The mediating effect of empowerment on perceived social support and family resilience in aged postoperative colorectal cancer patients
10.3760/cma.j.cn115682-20240514-02722
- VernacularTitle:赋能在老年结直肠癌术后患者领悟社会支持与家庭复原力间的中介效应分析
- Author:
Yongping SHI
1
;
Bo ZHANG
Author Information
1. 山西省肿瘤医院、中国医学科学院肿瘤医院山西医院、山西医科大学附属肿瘤医院洁净手术部，太原 030013
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Family resilience;
Empowerment;
Perceived social support;
Mediation
- From:
Chinese Journal of Modern Nursing
2024;30(35):4878-4883
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of empowerment on the relationship between perceived social support and family resilience in aged postoperative colorectal cancer patients and provide a basis for developing relevant intervention strategies.Methods:This cross-sectional study involved a sample of 220 aged postoperative colorectal cancer patients, recruited through convenience sampling from those undergoing follow-up at Shanxi Provincial Cancer Hospital between July and December 2023. Data were collected using a general information questionnaire, the Shortened Chinese Version of the Family Resilience Assessment Scale (FRAS-C), the Chinese version of the Simplified Elders Health Empowerment Scale (C-HES), and the Perceived Social Support Scale (PSSS). The significance of the mediating effect was tested using the bootstrap method.Results:A total of 220 questionnaires were distributed, with 209 valid responses received, yielding an effective response rate of 95.0%. The total FRAS-C score for the 209 aged colorectal cancer patients was (93.29±9.88), the total C-HES score was (26.28±7.91), and the total PSSS score was (55.98±13.26). A structural equation model was developed with family resilience as the dependent variable, empowerment as the mediating variable, and perceived social support as the independent variable. The model's fit indices met the requirements. The mediation analysis showed that empowerment partially mediated the relationship between perceived social support and family resilience, with a mediation effect of 0.230 (95% CI: 0.136-0.323, P<0.001), accounting for 42.91% (0.230/0.536) of the total effect. Conclusions:Family resilience in aged postoperative colorectal cancer patients is relatively low. Higher perceived social support in these patients is associated with greater empowerment, and higher empowerment level is linked to greater family resilience. Healthcare professionals should aim to increase perceived social support and empowerment levels in aged colorectal cancer patients to enhance their family resilience.
