Relationship between the level of hope and cancer-related fatigue among breast cancer patients： mediating role of resilience
10.11886/scjsws20230126001
- VernacularTitle:乳腺癌患者希望水平与癌因性疲乏的关系：心理弹性的中介作用
- Author:
Xiujuan FENG
1
;
Shengrui ZHU
2
;
Ziyue CUI
1
;
Jiao FANG
3
;
Wenkai ZHENG
3
Author Information
1. Department of Nursing， Xi'an Jiaotong University City College， Xi'an 710018， China
2. Health Campus， Universiti Sains Malaysian， Kelantan 100062， Malaysia
3. Basic Medical College， Inner Mongolia Medical University， Hohhot 010107， China
- Publication Type:Journal Article
- Keywords:
Breast cancer patients;
Level of hope;
Resilience;
Cancer-related fatigue
- From:
Sichuan Mental Health
2023;36(4):334-339
- CountryChina
- Language:Chinese
-
Abstract:
BackgroundAt least 77.0% of breast cancer patients will experience cancer-related fatigue. Hope level and resilience play as two important factors that have influence on cancer-related fatigue. Currently， most studies involve one single factor， either the level of hope or resilience， and explore its relationship with the cancer-related fatigue. Only limited studies explore the action mechanism behind with all three factors put together. ObjectiveTo investigate the mediating role of resilience between hope and cancer-related fatigue in patients with breast cancer， and to provide references for finding intervention targets for cancer-related fatigue in breast cancer patients. MethodsFrom March to October 2022， this study was conducted on the sample size of 324 hospitalized patients from three Grade-A tertiary hospitals in Shaanxi Province. These patients were over 18 years old and pathologically diagnosed as breast cancer. Hope level， resilience and cancer-related fatigue were assessed， respectively， using Adult Dispositional Hope Scale （ADHS）， Connor-Davidson Resilience Scale （CD-RISC-10） and Cancer Fatigue Scale （CFS）. Pearson Correlation Analysis was used to analyze the relationship between ADHS score， CD-RISC-10 score and CFS score. AMOS 22.0 was used to analyze the mediating effect of resilience between hope level and cancer-related fatigue in breast cancer patients. ResultsThe detection rate of cancer-related fatigue in patients with breast cancer was 88.58%. Scores of ADHS and CD-RISC-10 were negatively correlated with CFS score （r=-0.750， -0.809， P<0.01）. ADHS score was positively correlated with CD-RISC-10 score （r=0.901， P<0.01）. Resilience had a mediating effect between the hope level and cancer-related fatigue. The mediating effect value was -0.676（95% CI： -1.005~-0.347）， accounting for 81.90% of the total effect. ConclusionThe hope level of breast cancer patients can affect cancer-related fatigue directly as well as indirectly through resilience. Resilience plays a partial mediating role between hope level and cancer-related fatigue .
