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Pathway analysis of the effects of self-efficacy, social support and mental resilience on benefit discovery in breast cancer patients undergoing chemotherapy |
NIU Jie1 CUI Juan1 WANG Jiemin1 YANG Ke1 LI Hongli2 YIN Chonggao1 |
1.College of Nursing, Weifang Medical University, Shandong Province, Weifang 261053, China;
2.Medical Research Laboratory Center, Weifang Medical University, Shandong Province, Weifang 261053, China |
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Abstract Objective To analyze the status quo of benefit finding in chemotherapy period breast cancer patients and explore the influence of self-efficacy, surgery social support and resilience on the level of benefit finding. Methods From October 2018 to April 2019, 153 breast surgery patients in the Affiliated Hospital of Qingdao University and Weifang Medical University were selected. General data questionnaire, benefit discovery scale, general self-efficacy scale, social support rating scale and psychological resilience scale were used to investigate, Pearson correlation analysis, multiple stepwise regression analysis and path analysis were used for analysis. Results The benefit score of breast cancer patients was (55.35±12.26). The level of benefit discovery was positively correlated with self-efficacy, social support, mental resilience and other dimensions (P < 0.01). Self-efficacy, subjective support and mental resilience were the influencing factors of benefit discovery. Self-efficacy has direct and positive effects on the level of benefit discovery, while social support and mental resilience have direct and indirect positive effects on the level of benefit discovery of breast cancer patients. Conclusion The level of benefit discovery in breast cancer patients during chemotherapy should be improved. Self-efficacy, subjective support and mental resilience can positively predict the level of benefit discovery. Medical staff should seek effective support for patients, take measures to improve patients′ self-efficacy and elasticity level, and improve the level of benefit discovery of breast cancer patients during chemotherapy.
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