Exploring the relationship between postoperative psychological resilience and symptom burden in esophageal cancer patients.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Supportive Care in Cancer Pub Date : 2025-05-10 DOI:10.1007/s00520-025-09509-3

Mengmeng Yuan, Anqi Miao, Ranran Qin, Yanni Qin, Shuwen Li

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引用次数: 0

Abstract

Purpose: Psychological resilience (PR) is an important internal resource for alleviating symptom burden in esophageal cancer surgery patients. However, the relationship between PR and symptom burden has not been explored to date. The primary purpose of this study is to determine the relationship between these two variables.

Methods: This multi-center cross-sectional study analyzed data from 486 esophageal cancer surgery patients (2022-2024), assessing symptom burden and PR using the Convalescence Symptom Assessment Scale for Esophagectomy Patients and the Connor-Davidson Resilience Scale. Symptom burden was visualized with radar charts, and network analysis identified the relationship between PR and symptom burden.

Results: Esophageal cancer patients experienced a significant symptom burden in the early postoperative period. Network analysis revealed that helplessness (Bridge Strength = 0.23), close and secure relationships (Bridge Strength = 0.21), disturbed sleep (Bridge Strength = 0.11), and pride in your achievements (Bridge Strength = 0.08) were bridge nodes connecting the combination network. Among these, helplessness was identified as a critical factor in initiating and sustaining the relationship between PR and symptom burden.

Conclusions: PR plays a crucial role in alleviating symptom burden. This study identifies the bridge nodes in the combination network of PR and symptom burden in esophageal cancer patients. Implementing interventions targeting these factors may enhance the precision and effectiveness of symptom management.

查看原文本刊更多论文

探讨食管癌患者术后心理弹性与症状负担的关系。

目的：心理弹性（PR）是减轻食管癌手术患者症状负担的重要内在资源。然而，PR与症状负担之间的关系迄今尚未探讨。本研究的主要目的是确定这两个变量之间的关系。方法：本多中心横断面研究分析了486例食管癌手术患者（2022-2024年）的资料，采用食管切除术患者康复症状评估量表和Connor-Davidson恢复力量表评估症状负担和PR。用雷达图可视化症状负担，通过网络分析确定PR与症状负担的关系。结果：食管癌患者术后早期出现明显的症状负担。网络分析显示，无助感（Bridge Strength = 0.23）、亲密和安全的关系（Bridge Strength = 0.21）、睡眠不安（Bridge Strength = 0.11）和成就自豪感（Bridge Strength = 0.08）是连接组合网络的桥梁节点。其中，无助感被认为是PR与症状负担之间关系的关键因素。结论：PR在减轻症状负担中起关键作用。本研究确定了食管癌患者PR与症状负担联合网络中的桥梁节点。针对这些因素实施干预可以提高症状管理的准确性和有效性。

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

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.