Analysis of the mediating effect of sense of coherence between chronic disease resource utilization and symptom distress in patients with liver cancer after hepatic arterial chemoembolization
10.3760/cma.j.cn115682-20250119-00321
- VernacularTitle:肝动脉化疗栓塞术后肝癌患者心理一致感在慢性病资源利用与症状困扰间的中介效应分析
- Author:
Wenfang MA
1
;
Jie ZHANG
;
Xiaowei WANG
;
Youjie FAN
;
Xiaoxia FANG
;
Guangshao CAO
Author Information
1. 新乡市中心医院介入治疗科，新乡 453000
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Transarterial chemoembolization;
Sense of coherence;
Chronic disease resource utilization;
Symptom distress;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(24):3313-3318
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of sense of coherence (SOC) on the utilization of chronic disease resources and symptom distress in liver cancer patients after transarterial chemoembolization (TACE), so as to provide a basis for comprehensive management strategies from a new perspective.Methods:A convenience sampling method was used to select 260 inpatients who underwent TACE in Xinxiang Central Hospital and Henan Provincial People's Hospital from September 2023 to October 2024 as the research objects. The Basic Information Questionnaire, Sense of Coherence Scale-13 (SOC-13), Chronic Illness Resource Survey (CIRS), and the Rotterdam Symptom Checklist (RSCL) were used to investigate the patients. Pearson correlation was used to analyze the relationships among SOC, chronic disease resource utilization, and symptom distress in patients after TACE. Structural equation modeling was established using AMOS 21.0 software to verify the mediating effect.Results:A total of 260 questionnaires were distributed, and 249 valid questionnaires were recovered, with a valid recovery rate of 95.77% (249/260). The SOC-13 score of 249 patients after TACE was (44.30±7.64), the CIRS score was (46.84±7.02), and the RSCL score was (93.61±8.85). The SOC-13 score was positively correlated with the CIRS score ( P<0.01) and negatively correlated with the RSCL score ( P<0.01). The CIRS score was negatively correlated with the RSCL score ( P<0.01). SOC had a direct negative effect on symptom distress (β'=-0.382, P<0.01), chronic disease resource utilization had a direct negative effect on symptom distress (β'=-0.176, P<0.01), and SOC played a partial mediating role between chronic disease resource utilization and symptom distress (β'=-0.148, P<0.01), with the mediating effect accounting for 45.68% of the total effect. Conclusions:There are certain deficiencies in the sense of coherence and chronic disease resource utilization in patients after TACE, and the phenomenon of symptom distress is obvious. SOC plays a partial mediating role between chronic disease resource utilization and symptom distress.
