The Mediating Role of Resilience on Quality of Life and Cancer Symptom Distress in Adolescent Patients With Cancer

被引：64
作者：
Wu, Wei-Wen [1 ]
Tsai, Shao-Yu [2 ]
Liang, Shu-Yuan [1 ]
Liu, Chieh-Yu [1 ]
Jou, Shiann-Tarng [2 ]
Berry, Donna L. [3 ]
机构：
[1] Natl Taipei Univ Nursing & Hlth Sci, Taipei 11219, Taiwan
[2] Natl Taiwan Univ, Taipei 10764, Taiwan
[3] Harvard Univ, Sch Med, Boston, MA USA
来源：
JOURNAL OF PEDIATRIC ONCOLOGY NURSING | 2015年 / 32卷 / 05期
关键词：
resilience; cancer symptom; quality of life; adolescent; mediating effect; ACUTE LYMPHOBLASTIC-LEUKEMIA; CHILDHOOD-CANCER; PSYCHOLOGICAL DISTRESS; PHYSICAL SYMPTOMS; SOCIAL SUPPORT; SURVIVORS; CHILDREN; FATIGUE; OUTCOMES; ADULTS;
D O I：
10.1177/1043454214563758
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Understanding how cancer symptom distress and resilience contribute to quality of life (QoL) in adolescent cancer and may potentially help these patients achieve better health-related outcomes. The objective of this study was to describe cancer symptom distress, QoL, and resilience in adolescents with cancer and to determine whether resilience is a mediating variable. Forty adolescent cancer patients were recruited, and data were collected via a demographic questionnaire, the Cancer Symptom Distress Scale, the Resilience Scale, and the Minneapolis-Manchester Quality of Life Scale. Pearson's correlation, multiple regressions, and the Sobel test were conducted. Both resilience and cancer symptom distress were regressed against QoL, accounting for 62.1% of observed variation in QoL scores. The bootstrap result estimated the true indirect effect between -.0189 and -.0024, with a 95% confidence interval. Resilience mediates the relationship between cancer symptom distress and QoL. Clinical use of a resilience measure, for example to use in developing and evaluating interventions focused on enhancing resilience, may be practical for nurses.
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收藏
页码：304 / 313
页数：10
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