Mediation Model of Cognitive Appraisal and Coping Style.
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引用次数: 0
Abstract
Aims and objectives: To identify whether cognitive appraisal and coping style have moderating and mediating effects on the relationship between family resilience and quality of life (QoL) in patients with acute leukaemia (AL).
Background: AL is a clonal and aggressive haematological malignancy that requires long-term and continuous therapy, which may negatively influence QoL. Family resilience can be used as a psychosocial resource that may enhance patients' coping processes and QoL.
Design: This cross-sectional descriptive study was conducted among hospitalised patients with AL from June 2022 to June 2023.
Methods: A cross-sectional study was performed following the STROBE Statement. Convenience sampling was used in the present study, and 286 patients were recruited from five tertiary Grade A hospitals in Xi'an, China. The questionnaires included the Functional Assessment of Cancer Therapy-Leukemia (FACT-Leu), the Cognitive Appraisal of Health Scale (CAHS), the Trait Coping Style Questionnaire (TCSQ) and the Family Hardiness Index (FHI). We used SPSS 26.0 and Hayes' PROCESS macro for data analyses and path coefficients.
Results: The QoL of patients with AL was significantly positively correlated with family resilience and positive coping, and negatively correlated with cognitive appraisal. Cognitive appraisal partially mediated the relationship between family resilience and QoL. Positive coping moderated the relationships between family resilience and cognitive appraisal, and between cognitive appraisal and QoL.
Conclusions: The results revealed that the association between family resilience and QoL was partially mediated by cognitive appraisal and that positive coping moderated this relationship. These findings are meaningful for early interventions that reduce the risk of psychosocial distress and improve QoL in this population.
Relevance to clinical practice: Nurses should focus on the cognitive appraisal and coping style of AL patients and provide family support and respect to improve their QoL.
Patient or public contribution: This cross-sectional descriptive study was conducted on patients with AL undergoing clinical chemotherapy in Chinese medical facilities.
目的和目标确定认知评估和应对方式是否对急性白血病（AL）患者的家庭复原力和生活质量（QoL）之间的关系具有调节和中介作用：背景：急性白血病是一种克隆性和侵袭性血液恶性肿瘤，需要长期、持续的治疗，这可能会对生活质量产生负面影响。家庭复原力可作为一种社会心理资源，可改善患者的应对过程和生活质量：这项横断面描述性研究的对象是 2022 年 6 月至 2023 年 6 月住院的 AL 患者：方法：根据 STROBE 声明进行横断面研究。本研究采用方便抽样法，从中国西安的五家三级甲等医院招募了 286 名患者。调查问卷包括癌症治疗功能评估-白血病（FACT-Leu）、健康认知评估量表（CAHS）、特质应对方式问卷（TCSQ）和家庭困难指数（FHI）。我们使用 SPSS 26.0 和 Hayes 的 PROCESS 宏进行数据分析和路径系数分析：AL患者的生活质量与家庭复原力和积极应对显著正相关，与认知评价负相关。认知评价在一定程度上调节了家庭复原力与 QoL 之间的关系。积极应对调节了家庭复原力与认知评价、认知评价与 QoL 之间的关系：研究结果表明，家庭复原力与 QoL 之间的关系部分由认知评价中介，积极应对调节了这种关系。这些研究结果对于早期干预，降低该人群的社会心理压力风险并改善其 QoL 很有意义：对临床实践的意义：护士应关注AL患者的认知评估和应对方式，并提供家庭支持和尊重，以改善他们的生活质量：这项横断面描述性研究的对象是在中国医疗机构接受临床化疗的AL患者。
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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