School of Health, Department of Health Promotion and Education, Qom University of Medical Sciences, Qom, Iran.
Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran.
Nurs Open. 2021 Jul;8(4):1731-1740. doi: 10.1002/nop2.814. Epub 2021 Feb 19.
To investigate the mediation/moderation effect between Coping Behaviors (CBs) and Sense of Coherence (SOC) in the prediction of health-related quality of life (HRQoL) in breast cancer patients.
Cross-sectional.
A total of 221 patients were included in this study. The 13-item Orientation to Life Questionnaire, Brief COPE and Functional Assessment of Cancer Therapy-Breast were investigated. Pearson's correlation coefficient and mediation/moderation analysis were performed.
Significant correlations were observed for SOC, active coping, acceptance, positive reframing (PR), planning, use of emotional support (UES), use of instrumental support, behaviour disengagement and self-blame with HRQoL. Except for planning and acceptance, SOC partially mediated the CBs' effect on HRQoL. The UES and PR's effects on HRQoL were significant at lower SOC levels and diminished at higher SOC levels.
Practitioners can incorporate SOC and adaptive CBs, including PR and UES, into the rehabilitation programmes to improve HRQoL in patients.
探讨应对行为（CBs）和心理韧性（SOC）在预测乳腺癌患者健康相关生活质量（HRQoL）中的中介/调节作用。
横断面研究。
共纳入 221 例患者，调查了 13 项生活取向问卷、简要应对方式问卷和癌症治疗功能评估-乳腺癌。采用 Pearson 相关系数和中介/调节分析。
SOC、积极应对、接受、重新定向（PR）、计划、情绪支持的利用（UES）、工具性支持的利用、行为脱离和自责与 HRQoL 呈显著相关。除了计划和接受，SOC 部分中介了 CBs 对 HRQoL 的影响。UES 和 PR 对 HRQoL 的影响在 SOC 水平较低时显著，而在 SOC 水平较高时减弱。
从业者可以将 SOC 和适应性 CBs（包括 PR 和 UES）纳入康复计划，以提高患者的 HRQoL。
