Influencing factors of nursing dependency in prostate cancer patients: the mediating effect of psychological resilience
10.3760/cma.j.cn115682-20221017-05052
- VernacularTitle:前列腺癌患者护理依赖的影响因素分析：心理弹性的中介作用
- Author:
Yuting WANG
1
;
Rong LIN
;
Lin LIANG
;
Wenjia CHENG
;
Bin WANG
Author Information
1. 解放军总医院第二医学中心综合外科监护室，北京 100039
- Keywords:
Prostatic neoplasms;
Nursing dependency;
Affective symptoms;
Resilience, psychological;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2023;29(21):2860-2866
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the influencing factors of nursing dependency in prostate cancer patients and explore the mediating effect of psychological resilience between alexithymia and nursing dependency.Methods:From May 2019 to May 2022, 365 prostate cancer patients admitted to the Second Medical Center of the Chinese People 's Liberation Army General Hospital and the 900th Hospital of the Joint Logistics Support Force of the People 's Liberation Army were selected as the study subject using convenience sampling method. A questionnaire survey was conducted on patients using the General Information Questionnaire, Care Dependency Scale, Toronto Alexithymia Scale-20, Connor-Davidson Resilience Scale. Multiple linear regression analysis was used to explore the influencing factors of nursing dependency, and AMOS 25.0 software was used to construct a structural equation model to analyze the mediating effect. Results:A total of 365 questionnaires were distributed, and 358 valid questionnaires were collected, with an effective rate of 98.08%. The nursing dependency score of 358 prostate cancer patients was (56.23±8.28), and 55.59% (199/358) of patients had nursing dependency. Multiple linear regression analysis showed that marital status, bedtime on schedule, electronic health literacy, disease acceptance, alexithymia, and psychological resilience were the influencing factors for nursing dependency in prostate cancer patients ( P<0.05), accounting for 61.5% of the total variance. Structural equation model analysis showed that psychological resilience played a part of the mediating effect between alexithymia and nursing dependency in prostate cancer patients, and the mediating effect was 0.43, accounting for 58.11% of the total effect. Conclusions:The incidence of nursing dependency in prostate cancer patients is high, and intervention should be strengthened for prostate cancer patients who have no spouse, do not sleep according to schedule, have low electronic health literacy, and low disease acceptance. Psychological resilience plays a partial mediating effect between alexithymia and nursing dependency. Based on the alexithymia and psychological resilience of prostate cancer patients, reasonable nursing plans can be formulated to improve their quality of life.
