The mediating effect of chronic disease self efficacy between spiritual well-being and mental resilience in patients undergoing chemotherapy after radical mastectomy for breast cancer
10.3760/cma.j.cn211501-20220126-00268
- VernacularTitle:慢性疾病自我效能感在乳腺癌根治术后化疗患者灵性健康、心理韧性间的中介效应研究
- Author:
Hui GAO
1
;
Fawei QIN
;
Hongyuan CHEN
;
Meifeng LIU
Author Information
1. 山东第一医科大学附属省立医院东院手术室，济南 250000
- Keywords:
Breast neoplasms;
Chemotherapy;
Resilience, psychological;
Chronic disease self-efficacy;
Spiritual well-being
- From:
Chinese Journal of Practical Nursing
2023;39(1):39-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the chronic disease self efficacy, mental resilience and spiritual well-being level in patients undergoing chemotherapy after radical mastectomy for breast cancer, and to explore whether there is a mediating effect among them.Methods:This study was a cross-sectional study. A total of 376 patients undergoing chemotherapy after radical mastectomy for breast cancer were selected as the survey objects by convenience sampling method from July 2020 to April 2021 in Shandong Provincial Hospital Affiliated to Shandong First Medical University. The chronic disease self efficacy, mental resilience and spiritual well-being were evaluated by Self-Efficacy Scale for Managing Chronic Disease, Functional Assessment of Chronic Illness Therapy Spiritual Well-being, Connor-Davidson Resilience Scale. The correlation among the chronic disease self efficacy, mental resilience and spiritual well-being was tested by Pearson correlation analysis. Structural equation model was used to analyze the intermediary mechanism of the chronic disease self efficacy, mental resilience and spiritual well-being.Results:The total score for chronic disease self-efficacy of the research objects was (33.34 ± 12.77) points, the total score for mental resilience was (66.13 ± 21.67) points, and the total score for spiritual well-being was (28.41 ± 10.13) points. The chronic disease self-efficacy, mental resilience, and spiritual well-being were all positively correlated ( r values were 0.689-0.949, all P<0.01). The chronic disease self-efficacy played a partially mediating role in spiritual well-being and mental resilience in patients undergoing chemotherapy after radical mastectomy for breast cancer ( β=0.387, P<0.01), the mediating effect accounted for 43.33% of the total effect. Conclusions:The chronic disease self-efficacy can indirectly affect the level of spiritual well-being in patients undergoing chemotherapy after radical mastectomy for breast cancer. Clinical medical staff should pay attention to their psychological counseling, broaden their minds, enhance spiritual well-being, and help them recover from adversity.
