Pei Yaoyao, Xu Zhangying, Luo Xingjuan, Wu Feng, Yu Mei, Xiao Wei, Hu Tingting
Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical University, Guangzhou, China.
Hubei Province Key Laboratory of Occupational Hazard Identificaand Control, School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, China.
Nurs Open. 2025 Apr;12(4):e70153. doi: 10.1002/nop2.70153.
Family resilience plays a crucial role in cancer recurrence patients and their caregivers. However, there are few studies that have studied the family resilience of patients with recurrent cancer and their caregivers at the same time. Guided by the framework of family resilience, this study explored the status, influencing factors and interactions of family resilience between patients with recurrent cancer and their caregivers.
Observational cross-sectional study.
Selecting 204 patients with recurrent tumors and their caregivers from October to November 2023 as the study subjects, and the actor-partner interdependence model of the family resilience of patients with recurrent tumors and their caregivers was established to analyze the current status, influencing factors and interactions of the family resilience of patients and caregivers.
There was a significant correlation between the level of family resilience with the level of perceived social support, the level of Herth's hope, the level of patients' self-perceived burden and the level of burden on the caregiver. The actor-partner interdependence model revealed the direct impact of the patients' and caregivers' social support and hope level on their own family resilience. The indirect effect of the caregivers' social support on the patients' family resilience, in which the caregivers' hope level plays a significant mediating role.
The family resilience of patients with recurrent cancer and their caregivers is affected by the level of social support and hope. In order to help patients and caregivers better cope with the disease, it is recommended that clinical medical staff pay attention to improving the social support and hope level of disease treatment of patients and caregivers, and regard the two as a community, and explore intervention programs focusing on improving family resilience.
家庭恢复力在癌症复发患者及其照顾者中起着至关重要的作用。然而,很少有研究同时对复发癌症患者及其照顾者的家庭恢复力进行研究。本研究以家庭恢复力框架为指导,探讨复发癌症患者及其照顾者家庭恢复力的现状、影响因素及相互作用。
观察性横断面研究。
选取2023年10月至11月的204例复发肿瘤患者及其照顾者作为研究对象,建立复发肿瘤患者及其照顾者家庭恢复力的行为者-伙伴相互依赖模型,分析患者及照顾者家庭恢复力的现状、影响因素及相互作用。
家庭恢复力水平与感知社会支持水平、赫思希望水平、患者自我感知负担水平及照顾者负担水平之间存在显著相关性。行为者-伙伴相互依赖模型揭示了患者和照顾者的社会支持和希望水平对其自身家庭恢复力的直接影响。照顾者的社会支持对患者家庭恢复力的间接影响中,照顾者的希望水平起显著中介作用。
复发癌症患者及其照顾者的家庭恢复力受社会支持和希望水平的影响。为帮助患者及照顾者更好地应对疾病,建议临床医护人员关注提高患者及照顾者疾病治疗的社会支持和希望水平,并将二者视为一个共同体,探索以提高家庭恢复力为重点的干预方案。