Effects of social alienation, psychological distress and family resilience on benefit finding in patients undergoing esophageal cancer surgery
10.3760/cma.j.cn371468-20250109-00016
- VernacularTitle:社会疏离、心理痛苦和家庭弹性对食管癌手术患者疾病获益感的影响
- Author:
Xiaohua LIU
1
;
Kai WU
;
Min SHEN
Author Information
1. 郑州大学第一附属医院胸外科五病区，郑州 450000
- Publication Type:Journal Article
- Keywords:
Esophageal cancer;
Social alienation;
Psychological distress;
Family resilience;
Benefit finding
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(10):919-925
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of social alienation, psychological distress and family resilience on benefit finding in patients undergoing esophageal cancer surgery.Methods:A total of 180 patients with esophageal cancer who underwent surgical treatment and subsequent visit according to doctor's advice at 1 month after surgery in the First Affiliated Hospital of Zhengzhou University were enrolled as the research objects from January 2022 to November 2023.The general data of patients were collected. The social alienation, psychological distress, family resilience and benefits finding were evaluated by general alienation scale (GAS), distress thermometer (DT), family resilience assessment scale (FRAS) and benefit finding scale (BFS), respectively.Data analysis was performed by SPSS 25.0 statistical software. The influencing factors of benefit finding were explored by univariate analysis, Pearson correlation analysis and multiple stepwise linear regression analysis.Results:The total scores of GAS, DT, FRAS and BFS of the patients undergoing esophageal cancer surgery were 38.47±3.53, 5.28±1.15, 79.89±5.17 and 34.71±2.85 respectively. Pearson correlation analysis showed that BFS score was negatively correlated with GAS score and DT score ( r=-0.464, -0.561, both P<0.05), while positively correlated with FRAS score ( r=0.438, P<0.05). There were significant differences in BFS scores among patients with different age, education level, chronic diseases, monthly family income, pathological staging, dysphagia and disease courses ( t=8.226, 11.311, 3.727, 2.484, 3.236, 4.254, F=7.371, all P<0.05). Multiple linear regression analysis showed that age ( β=-0.439), GAS score ( β=-3.481), DT score ( β=-0.264) and FRAS score ( β=2.890) were all influencing factors of BFS score(all P<0.05). Conclusion:The level of benefit finding is low in patients with esophageal cancer.Higher social alienation, psychological distress and lower family resilience are the important influeucing factors.
