Resilience, Self-Efficacy, and Psychological Burden in Palliative Care: A Cross-Sectional Observational Study.

IF 1.3

Omega Pub Date : 2025-08-05 DOI:10.1177/00302228251363091

Letizia Lafuenti, Daniela Belella, Rebecca De Paola, Livia Sani, Valentina Massaroni, Eleonora Malta, Sofia Vannuccini, Maria Adelaide Ricciotti, Eleonora Meloni, Sabrina Dispenza, Maria Beatrice Zazzara, Anna Fagotti, Giampaolo Tortora, Graziano Onder, Daniela Pia Rosaria Chieffo

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Abstract

Aims: This study explores the relationship between resilience and self-efficacy in palliative care patients and caregivers, focusing on gender differences in emotional expression and the impact of patient-caregiver dynamics on distress and coping. Methods: A cross-sectional study involved 160 palliative patients and 123 caregivers. Validated tools assessed resilience (Resilience Scale-14), self-efficacy (General Self-Efficacy Scale), distress (Integrated Palliative Care Outcome Scale), emotional expressivity (Toronto Alexithymia Scale), and caregiving burden (Caregiver Inventory). Regression and mediation analyses identified predictors of distress and burden. Results: Higher resilience correlated with lower patient distress (p = .004) but increased caregiver burden (p < .001). Resilience mediated the relationship between self-efficacy and burden. Male patients had more difficulty identifying emotions (p < .001). The patient-caregiver relationship type did not significantly affect distress. Conclusions: While resilience is a protective factor for patients, it may unintentionally heighten the burden on caregivers. Gender-sensitive psychological interventions are needed to improve emotional processing and coping strategies.

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缓和疗护中的复原力、自我效能和心理负担：一项横断面观察研究。

目的：本研究探讨姑息治疗患者和照护者心理韧性与自我效能的关系，重点关注情绪表达的性别差异以及患者-照护者动态对痛苦和应对的影响。方法：对160名姑息治疗患者和123名护理人员进行横断面研究。经过验证的工具评估了复原力（复原力量表-14）、自我效能感（一般自我效能量表）、痛苦感（综合姑息治疗结果量表）、情绪表达力（多伦多述情障碍量表）和照顾负担（照顾者量表）。回归和中介分析确定了痛苦和负担的预测因素。结果：较高的心理弹性与较低的患者痛苦相关（p = 0.004），但增加了照顾者负担（p < 0.001）。心理弹性在自我效能感与负担之间起中介作用。男性患者更难以识别情绪（p < 0.001）。病人-照顾者关系类型对痛苦没有显著影响。结论：虽然心理弹性是患者的保护因素，但它可能无意中增加了护理人员的负担。需要对性别问题敏感的心理干预来改善情绪处理和应对策略。

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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