Associations between acceptance of illness, psychological resilience, and patient activation among young and middle-aged patients with lung cancer

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-05-06 DOI:10.1016/j.pec.2025.108821

Ning Ma, Ruirui Jia , Yanhua Teng, Yaxin Fu, Xuanyue Yan

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引用次数: 0

Abstract

Objective

This study aimed to explore the relationships between acceptance of illness, psychological resilience, and patient activation (PA) in young and middle-aged patients with lung cancer in China.

Methods

A cross-sectional study was conducted between January and April 2024. Patients with lung cancer completed a survey that included the Patient Activation Measure (PAM), the Acceptance of Illness Scale (AIS), and the Summary of the Psychological Resilience Scale brief version (CD-RISC10). Descriptive statistics, independent sample t-test, one-way analysis of variance (ANOVA), and multivariate regression analysis were used to identify factors influencing PA.

Results

A total of 292 patients participated in the study. The mean PAM score was 66.77 (SD=13.25). Higher levels of PA were positively associated with acceptance of illness (β=0.475, 95 % CI: 1.073–1.437, P < 0.001) and psychological resilience (β=0.503, 95 % CI: 1.073–1.426, P < 0.001), collectively explaining 78.4 % of the variance after controlling for age, education, and duration of discharge in the multiple linear regression analysis.

Conclusion

Age, education, duration of discharge, acceptance of illness, and psychological resilience each influenced PA distinctly, with acceptance of illness and psychological resilience emerging as the most significant predictors.

Practice implications

Professionals should implement targeted interventions for young and middle-aged lung cancer patients, focusing on enhancing illness acceptance and psychological resilience to improve self-care capabilities and promote long-term self-management.

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中青年肺癌患者对疾病的接受度、心理弹性和患者激活之间的关系

目的探讨中国中青年肺癌患者的疾病接受度、心理弹性和患者激活（PA）之间的关系。方法于2024年1 - 4月进行横断面研究。肺癌患者完成了一项调查，包括患者激活测量（PAM）、疾病接受度量表（AIS）和心理弹性量表简要版摘要（CD-RISC10）。采用描述性统计、独立样本t检验、单因素方差分析（ANOVA）和多因素回归分析确定影响PA的因素。结果共292例患者参与研究。平均PAM评分为66.77 （SD=13.25）。较高的PA水平与疾病接受度（β=0.475, 95% CI: 1.073-1.437, P <； 0.001）和心理弹性（β=0.503, 95 % CI: 1.073-1.426, P <； 0.001）呈正相关，在多元线性回归分析中控制了年龄、教育程度和出院时间后，共同解释了78.4 %的方差。结论年龄、受教育程度、出院时间、疾病接受度和心理弹性均显著影响患者心理健康，其中疾病接受度和心理弹性是影响患者心理健康最显著的因素。实践意义专业人员应针对中青年肺癌患者实施有针对性的干预措施，注重增强疾病接受度和心理弹性，提高自我护理能力，促进长期自我管理。

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

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.