Analysis of the mediating effect of active coping strategies on the perceived social support and self-advocacy in breast cancer patients
10.3760/cma.j.cn115682-20240606-03193
- VernacularTitle:积极应对方式在乳腺癌患者领悟社会支持与自我倡权间的中介效应分析
- Author:
Hongqing HU
1
;
Youru XUE
;
Xuewen HAN
;
Yuhao WANG
;
Yan LU
Author Information
1. 山东大学齐鲁医院普外科，济南 250012
- Publication Type:Journal Article
- Keywords:
Breast cancer;
Self-advocacy;
Active coping strategies;
Perceived social support;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(5):651-656
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the direct effect of perceived social support on self-advocacy and the mediating effect of active coping strategies in breast cancer patients.Methods:A convenience sampling method was used to select 240 breast cancer patients hospitalized at Qilu Hospital of Shandong University from April 2023 to April 2024. General information questionnaire, the Female Self-Advocacy Scale in Cancer Survivorship (FSACS), the Simplified Ways of Coping Questionnaire (SWCQ), and the Perceived Social Support Scale (PSSS) were used to collect the data.Results:The effective response rate for the questionnaires was 93.75% (225/240). The total score for FSACS in 225 breast cancer patients was (75.36±9.88), the active coping score for SWCQ was (21.68±6.07), and the total score for PSSS was (55.63±8.04). The mediating effect analysis revealed that perceived social support had a direct positive predictive effect on self-advocacy ( β=0.420, P<0.01). Active coping played a mediating role in the relationship between perceived social support and self-advocacy, with a mediating effect value of 0.210, a 95% confidence interval of 0.112 to 0.318, and the mediating effect accounting for 33.33% of the total effect. Conclusions:Perceived social support not only positively affects the self-advocacy level of breast cancer patients but also indirectly influences it through the mediating role of active coping. Medical staff should emphasize improving perceived social support levels and encourage patients to adopt active coping strategies to enhance their self-advocacy.
