Mediating effect of illness uncertainty on the relationship between psychological resilience and spiritual health in cancer patients
10.16753/j.cnki.1008-2344.2025.04.008
- VernacularTitle:疾病不确定感在癌症患者心理弹性与灵性健康间的中介效应分析
- Author:
Wenjing LIU
1
;
Ning CHEN
;
Ping SHU
;
Wengqian HONG
;
Haidan HU
;
Wenhu ZHOU
;
Xiaoli TONG
;
Hengying CHE
Author Information
1. 皖南医学院研究生学院,安徽 芜湖 241002
- Publication Type:Journal Article
- Keywords:
cancer patients;
illness uncertainty;
psychological resilience;
spiritual health;
self-determination;
mediating effect
- From:
Journal of Shenyang Medical College
2025;27(4):380-384,395
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationships among psychological resilience,spiritual health,and illness uncertainty in cancer patients,and to analyze the mediating role of disease uncertainty.Methods:The cancer patients were selected by convenience sampling method from Feb 2024 to May 2024 in the Department of Oncology of a Grade Ⅲ-A general hospital in Wuhu City.Data were collected using a general information questionnaire,the Mishel Uncertainty in Illness Scale(MUIS),the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale(FACIT-SP-12,Chinese version),and the Connor-Davidson Resilience Scale(CD-RISC-10).Pearson correlation analysis was conducted to assess the relationships among psychological resilience,illness uncertainty,and spiritual health.The mediating effect of illness uncertainty was tested using Hayes'PROCESS Model 4 and the Bootstrap method.Results:The total scores of spiritual health,psychological resilience and illness uncertainty of cancer patients was(25.11±7.19),(24.36±6.75)and(67.75±13.06),respectively.The spiritual health was positively correlated with psychological resilience(r=0.415,P＜0.01)and negatively correlated with illness uncertainty(r=-0.398,P＜0.01).The psychological resilience was negatively correlated with illness uncertainty(r=-0.668,P＜0.01).Illness uncertainty partially mediated the relationship between psychological resilience and spiritual health,accounting for 35.29%of the total effect.Conclusions:The spiritual health of cancer patients is at a moderate level.Enhancing psychological resilience and reducing illness uncertainty can alleviate psychological burden and improve spiritual health,thereby promoting overall quality of life.
