Vu Thinh Toan, Fleary Sasha, Johnson Glen, Ngo Victoria Khanh
Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York, USA; Center for Innovation in Mental Health, CUNY Graduate School of Public Health and Health Policy, New York, USA.
Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York, USA.
Eur J Oncol Nurs. 2025 Aug;77:102932. doi: 10.1016/j.ejon.2025.102932. Epub 2025 Jul 16.
Lung cancer is the second-most widely diagnosed cancer and is also the second leading contributor cancer mortality in Vietnam. With limited formal caregiving systems, family caregivers are essential in providing care for lung cancer patients. This study examined resilience and its association with various psychosocial and caregiving factors in lung cancer caregivers.
A cross-sectional survey with 213 adult family caregivers was conducted at a provincial-level hospital between June 2023 and August 2024. The Connor-Davidson Resilience Scale was administered to measure resilience, wherein higher scores denoted greater resilience. Multivariable linear regression examined associations between psychosocial and caregiving factors with resilience.
The caregivers had a mean age of 50.4 years and primarily consisted of women (68.1%) and farmers (48.8%). Overall, the mean resilience score was 25.1 out of 40, with 50.2% reporting low resilience. Positive associations with better resilience included better caregiving preparation (β = 2.82, 95 %CI: 1.63, 4.00), enhanced family social support (β = 1.40, 95 %CI: 0.28, 2.51) and better quality of life (β = 0.15, 95 %CI: 0.07, 0.22). Interestingly, caregivers with mild-to-moderate (β = 3.11, 95 %CI: 1.24, 4.98) and high (β = 4.12, 95 %CI: 1.14, 7.11) caregiving burden reported higher resilience scores compared to those with no-to-mild burden. Higher depression symptom severity (β = -0.32, 95 %CI: -0.57, -0.06) and longer hospital stays (β = -0.03, 95 %CI: -0.06, -0.003) were negatively associated with resilience.
Our study revealed the significant prevalence of low resilience among family caregivers. Resilience-focused initiatives should prioritize mental health screening and treatment, emphasize strengthening support networks, and provide adequate caregiving training, particularly in caregivers of patients experiencing prolonged hospitalization.
肺癌是越南第二大最常被诊断出的癌症，也是导致癌症死亡的第二大主要因素。由于正规护理系统有限，家庭护理人员在为肺癌患者提供护理方面至关重要。本研究调查了肺癌护理人员的心理韧性及其与各种心理社会和护理因素的关联。
2023年6月至2024年8月期间，在一家省级医院对213名成年家庭护理人员进行了横断面调查。采用康纳-戴维森心理韧性量表来测量心理韧性，得分越高表明心理韧性越强。多变量线性回归分析了心理社会和护理因素与心理韧性之间的关联。
护理人员的平均年龄为50.4岁，主要为女性（68.1%）和农民（48.8%）。总体而言，心理韧性平均得分为40分中的25.1分，50.2%的人报告心理韧性较低。与更好的心理韧性呈正相关的因素包括更好的护理准备（β = 2.82，95%置信区间：1.63，4.00）、更强的家庭社会支持（β = 1.40，95%置信区间：0.28，2.51）和更好的生活质量（β = 0.15，95%置信区间：0.07，0.22）。有趣的是，与无至轻度护理负担的护理人员相比，有轻度至中度（β = 3.11，95%置信区间：1.24，4.98）和重度（β = 4.12，95%置信区间：1.14，7.11）护理负担的护理人员报告的心理韧性得分更高。更高的抑郁症状严重程度（β = -0.32，95%置信区间：-0.57，-0.06）和更长的住院时间（β = -0.03，95%置信区间：-0.06，-0.003）与心理韧性呈负相关。
我们的研究揭示了家庭护理人员中低心理韧性的显著普遍性。以心理韧性为重点的举措应优先进行心理健康筛查和治疗，强调加强支持网络，并提供充分的护理培训，特别是针对那些照顾长期住院患者的护理人员。
