Jia Heng-Ya, Yan Li-Qun, Liu Xiao-Bei, Cao Jie
Department of Emergency, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China.
Department of Neuropsychology, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China.
World J Psychiatry. 2025 Feb 19;15(2):99252. doi: 10.5498/wjp.v15.i2.99252.
Cancer patients with an implanted venous access port (IVAP) often manage their care at home during chemotherapy intervals, including maintaining the device, monitoring complications, and following medication instructions. Home care ensures continued support after discharge. However, due to factors such as age, gender, culture, psychological status, and family support, the quality of home care varies significantly. Understanding these factors can help provide targeted guidance to improve the care of cancer patients.
To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.
This investigative study was based on a medical records system. It investigated the relationship between psychological status, family support, and home care quality in 180 patients with cancer undergoing IVAP chemotherapy. Psychological status was assessed using the State Anxiety Inventory (S-AI); family support was assessed using the Perceived Social Support Scale (PSSS), and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Pearson's correlation and Structural Equation Modeling were used to analyze the interplay between these factors.
The average S-AI score was 47.52 ± 14.47, PSSS was 52.48 ± 12.64, and EORTC QLQ-C30 was 70.09 ± 17.32. A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores ( = -0.712). A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS, with a correlation coefficient of ( = 0.744). The multiple linear regression analysis indicated that family social support, psychological status, and average monthly family income were the main factors influencing the variation in the quality of home care, explaining 71.9% of the variation. The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life, explaining 32.78% of the mediation effect.
Psychological status and family social support positively impacted cancer patients' home care quality, with psychology partially mediating this effect.
植入静脉输液港（IVAP）的癌症患者在化疗间歇期通常在家中接受护理，包括维护输液港装置、监测并发症以及遵循用药说明。居家护理可确保患者出院后持续获得支持。然而，由于年龄、性别、文化、心理状态和家庭支持等因素，居家护理的质量存在显著差异。了解这些因素有助于提供针对性指导，以改善癌症患者的护理。
探讨IVAP化疗对癌症患者居家护理质量的影响及其与心理健康和家庭支持的关系。
本调查研究基于医疗记录系统。调查了180例接受IVAP化疗的癌症患者的心理状态、家庭支持与居家护理质量之间的关系。采用状态焦虑量表（S-AI）评估心理状态；采用领悟社会支持量表（PSSS）评估家庭支持；采用欧洲癌症研究与治疗组织生活质量问卷（EORTC QLQ-C30）评估居家护理质量。使用Pearson相关性分析和结构方程模型分析这些因素之间的相互作用。
S-AI平均得分为47.52±14.47，PSSS为52.48±12.64，EORTC QLQ-C30为70.09±17.32。EORTC QLQ-C30得分与S-AI得分之间存在显著负相关（r = -0.712）。EORTC QLQ-C30与PSSS之间存在显著正相关，相关系数为（r = 0.744）。多元线性回归分析表明，家庭社会支持、心理状态和家庭月平均收入是影响居家护理质量变化的主要因素，解释了71.9%的变化。结构方程模型结果表明，心理状态在家庭社会支持与居家护理生活质量之间的关联中起部分中介作用，解释了32.78%的中介效应。
心理状态和家庭社会支持对癌症患者的居家护理质量有积极影响，心理因素部分介导了这种影响。
