A chain mediation model reveals the association between family sense of coherence and quality of life in caregivers of advanced cancer patients

被引:4
作者
Cui, Panpan [1 ,2 ]
Cheng, Chunyan [3 ]
An, Huiying [4 ]
Chen, Xinyi [5 ]
Chen, Changying [6 ,7 ]
Hu, Hengyu [1 ]
机构
[1] Zhengzhou Univ Peoples Hosp, Henan Prov Peoples Hosp, Dept Nursing, Henan Prov Key Med Lab Nursing, 7 Weiwu Rd, Zhengzhou 450003, Peoples R China
[2] Zhengzhou Univ, Sch Nursing, Zhengzhou, Peoples R China
[3] Zhengzhou Univ Peoples Hosp, Henan Prov Peoples Hosp, Hematol Dept, Zhengzhou, Peoples R China
[4] Zhengzhou Univ Peoples Hosp, Henan Prov Peoples Hosp, Gastroenterol, Zhengzhou, Peoples R China
[5] Zhengzhou Univ Peoples Hosp, Henan Prov Peoples Hosp, Med Oncol, Zhengzhou, Peoples R China
[6] Zhengzhou Univ, Affiliated Hosp 1, 1 Jianshe Dong Rd, Zhengzhou, Peoples R China
[7] Inst Hosp Management Henan Prov, Zhengzhou, Peoples R China
关键词
Advanced cancer caregivers; Family sense of coherence; Psychological resilience; Psychological distress; Quality of life; Chain mediation; CONNOR-DAVIDSON RESILIENCE; CHINESE VERSION; SCALE; VALIDATION; HEALTH; CARE; CHILDREN; BURDEN; END;
D O I
10.1038/s41598-024-61344-4
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Caregivers of advanced cancer patients face challenges impacting their quality of life (QoL). While evidence suggests that family sense of coherence (FSOC) can enhance individual psychological well-being and reduce distress symptoms, the precise mechanism through which FSOC improves caregivers' QoL remains unclear. This study aimed to explore the relationships among FSOC, psychological resilience, psychological distress, and QoL in primary caregivers of advanced cancer patients. A cross-sectional observational study was undertaken from June 2020 to March 2021 across five tertiary hospitals in China. Instruments included a general characteristic questionnaire, the Family Sense of Coherence Scale, the Patient Health Questionnaire-4, the 10-item Connor-Davidson Resilience Scale, and the 8-item SF-8 health survey. Pearson's correlation and chain mediation analyses were performed using IBM SPSS (version 21) and PROCESS macro (version 3.4). Out of 290 valid questionnaires, results demonstrated that FSOC directly and positively influences caregivers' QoL. Psychological distress partially mediated the FSOC-QoL association, with paths "FSOC-psychological distress-QoL" and "FSOC-psychological resilience-psychological distress-QoL" contributing 43.08% and 6.72% of the total effect, respectively. Furthermore, this study distinguished physical and mental aspects of QoL, confirming both conform to the chain mediation model. FSOC impacts caregivers' QoL directly and indirectly through the mediation of psychological distress and the chain mediation effect of "psychological resilience-psychological distress". These insights enhance our understanding of the complex interplay between FSOC and QoL, underscoring the potential benefits of bolstering FSOC to strengthen caregiver resilience, alleviate distress, and ultimately elevate their QoL.
引用
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页数:13
相关论文
共 60 条
[31]   Perception of family sense of coherence among Chinese couples with infertility [J].
Ngai, Fei Wan ;
Lam, Winsome .
JOURNAL OF CLINICAL NURSING, 2021, 30 (21-22) :3259-3267
[32]   Relationships between infertility-related stress, family sense of coherence and quality of life of couples with infertility [J].
Ngai, Fei-Wan ;
Loke, Alice Yuen .
HUMAN FERTILITY, 2022, 25 (03) :540-547
[33]   Family Sense of Coherence and Family Adaptation Among Childbearing Couples [J].
Ngai, Fei-Wan ;
Ngu, Siew-Fei .
JOURNAL OF NURSING SCHOLARSHIP, 2014, 46 (02) :82-90
[34]   Family sense of coherence and quality of life [J].
Ngai, Fei-Wan ;
Ngu, Siew-Fei .
QUALITY OF LIFE RESEARCH, 2013, 22 (08) :2031-2039
[35]   Translation and Validation of a Chinese Version of the Family Sense of Coherence Scale in Chinese Childbearing Families [J].
Ngai, Fei-Wan ;
Ngu, Siew-Fei .
NURSING RESEARCH, 2011, 60 (05) :295-301
[36]  
Northouse Laurel L, 2012, Semin Oncol Nurs, V28, P236, DOI 10.1016/j.soncn.2012.09.006
[37]   Impact of informal cancer caregiving across the cancer experience: A systematic literature review of quality of life [J].
Ochoa, Carol Y. ;
Lunsford, Natasha ;
Smith, Judith .
PALLIATIVE & SUPPORTIVE CARE, 2020, 18 (02) :220-240
[38]   Resilience in advanced cancer caregiving. A systematic review and meta-synthesis [J].
Opsomer, Sophie ;
Lauwerier, Emelien ;
De Lepeleire, Jan ;
Pype, Peter .
PALLIATIVE MEDICINE, 2022, 36 (01) :44-58
[39]  
Opsomer Sophie, 2020, Br J Gen Pract, V70, DOI 10.3399/bjgp20X711041
[40]   Common method biases in behavioral research: A critical review of the literature and recommended remedies [J].
Podsakoff, PM ;
MacKenzie, SB ;
Lee, JY ;
Podsakoff, NP .
JOURNAL OF APPLIED PSYCHOLOGY, 2003, 88 (05) :879-903