Association Between Quality of Discharge Teaching and Post-Discharge Coping Difficulty in Postoperative Lung Cancer Patients: A Chain Mediation Model.

IF 3.4 4区医学 Q2 ONCOLOGY

Current oncology Pub Date : 2025-08-18 DOI:10.3390/curroncol32080468

Minghui Wang, Hailing Tu, Jingfang Hong

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Abstract

The post-discharge coping difficulties experienced by patients can affect their quality of life and the occurrence of unplanned readmissions. This study aimed to explore the chain mediation effect of self-efficacy and readiness for hospital discharge between quality of discharge teaching and post-discharge coping difficulty among postoperative lung cancer patients. This study employed a cross-sectional design and surveyed 358 postoperative patients with lung cancer. Demographic and Disease-Related Data Questionnaire, Quality of Discharge Teaching Scale, General Self-Efficacy Scale, Readiness for Hospital Discharge Scale, and Post-Discharge Coping Difficulty Scale were used. A structural equation model was utilized to explore the mediation effects of self-efficacy and readiness for hospital discharge. The total score for post-discharge coping difficulty among postoperative lung cancer patients was 34.32 ± 10.00. Quality of discharge teaching not only directly negatively predicted post-discharge coping difficulty (β = -0.154, p < 0.05), but also indirectly affected it through the chain mediation effect of self-efficacy and readiness for hospital discharge (β = -0.040, p = 0.001). Healthcare providers should pay attention to postoperative lung cancer patients' post-discharge coping difficulties and formulate targeted discharge teaching strategies to enhance patients' self-efficacy and readiness for discharge to alleviate their post-discharge coping difficulties.

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肺癌术后患者出院教学质量与出院后应对困难的关系：链式中介模型

患者出院后的应对困难会影响他们的生活质量和意外再入院的发生。本研究旨在探讨肺癌术后患者自我效能感和出院准备在出院教学质量与出院后应对困难之间的链式中介作用。本研究采用横断面设计，调查358例肺癌术后患者。采用人口统计学及疾病相关资料问卷、出院教学质量量表、一般自我效能量表、出院准备程度量表和出院后应对困难量表。采用结构方程模型探讨自我效能感与出院准备的中介作用。肺癌术后患者出院后应对困难总分为34.32±10.00分。出院教学质量不仅直接负向预测出院后应对困难（β = -0.154, p < 0.05），而且通过自我效能感和出院准备的链式中介效应间接影响出院后应对困难（β = -0.040, p = 0.001）。医护人员应关注肺癌术后患者的出院后应对困难，制定有针对性的出院教学策略，提高患者的自我效能感和出院准备，缓解患者的出院后应对困难。

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来源期刊

Current oncology ONCOLOGY-

CiteScore

3.30

自引率

7.70%

发文量

664

审稿时长

1 months

期刊介绍： Current Oncology is a peer-reviewed, Canadian-based and internationally respected journal. Current Oncology represents a multidisciplinary medium encompassing health care workers in the field of cancer therapy in Canada to report upon and to review progress in the management of this disease. We encourage submissions from all fields of cancer medicine, including radiation oncology, surgical oncology, medical oncology, pediatric oncology, pathology, and cancer rehabilitation and survivorship. Articles published in the journal typically contain information that is relevant directly to clinical oncology practice, and have clear potential for application to the current or future practice of cancer medicine.