College of Nursing, University of Santo Tomas, Manila, Philippines.
Our Lady of Fatima University, Valenzuela City, Philippines.
J Clin Nurs. 2023 Sep;32(17-18):6298-6309. doi: 10.1111/jocn.16675. Epub 2023 Mar 9.
To develop and test the model of association of social connectedness and health-related quality of life (HRQoL) among patients with cancer undergoing chemotherapy and to describe their social connectedness through photo-elicitation.
Social connectedness has been empirically associated with several well-being outcomes. However, little is known on the association of social connectedness among patients with cancer undergoing chemotherapy.
Employing a mixed-methods design following the good reporting of a mixed methods study guideline, the quantitative approach involved 230 consecutively-selected patients with cancer undergoing chemotherapy who answered a three-part survey. From these patients, six informants participated in the photo-elicitation and key informant interview sessions. Gathered data were quantitatively analyzed using structural equation modelling and qualitatively processed using polytextual thematic analysis.
Social connectedness had a positive influence on social well-being (β = .22, p = .008) and emotional well-being (β = .20, p = .023); however, it had a negative effect on functional well-being (β = -.20, p = .007). The overall model revealed good model indices: χ /df = .82, RMSEA = .01, GFI = 1.00. Qualitative analysis culled from photo-elicitation uncovered five interconnected themes yielding the Honeycomb model of social connectedness which was composed of correspondence, cohesion, constitution, convergence and corroboration.
HRQoL among patients with cancer undergoing chemotherapy is a multi-factorial health construct affected by social connectedness. The presented model emphasises the importance of social connectedness and paves way for the development of appropriate strategies to promote social connectedness among patients with cancer undergoing chemotherapy.
The findings provide impetus in the modification and development of appropriate practices, policies and strategies in promoting social connectedness. These approaches are geared towards patient-family empowerment and health education techniques to ascertain that assistance from significant others is provided without limiting the patient's autonomy or independence.
建立并检验接受化疗的癌症患者社会联系与健康相关生活质量（HRQoL）之间的关联模型，并通过照片抽取的方式描述他们的社会联系。
社会联系已被实证证明与多种幸福感结果相关。然而，人们对接受化疗的癌症患者之间的社会联系知之甚少。
采用混合方法设计，遵循混合方法研究报告指南的良好报告原则，定量方法涉及 230 名连续选择的接受化疗的癌症患者，他们回答了三部分调查。从这些患者中，有 6 名知情者参加了照片抽取和关键知情者访谈。使用结构方程模型对收集的数据进行定量分析，并使用多文本主题分析对定性数据进行处理。
社会联系对社会幸福感（β=0.22，p=0.008）和情绪幸福感（β=0.20，p=0.023）有积极影响；但对功能幸福感有负面影响（β=-0.20，p=0.007）。总体模型显示出良好的模型指标：χ/df=0.82，RMSEA=0.01，GFI=1.00。从照片抽取中进行的定性分析揭示了五个相互关联的主题，产生了社会联系的蜂窝模型，该模型由一致性、内聚性、构成、收敛和证实组成。
接受化疗的癌症患者的 HRQoL 是一个多因素的健康结构，受社会联系的影响。提出的模型强调了社会联系的重要性，并为制定促进接受化疗的癌症患者社会联系的适当策略铺平了道路。
研究结果为修改和制定适当的实践、政策和策略提供了动力，以促进社会联系。这些方法旨在增强患者-家庭的能力，并提供健康教育技巧，以确保从重要他人那里获得帮助，同时又不会限制患者的自主权或独立性。
