Relationship between post-traumatic growth and stress perception in patients with primary liver cancer: the chain-mediated role of psychological resilience and navigational social support
10.3760/cma.j.cn211501-20240819-02244
- VernacularTitle:原发性肝癌患者创伤后成长与压力知觉的关系：心理弹性和领悟社会支持的链式中介作用
- Author:
Yaling ZHANG
1
;
Yang YIN
;
Lei BAI
;
Huanhuan WEI
;
Yuanyuan LIU
Author Information
1. 新疆医科大学护理学院，乌鲁木齐 830000
- Publication Type:Journal Article
- Keywords:
Perceived stress;
Post traumatic growth;
Primary liver cancer;
Psychological resilience;
Perceived social support
- From:
Chinese Journal of Practical Nursing
2025;41(27):2088-2095
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between post-traumatic growth and stress perception as well as the chain-mediated roles of psychological resilience and navigating social support in patients with primary liver cancer(PLC), in order to provide theoretical ideas for the nursing and intervention of PLC patients.Methods:Convenience sampling was used to select PLC patients admitted to the First Affiliated Hospital, Third Affiliated Hospital, and Fourth Affiliated Hospital of Xinjiang Medical University from October 2023 to May 2024 as the research subjects. A cross-sectional survey was conducted using Posttraumatic Growth Inventory, the Chinese Perceived Stress Scale, Perceived Social Support Scale, and the Connor-Davidson Resilience Scale.Results:A total of 236 PLC patients were ultimately included, including 189 males and 47 females. Age distribution was as follows: 18-40 years years (7 cases), 41-60 years (128 cases), and ≥61 years (101 cases). Posttraumatic growth showed a significant negative correlation with perceived stress ( r=-0.512, P<0.01), while demonstrating positive correlations with psychological resilience and perceived social support ( r=0.605, 0.515, both P<0.01). Psychological resilience and perceived social support had mediating and chain mediating effects between perceived stress and posttraumatic growth, with mediating effects of -0.176 and -0.069, accounting for 29.24% and 11.46% of the total effect, respectively. The chain mediating effect value was 0.073, accounting for 12.13% of the total effect. Conclusions:The pathway of stress perception on post-traumatic growth in patients with PLC is indirect, and stress perception can contribute to the growth of post-traumatic growth in patients through psychological resilience, and navigating social support.
