Author Affiliations: Department of Nursing, Union Hospital (Drs Yinying Zhang, Ding, Liu, Han, Cai, and Hu), and School of Nursing (Drs Zhang and Zhang), Tongji Medical College, Huazhong University of Science and Technology; and Wuhan Mental Health Center (Dr Wang), Wuhan, China.
Cancer Nurs. 2024;47(4):E236-E244. doi: 10.1097/NCC.0000000000001202. Epub 2023 Jan 18.
A growing body of literature has shown a higher risk of suicide in cancer patients compared with the general population. Early detection of factors related to suicide resilience in cancer patients could prevent loss of life.
The study aimed to investigate the serial-multiple mediation of self-care self-efficacy and meaning in life in the relationship between social support and suicide resilience among Chinese cancer patients.
A cross-sectional investigation of 287 cancer patients using a battery of self-reported questionnaires was performed. For preliminary analyses, descriptive, univariate, and Pearson correlation analyses were performed. Mediation analyses were tested using a serial-multiple mediation model (PROCESS model 6).
Mediation analysis indicated the indirect effects of social support on suicide resilience mediated solely by either self-care self-efficacy (point estimate = 0.20; 95% confidence interval [CI], 0.12-0.30), or by meaning in life (point estimate = 0.06; 95% CI, 0.01-0.12), or by the multiple mediation of self-care self-efficacy to meaning in life (point estimate = 0.03; 95% CI, 0.01-0.06).
The findings demonstrated the crucial direct or indirect effects of social support, self-care self-efficacy, and meaning in life on facilitating cancer patients' suicide resilience.
Oncology nurses, as 24-hour care providers for cancer patients, may interact with and be important sources for the psychosocial care of cancer patients at risk of suicide. Prevention and intervention efforts must be directed at assisting cancer patients, improving self-care self-efficacy, and finding meaning in life after a cancer diagnosis.
越来越多的文献表明，癌症患者的自杀风险高于一般人群。早期发现与癌症患者自杀韧性相关的因素可以预防生命的丧失。
本研究旨在探讨社会支持与中国癌症患者自杀韧性的关系中，自我护理自我效能感和生活意义的序列多重中介作用。
采用一系列自我报告问卷对 287 名癌症患者进行横断面调查。对于初步分析，进行了描述性、单变量和 Pearson 相关分析。使用序列多重中介模型（PROCESS 模型 6）测试中介分析。
中介分析表明，社会支持对自杀韧性的间接影响仅通过自我护理自我效能感（点估计=0.20；95%置信区间[CI]，0.12-0.30）、生活意义（点估计=0.06；95%CI，0.01-0.12）或自我护理自我效能感到生活意义的多重中介（点估计=0.03；95%CI，0.01-0.06）进行介导。
研究结果表明，社会支持、自我护理自我效能感和生活意义对促进癌症患者的自杀韧性具有重要的直接或间接影响。
肿瘤护士作为癌症患者的 24 小时护理提供者，可能与有自杀风险的癌症患者进行互动，并成为其社会心理护理的重要来源。预防和干预措施必须针对协助癌症患者、提高自我护理自我效能感和在癌症诊断后寻找生活意义。
