Study on the mediating effect of fatalism in family resilience and self-management of lung neoplasms patients undergoing chemotherapy
10.3760/cma.j.cn211501-20220126-00262
- VernacularTitle:宿命观在肺癌化疗患者家庭抗逆力与自我管理间的中介效应研究
- Author:
Yan HOU
1
;
Li YANG
;
Bei ZHANG
;
Yao HAN
;
Yun ZHANG
;
Qing ZHAO
Author Information
1. 中国人民解放军空军军医大学第二附属医院肿瘤科，西安 710038
- Keywords:
Lung neoplasms;
Self-management;
Chemotherapy;
Fatalism;
Family resilience;
Mediation analysis
- From:
Chinese Journal of Practical Nursing
2022;38(36):2830-2837
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relevance of family resilience, fatalism, and self-management of lung neoplasms patients undergoing chemotherapy, and the mediating effect of fatalism in family resilience and self-management.Methods:The study was a cross-sectional study, and it was convenient to select 376 lung cancer patients who underwent chemotherapy in the Oncology Department of the Second Affiliated Hospital of Air Force Military Medical University from August 2020 to August 2021 as the research subjects. A questionnaire survey was conducted on the patients by using general information questionnaire, Chinese Family Resilience Assessment Scale, Chinese Version of Fatalism Scale, and Cancer Patient Self-management Assessment Scale to establish and test the mediating model of fatalism between family resilience and self-management in lung neoplasms patients undergoing chemotherapy.Results:The total score of family resilience of lung neoplasms patients undergoing chemotherapy was (102.01 ± 33.29) points, the total score of fatalism was (63.99 ± 9.41) points, and the total score of self-management was (87.95 ± 27.65) points. Family resilience was negatively correlated with fatalism ( r=-0.418, P<0.01), positively correlated with self-management ( r=0.476, P<0.01), and fatalism was negatively correlated with self-management ( r=-0.557, P<0.01). Fatalism played a partial mediating role between family resilience and self-management, and the mediating effect accounted for 26.2% of the total effect. The value of each fitness index of the mediation effect model was within the acceptable range Conclusions:Family resilience, fatalism and self-management of lung neoplasms patients undergoing chemotherapy are closely related. Family resilience can not only directly affect self-management, but also indirectly affect self-management through fatalism. In clinical nursing, targeted intervention can be carried out on fatalism, which affects the role of family resilience on self-management, thereby promoting the improvement of self-management level of lung neoplasms patients undergoing chemotherapy.
