复原力在塞尔维亚乳腺癌患者社会人口统计学、临床特征与社会支持之间关系中的作用
The Role of Resilience in the Relationship between Sociodemographic, Clinical Characteristics, and Social Support among Breast Cancer Patients in Serbia.
作者信息
Tomić Sanja D, Malenković Goran, Šljivo Armin, Mujičić Ermina, Tomić Slobodan
机构信息
Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia.
Clinical Center, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina.
出版信息
Healthcare (Basel). 2023 Dec 16;11(24):3184. doi: 10.3390/healthcare11243184.
BACKGROUND
The management of breast cancer treatments within the limitations of family, social, and professional life is emotionally burdening and negatively affects physical, psychological, and social well-being, reducing the overall quality of life of patients and their families.
METHODS
This cross-sectional descriptive-analytical study was conducted from March to August 2023 at the "Dr. Radivoj Simonović" General Hospital in Sombor. A total of 236 breast cancer patients participated in this study. The research was conducted using the following instruments: a questionnaire on sociodemographic and clinical characteristics of patients, the Berlin Social-Support Scales-for assessing social support-and the Connor-Davidson Resilience Scale-for assessing resilience. This study aimed to determine the predictors and levels of social support and resilience of breast cancer patients. We also wanted to examine whether resilience is a mediator between patients' sociodemographic and clinical characteristics and levels of social support.
RESULTS
The total average value of social support was 3.51 ± 0.63, while on the resilience scale, the respondents achieved a total average score of 52.2 ± 9.63. Perceived and actually received social support of breast cancer patients were positively correlated with resilience [ < 0.01], while no statistically significant correlations were found for the need for support and satisfaction. The sets of predictors can significantly predict their effects on all types of perceived social support (emotional social support: 9%; perceived instrumental social support: 9%) and all types of received social support (actually received emotional social support: 8%; actually received instrumental social support: 7%; actually received informational social support: 8%). There is a potential mediating role of resilience in relation to sociodemographic factors, clinical characteristics, and the need for support.
CONCLUSION
This study confirms that a strong connection exists between social support and resilience. However, the analysis did not confirm the mediating role of resilience between the sociodemographic and clinical characteristics on the one hand and social support on the other.
背景
在家庭、社会和职业生活的限制范围内管理乳腺癌治疗会带来情感负担，并对身体、心理和社会幸福感产生负面影响，降低患者及其家人的整体生活质量。
方法
这项横断面描述性分析研究于2023年3月至8月在索姆博尔的“拉迪沃伊·西蒙诺维奇博士”综合医院进行。共有236名乳腺癌患者参与了本研究。研究使用了以下工具：一份关于患者社会人口学和临床特征的问卷、用于评估社会支持的柏林社会支持量表以及用于评估心理韧性的康纳-戴维森心理韧性量表。本研究旨在确定乳腺癌患者社会支持和心理韧性的预测因素及水平。我们还想研究心理韧性是否是患者社会人口学和临床特征与社会支持水平之间的中介因素。
结果
社会支持的总平均值为3.51±0.63，而在心理韧性量表上，受访者的总平均得分为52.2±9.63。乳腺癌患者感知到的和实际获得的社会支持与心理韧性呈正相关[<0.01]，而在支持需求和满意度方面未发现统计学上的显著相关性。预测因素集可以显著预测它们对所有类型的感知社会支持（情感社会支持：9%；感知到的工具性社会支持：9%）和所有类型的获得社会支持（实际获得的情感社会支持：8%；实际获得的工具性社会支持：7%；实际获得的信息性社会支持：8%）的影响。心理韧性在社会人口学因素、临床特征和支持需求方面存在潜在的中介作用。
结论
本研究证实社会支持与心理韧性之间存在紧密联系。然而，分析并未证实心理韧性在一方面的社会人口学和临床特征与另一方面的社会支持之间的中介作用。
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