Yuan Mengmeng, Wu Lijun, Li Wen, Li Shuwen
School of Nursing, Anhui Medical University, Hefei, Anhui, People's Republic of China.
Department of Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, People's Republic of China.
Patient Prefer Adherence. 2024 Aug 19;18:1755-1766. doi: 10.2147/PPA.S472858. eCollection 2024.
We intended to explore the chain mediation role of resilience and different sources of social support on the relationship between symptom interference and life satisfaction from the patient-reported perspective.
Two hundred and twenty-six patients after esophagectomy were investigated using four validated scales to estimate the symptom interference, resilience, different sources of social support, and life satisfaction. The chain mediation analysis was conducted using SPSS PROCESS Macro Model 6.
Mediation analysis showed that symptom interference indirectly influenced life satisfaction through two significant mediating pathways: (i) resilience ( = -0.138, 95% CI: -0.194 to -0.091); (ii) the chain mediators involving in resilience and family support ( = -0.049, 95% CI: -0.073 to -0.026). Surprisingly, the mediating pathway of family support was not significant.
Interventions for resilience and family support could mitigate the adverse effects of symptom interference in patients after esophagectomy, improving life satisfaction. Of these, resilience may be more critical in terms of the utilization of social resources than family support.
我们旨在从患者报告的角度探讨心理韧性和不同来源的社会支持在症状干扰与生活满意度关系中的链式中介作用。
使用四个经过验证的量表对226例食管切除术后患者进行调查，以评估症状干扰、心理韧性、不同来源的社会支持和生活满意度。使用SPSS PROCESS宏模型6进行链式中介分析。
中介分析表明，症状干扰通过两条显著的中介途径间接影响生活满意度：（i）心理韧性（β = -0.138，95%CI：-0.194至-0.091）；（ii）涉及心理韧性和家庭支持的链式中介（β = -0.049，95%CI：-0.073至-0.026）。令人惊讶的是，家庭支持的中介途径不显著。
针对心理韧性和家庭支持的干预措施可以减轻食管切除术后患者症状干扰的不良影响，提高生活满意度。其中，就社会资源的利用而言，心理韧性可能比家庭支持更为关键。
