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理解足智多谋在家庭功能中的作用:家庭应对和社会支持在中青年淋巴瘤患者照顾者中的中介作用

Understanding the role of resourcefulness in family functioning: mediating effects of family coping and social support in caregivers of young and middle-aged lymphoma patients.

作者信息

Cui Panpan, Wang Ruibo, Hu Hengyu, Guo Shengjie, Li Ting, Miao Xiaohui, Cheng Chunyan

机构信息

Department of Nursing, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, No. 7 Weiwu Road, Zhengzhou, China.

Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, No. 7 Weiwu Road, Zhengzhou, China.

出版信息

BMC Nurs. 2025 May 28;24(1):610. doi: 10.1186/s12912-025-03218-2.

Abstract

BACKGROUND

Families of young and middle-aged lymphoma patients face significant burdens affecting their overall functioning and well-being. Caregivers play a critical role in managing these challenges, yet the factors that enhance their ability to support their families effectively, such as caregiver resourcefulness, remain inadequately understood.

AIMS

This study aimed to explore the relationships between caregiver resourcefulness and family functioning, focusing on the mediating roles of family coping and perceived social support.

METHODS

This cross-sectional study was conducted in the oncology units of two tertiary hospitals in China from May to November 2022. Data were collected on caregiver resourcefulness, family coping, perceived social support, and family functioning, and were analyzed using parallel mediation techniques.

RESULTS

The study included 211 caregivers. Those with higher levels of resourcefulness demonstrated better family functioning. Mediation analysis revealed that family coping and perceived social support partially mediated these relationships (β = - 0.132, 95% CI [-0.208, - 0.063]; β = - 0.123, 95% CI [-0.200, - 0.054], respectively). Both factors jointly mediated the relationships between resourcefulness and the communication and general functioning dimensions. However, neither significantly mediated the relationship between resourcefulness and behavioral control.

CONCLUSIONS

Family coping and perceived social support act as partial parallel mediators in the relationship between caregiver resourcefulness and family functioning. Caregivers who exhibit higher resourcefulness, stronger family coping, and greater perceived social support experience enhanced family functioning, particularly in communication and general functioning domains. These findings highlight the importance of contextual factors, indicating that interventions designed to boost caregiver resourcefulness while promoting effective family coping and support systems are essential for improving outcomes for families navigating the challenges of lymphoma.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

中青年淋巴瘤患者的家庭面临着重大负担,这影响着他们的整体功能和幸福感。照顾者在应对这些挑战中起着关键作用,然而,诸如照顾者足智多谋等能有效增强其支持家庭能力的因素仍未得到充分理解。

目的

本研究旨在探讨照顾者足智多谋与家庭功能之间的关系,重点关注家庭应对和感知到的社会支持的中介作用。

方法

本横断面研究于2022年5月至11月在中国两家三级医院的肿瘤科进行。收集了关于照顾者足智多谋、家庭应对、感知到的社会支持和家庭功能的数据,并使用平行中介技术进行分析。

结果

该研究纳入了211名照顾者。足智多谋水平较高的照顾者表现出更好的家庭功能。中介分析表明,家庭应对和感知到的社会支持部分中介了这些关系(β分别为−0.132,95%CI[−0.208,−0.063];β为−0.123,95%CI[−0.200,−0.054])。这两个因素共同中介了足智多谋与沟通和总体功能维度之间的关系。然而,两者均未显著中介足智多谋与行为控制之间的关系。

结论

家庭应对和感知到的社会支持在照顾者足智多谋与家庭功能之间的关系中起到部分平行中介作用。表现出更高足智多谋、更强家庭应对能力和更强社会支持感的照顾者,其家庭功能得到改善,尤其是在沟通和总体功能领域。这些发现凸显了背景因素的重要性,表明旨在提高照顾者足智多谋,同时促进有效的家庭应对和支持系统的干预措施,对于改善应对淋巴瘤挑战的家庭的结局至关重要。

临床试验编号

不适用。

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