The relationship between resilience and quality of life in advanced cancer survivors: multiple mediating effects of social support and spirituality

被引:14
作者
Chen, Cancan [1 ]
Sun, Xiaofei [2 ]
Liu, Zhenya [1 ]
Jiao, Miaorui [3 ]
Wei, Wanhong [4 ]
Hu, Yanli [5 ]
机构
[1] Zhengzhou Univ, Henan Prov Peoples Hosp, Peoples Hosp, Henan Prov Key Med Lab Nursing, Zhengzhou, Peoples R China
[2] Zhengzhou Vocat Univ Informat & Technol, Dept Publ, Zhengzhou, Henan, Peoples R China
[3] Zhengzhou Univ, Dept Tradit Chinese Med, Affiliated Tumor Hosp, Zhengzhou, Henan, Peoples R China
[4] Zhengzhou Univ, Sch Nursing & Rehabil, Zhengzhou, Henan, Peoples R China
[5] Guangzhou Med Univ, Sch Nursing, Guangzhou, Peoples R China
关键词
cancer; quality of life; resilience; social support; spirituality; CONNOR-DAVIDSON RESILIENCE; MULTIDIMENSIONAL SCALE; FUNCTIONAL ASSESSMENT; CARE; VALIDATION; HEALTH;
D O I
10.3389/fpubh.2023.1207097
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundWhile previous studies have revealed a positive association between resilience and quality of life in advanced cancer survivors, the mechanisms of the relationship is still unclear. This study aimed to explore the relationships between resilience, social support, spirituality, and quality of life and determine the multiple mediation effects of social support and spirituality on the relationship between resilience and quality of life.MethodsWith 286 advanced cancer survivors, a cross-sectional, correlational survey was adopted using convenience sampling. Resilience, social support, spirituality, and quality of life were evaluated by self-report questionnaires. The PROCESS macro for SPSS was used to test the multiple mediation model.ResultsThe scores for resilience, social support, spirituality and quality of life were positively correlated with one another. Resilience was found to be directly impact quality of life. Meanwhile, the relationship between resilience and quality of life was mediated by social support (effect = 0.067, 95% CI [0.019, 0.120]) and by spirituality (effect = 0.221, 95% CI [0.134, 0.332]), respectively, and by these two serially (effect = 0.036, 95% CI [0.015, 0.067]).ConclusionSocial support and spirituality played multiple mediating roles in the relationship between resilience and quality of life. Interventions aimed at increasing resilience, and then boosting social support and spirituality may be beneficial for promoting quality of life of advanced cancer survivors.
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页数:8
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