Shabanloei Reza, Ghasempour Mostafa, Zamanesazi Reza, Purabdollah Majid, Asghari-Jafarabadi Mohammad
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, 51389-47977, Iran.
Department of Nursing, Faculty of Nursing, Khoy University of Medical Sciences, Khoy, Iran.
BMC Psychol. 2025 Mar 19;13(1):276. doi: 10.1186/s40359-025-02572-9.
Cancer is the second leading cause of death after cardiovascular diseases and is considered a debilitating and incurable condition. Following diagnosis, individuals often experience anxiety, depression, and diminished social energy. Therefore, identifying factors that influence the psychological state of these patients and intervening to improve their well-being is crucial.
This study aims to examine the relationship between illness perception and resilience in cancer patients visiting healthcare centers.
The study was conducted in a cross-sectional design, involving 262 cancer patients selected through stratified random sampling from two public and two private oncology treatment centers in Tabriz, Iran. Data were collected using a demographic checklist, the Connor-Davidson Resilience Scale (CD-RISC), and the Revised Illness Perception Questionnaire (IPQ-R). Data analysis was conducted using IBM SPSS Statistics (V.20) at a significance level of 0.05. Statistical methods included descriptive statistics, one-way ANOVA, t-test, Pearson correlation, and multiple linear regression to examine relationships between demographic variables, illness perception, and resilience.
The majority of participants in the study were male (74%), married (72%), suffering from gastrointestinal cancers (62%), with an average age of 40.9 (SD: 11.9) years. The average overall resilience score was 60.1 (SD: 16.6). Pearson correlation results showed a significant positive correlation between overall resilience and the subscales of illness identity (r = 0.26, p < 0.001), consequences of illness (r = 0.20, p < 0.001), personal control (r = 0.47, p < 0.001), treatment control (r = 0.61, p < 0.001), and time line cyclical (r = 0.33, p < 0.001). Linear regression analysis revealed that illness Identity (B = 0.94, CI [0.43, 1.44], p < 0.001), personal control (B = 1.75, CI [1.30, 2.21], p < 0.001), treatment control (B = 2.37, CI [1.87, 2.88], p < 0.001), and time line cyclical (B = 0.30, CI [0.40, 1.01], p = 0.04) significantly predicted resilience.
The findings suggest that improving patients' understanding and control over their illness may enhance their psychological resilience. These results highlight the importance of patient education and psychological interventions in cancer care, aimed at strengthening personal control and resilience. Integrating these strategies into standard care has the potential to improve patients' ability to cope with the psychological challenges of cancer and ultimately lead to an enhanced quality of life.
癌症是仅次于心血管疾病的第二大致死原因，被认为是一种使人衰弱且无法治愈的疾病。确诊后，患者常常会感到焦虑、抑郁，社交活力下降。因此，识别影响这些患者心理状态的因素并进行干预以改善他们的幸福感至关重要。
本研究旨在探讨前往医疗中心就诊的癌症患者的疾病认知与心理韧性之间的关系。
本研究采用横断面设计，通过分层随机抽样从伊朗大不里士的两个公立和两个私立肿瘤治疗中心选取了262名癌症患者。使用人口统计学清单、康纳-戴维森心理韧性量表（CD-RISC）和修订后的疾病认知问卷（IPQ-R）收集数据。使用IBM SPSS Statistics（V.20）进行数据分析，显著性水平为0.05。统计方法包括描述性统计、单因素方差分析、t检验、皮尔逊相关性分析和多元线性回归，以检验人口统计学变量、疾病认知和心理韧性之间的关系。
研究中的大多数参与者为男性（74%），已婚（72%），患有胃肠道癌症（62%），平均年龄为40.9岁（标准差：11.9）。总体心理韧性平均得分为60.1（标准差：16.6）。皮尔逊相关性分析结果显示，总体心理韧性与疾病认同子量表（r = 0.26，p < 0.001）、疾病后果（r = 0.20，p < 0.001）、个人控制（r = 0.47，p < 0.001）、治疗控制（r = 0.61，p < 0.001）和时间线循环（r = 0.33，p < 0.001）之间存在显著正相关。线性回归分析表明，疾病认同（B = 0.94，置信区间[0.43, 1.44]，p < 0.001）、个人控制（B = 1.75，置信区间[1.30, 2.21]，p < 0.001）、治疗控制（B = 2.37，置信区间[1.87, 2.88]，p < 0.001）和时间线循环（B = 0.30，置信区间[0.40, 1.01]，p = 0.04）显著预测心理韧性。
研究结果表明，提高患者对疾病的理解和控制可能会增强他们的心理韧性。这些结果凸显了患者教育和心理干预在癌症护理中的重要性，旨在增强个人控制和心理韧性。将这些策略纳入标准护理有可能提高患者应对癌症心理挑战的能力，并最终提高生活质量。
