{"title":"头颈癌患者的家庭复原力、个人复原力和生活质量之间的关系：一项横断面研究","authors":"Yuan-Yuan Liu, Xia Shen, Fei Yang, Shao Zheng Song, Jian Feng Huang","doi":"10.1177/01939459241287451","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Patients with head and neck cancer (HNC) have to cope with a multitude of treatment-related adverse effects that impact their quality of life (QoL) post-treatment completion. The presence of family resilience could potentially foster individual resilience and might contribute to patients' QoL. However, this interconnection has not been confirmed.</p><p><strong>Objective: </strong>To explore the relationships between family resilience, individual resilience, and QoL in patients with HNC and to determine whether individual resilience in HNC patients functions as a mediator between family resilience and QoL.</p><p><strong>Methods: </strong>From September 2022 to June 2023, a cross-sectional survey was conducted among 185 patients with HNC recruited through convenience sampling from a tertiary care hospital in Jiangsu Province, China. Self-report measures of family resilience, individual resilience, and QoL were assessed. Relationships were examined by Pearson's correlations. Structural equation models were used to assess whether individual resilience played a mediating role between family resilience and QoL.</p><p><strong>Results: </strong>There were significant positive correlations between QoL and both family resilience (<i>r</i> = 0.43, <i>P</i> < .01) and individual resilience (<i>r</i> = 0.59, <i>P</i> < .01). Moreover, family resilience had an indirect influence on QoL through its effect on individual resilience (β = 0.319, 95% CI: 0.336-0.815).</p><p><strong>Conclusion: </strong>Family resilience emerges as a significant positive factor capable of enhancing QoL for patients with HNC by bolstering their resilience. To mitigate the detrimental effects of inadequate individual resilience on QoL of patients with HNC, it is advised to implement interventions focused on enhancing family resilience.</p><p><strong>China clinical trials registry number: </strong>ChiCTR2300067612.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Relationships Between Family Resilience, Individual Resilience, and Quality of Life in Patients with Head and Neck Cancer: A Cross-Sectional Study.\",\"authors\":\"Yuan-Yuan Liu, Xia Shen, Fei Yang, Shao Zheng Song, Jian Feng Huang\",\"doi\":\"10.1177/01939459241287451\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Patients with head and neck cancer (HNC) have to cope with a multitude of treatment-related adverse effects that impact their quality of life (QoL) post-treatment completion. The presence of family resilience could potentially foster individual resilience and might contribute to patients' QoL. However, this interconnection has not been confirmed.</p><p><strong>Objective: </strong>To explore the relationships between family resilience, individual resilience, and QoL in patients with HNC and to determine whether individual resilience in HNC patients functions as a mediator between family resilience and QoL.</p><p><strong>Methods: </strong>From September 2022 to June 2023, a cross-sectional survey was conducted among 185 patients with HNC recruited through convenience sampling from a tertiary care hospital in Jiangsu Province, China. Self-report measures of family resilience, individual resilience, and QoL were assessed. Relationships were examined by Pearson's correlations. Structural equation models were used to assess whether individual resilience played a mediating role between family resilience and QoL.</p><p><strong>Results: </strong>There were significant positive correlations between QoL and both family resilience (<i>r</i> = 0.43, <i>P</i> < .01) and individual resilience (<i>r</i> = 0.59, <i>P</i> < .01). Moreover, family resilience had an indirect influence on QoL through its effect on individual resilience (β = 0.319, 95% CI: 0.336-0.815).</p><p><strong>Conclusion: </strong>Family resilience emerges as a significant positive factor capable of enhancing QoL for patients with HNC by bolstering their resilience. 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引用次数: 0
摘要
背景：头颈部癌症（HNC）患者必须应对与治疗相关的多种不良反应，这些不良反应会影响他们完成治疗后的生活质量（QoL）。家庭复原力有可能促进个人复原力的提高，并有助于改善患者的生活质量。然而，这种相互联系尚未得到证实：探讨HNC患者的家庭复原力、个人复原力和QoL之间的关系，并确定HNC患者的个人复原力是否在家庭复原力和QoL之间起中介作用：方法：2022年9月至2023年6月，在中国江苏省一家三级甲等医院通过便利抽样对185名HNC患者进行了横断面调查。对家庭复原力、个人复原力和 QoL 进行了自我报告评估。通过皮尔逊相关性检验了三者之间的关系。采用结构方程模型评估个人抗逆力是否在家庭抗逆力和 QoL 之间起中介作用：结果：QoL 与家庭复原力之间存在明显的正相关性（r = 0.43，P r = 0.59，P 结论：家庭复原力对 QoL 起着积极的促进作用：家庭复原力是一个重要的积极因素，能够通过增强 HNC 患者的复原力来提高其 QoL。为减轻个人抗逆力不足对HNC患者QoL的不利影响，建议实施以增强家庭抗逆力为重点的干预措施：中国临床试验登记号：ChiCTR2300067612。
Relationships Between Family Resilience, Individual Resilience, and Quality of Life in Patients with Head and Neck Cancer: A Cross-Sectional Study.
Background: Patients with head and neck cancer (HNC) have to cope with a multitude of treatment-related adverse effects that impact their quality of life (QoL) post-treatment completion. The presence of family resilience could potentially foster individual resilience and might contribute to patients' QoL. However, this interconnection has not been confirmed.
Objective: To explore the relationships between family resilience, individual resilience, and QoL in patients with HNC and to determine whether individual resilience in HNC patients functions as a mediator between family resilience and QoL.
Methods: From September 2022 to June 2023, a cross-sectional survey was conducted among 185 patients with HNC recruited through convenience sampling from a tertiary care hospital in Jiangsu Province, China. Self-report measures of family resilience, individual resilience, and QoL were assessed. Relationships were examined by Pearson's correlations. Structural equation models were used to assess whether individual resilience played a mediating role between family resilience and QoL.
Results: There were significant positive correlations between QoL and both family resilience (r = 0.43, P < .01) and individual resilience (r = 0.59, P < .01). Moreover, family resilience had an indirect influence on QoL through its effect on individual resilience (β = 0.319, 95% CI: 0.336-0.815).
Conclusion: Family resilience emerges as a significant positive factor capable of enhancing QoL for patients with HNC by bolstering their resilience. To mitigate the detrimental effects of inadequate individual resilience on QoL of patients with HNC, it is advised to implement interventions focused on enhancing family resilience.
China clinical trials registry number: ChiCTR2300067612.
期刊介绍：
Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
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