中晚期癌症患者社会支持与效益发现之间希望水平的中介作用。

IF 2.5 3区 医学 Q1 NURSING
Cancer Nursing Pub Date : 2025-05-01 Epub Date: 2023-11-08 DOI:10.1097/NCC.0000000000001295
Mengjiao Zhao, Yunxia Jiang, Guangyi Xu, Xin Lin
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引用次数: 0

摘要

背景:社会支持作为一种保护性因素,可以影响晚期癌症患者的效益发现。然而,社会支持影响BF的机制存在争议。目的:探讨癌症晚期患者BF的影响因素及希望水平在社会支持与BF关系中的中介作用。从2022年9月到2023年3月,286名参与者完成了社会支持评定量表、赫思希望指数和福利发现量表。数据分析包括相关分析和多元逐步回归分析;使用SPSS PROCESS程序来确定中介效应的显著性。结果:社会支持和希望水平与BF呈正相关。月人均家庭收入、社会支持和期望水平进入最终回归模型,解释了50.7%的BF方差。社会支持对BF的直接和间接影响显著(P<0.05),表明希望水平部分介导了社会支持与BF之间的关系。希望水平作为中介变量为他们的BF提供了动力。对实践的启示:护士应实施必要的干预措施,帮助晚期癌症患者实施保护资源和应对策略,以促进他们的BF。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Mediating Effect of Hope Level Between Social Support and Benefit Finding in Patients With Advanced Lung Cancer.

Background: As a protective factor, social support can influence benefit finding (BF) in patients with advanced lung cancer. However, the mechanism through which social support affects BF is controversial.

Objective: To investigate the factors influencing BF in patients with advanced lung cancer and the role of hope level in mediating the relationship between social support and BF.

Methods: This was a cross-sectional study. From September 2022 to March 2023, 286 participants completed the Social Support Rating Scale, Herth Hope Index, and Benefit Finding Scale. Data analysis included correlation analyses and multiple stepwise regression analysis; the SPSS PROCESS program was used to determine the significance of mediating effects.

Results: Social support and hope level were positively associated with BF. Monthly per-capita household income, social support and hope level entered the final regression model and explained 50.7% of BF variance. Social support's direct and indirect effects on BF were significant ( P < .05), suggesting that hope level partially mediated the relationship between social support and BF.

Conclusion: Our findings validate a positive association between social support and BF in patients with advanced lung cancer. The hope level as a mediating variable provided the impetus for their BF.

Implications for practice: Nurses should implement necessary interventions to help patients with advanced lung cancer carry out protective resources and coping strategies to facilitate their BF.

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来源期刊
Cancer Nursing
Cancer Nursing 医学-护理
CiteScore
4.80
自引率
3.80%
发文量
244
审稿时长
6-12 weeks
期刊介绍: Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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