心理弹性和感知社会支持在感激与癌症患者重返工作适应之间的中介作用

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2025-04-11 DOI:10.1111/jan.16966

Jing‐yi Zhao, Jin‐feng Jiang, Shu‐yuan Shi, Xiao‐qin Su, Wen‐qian Que, Li‐li Zhu, Yu‐jie Guo

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引用次数: 0

摘要

目的探讨心理韧性和感知社会支持在中国癌症患者感恩与工作重返社会适应关系中的中介作用。设计一项横断面和相关研究。方法采用方便抽样法，于2023年7月至12月在江苏省某三级医院抽取402名调查对象。本研究采用一般信息问卷、感恩问卷‐6 （C‐GQ‐6）、癌症患者重返工作适应量表、弹性量表（CD‐RISD）和感知社会支持量表（PSSS）收集数据。利用结构方程模型（SEM）分析对理论假设进行了检验，并进行了模型拟合修正，以检验感恩、弹性、感知社会支持和重返工作适应性之间的内在关系和途径。结果感恩、心理弹性、感知社会支持与工作重返社会适应显著相关。心理韧性和感知社会支持在感恩与工作重返社会适应性的关系中起独立中介作用，中介效应分别为56.63%和7.77%。此外，心理韧性和感知社会支持完全中介感恩与工作重返社会适应性的关系，其连锁中介效应为35.60%。结论感恩可以通过心理弹性和感知社会支持影响癌症患者的重返工作适应。影响医疗专业人员应该关注感恩对癌症患者重新融入工作的适应性的影响。应制定针对恢复力和感知社会支持的干预措施，以加强患者重返工作，促进其全面康复和重返社会。报告方法：strobe核对表。病人或公众捐款：没有病人或公众捐款。

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Mediating Effects of Resilience and Perceived Social Support Between Gratitude and the Adaptability to Return‐To‐Work in Cancer Patients

AimsThis study aims to explore the mediating role of resilience and perceived social support in the relationship between gratitude and the work reintegration adaptability of cancer patients in China.DesignA cross‐sectional and correlational study.MethodsA total of 402 participants were collected from July to December 2023 from a tertiary hospital in Jiangsu Province, China, using a convenience sampling method. The survey utilised the General Information Questionnaire, the Gratitude Questionnaire‐6 (C‐GQ‐6), the Cancer Patient Return‐to‐Work Adaptation Scale, the resilience Scale (CD‐RISD), and the Perceived Social Support Scale (PSSS) to collect data. The theoretical hypothesis was tested using structural equation modelling (SEM) analysis, with model fit corrections performed to examine the internal relationships and pathways among gratitude, resilience, perceived social support and return‐to‐work adaptability.ResultsGratitude, resilience, and perceived social support were significantly correlated with work reintegration adaptability. Resilience and perceived social support independently mediate the relationship between gratitude and work reintegration adaptability, with mediation effects of 56.63% and 7.77%, respectively. Additionally, resilience and perceived social support fully mediate the relationship between gratitude and work reintegration adaptability, with a chain mediation effect of 35.60%.ConclusionGratitude can affect cancer patients' return to work adaptation through resilience and perceived social support.ImpactHealthcare professionals should focus on the impact of gratitude on cancer patients' adaptability to work reintegration. Interventions targeting resilience and perceived social support should be developed to enhance patients' work reintegration and promote their overall recovery and social reintegration.Reporting MethodSTROBE checklist.Patient or Public ContributionNo patient or public contribution.

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.