Analysis of Status and Influencing Factors of Psychology Resilience Level in Cancer Patients Undergoing Radiotherapy and Chemotherapy
Source: By:Liya Xu, Lida C. Landicho, Elna R. Lopez
DOI: https://doi.org/10.30564/jpr.v5i3.5786
Abstract:Objective: To analyse the status and discuss influencing factors of the psychology resilience level of cancer patients undergoing radiotherapy and chemotherapy, and to provide evidence for clinical rehabilitation intervention. Methods: A total of 320 patients with cancer undergoing radiotherapy and chemotherapy who were hospitalized in the Affiliated Hospital of North China University of Science and Technology and Tangshan Worker’s Hospital in China from September 2022 to November 2022 were selected as the research subjects. The surveys were conducted using the general information questionnaire, Connor-Davidson Scale (CD-RICS), Perceived Social Support Scale (PSSS) and Pittsburgh Sleep Quality Index Scale (PSQI). Results: The psychology resilience score of cancer patients undergoing radiotherapy and chemotherapy was 64.23 ± 15.20, lower than the average level of resilience of adults in China (70.50 ± 13.48) and American adults’ normal value (80.4 ± 12.8). Perceived social support was 58.13 ± 14.04 and positively correlated with the level of psychology resilience (r = 0.210, P < 0.05). Sleep quality was 10.57 ± 4.85, which showed most people have sleep quality disorder and was negatively correlated with the level of psychology resilience (r = –0.200, P < 0.05). Multiple linear regression analysis showed that age, education level and disease stage were the main influencing factors in the level of psychological resilience in cancer patients undergoing radiotherapy and chemotherapy (P < 0.05). Conclusions: The level of psychological resilience of cancer patients undergoing radiotherapy and chemotherapy is at a low level, and there are many influencing factors. Targeted medical care should be carried out according to the factors affecting the level of resilience to promote the mental health of patients.
References:[1] Chen, Z.H., Lu, Zh.H., Shen, L., 2018. 2018 nian AACR xiao hua dao zhong liu yan jiu jin zhan (Chinese) [Research progress of digestive tract cancer of aacr in 2018]. Electronic Journal of Comprehensive Tumor Treatment. 4(2), 26-28. [2] Allemani, C., Matsuda, T., Di Carlo, V., et al., 2018. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): Analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. The Lancet. 391(10125), 1023-1075. [3] Cui, Y., Wang, X.H., Liu, Y.X., 2020. Er xing zhong liu shu hou huanzhe ai yin xing pi fa ji xin li tan xing de ying xiang yin su ji xiang guan xing (Chinese) [Influencing factors and correlation of cancer-related fatigue and psychological resilience in postoperative patients with malignant tumours]. International Journal of Nursing. 39(20), 3654-3658.DOI: https://doi.org/10.3760/cma.j.cn221370-20190718-01124 [4] The Road to Resilience [Internet]. American Psychology Association; 2002. Available from: https://www.apa.org/monitor/oct02/pp [5] Bauer, H., Emeny, R.T., Baumert, J., et al., 2016. Resilience moderates the association between chronic pain and depressive symptoms in the elderly. European Journal of Pain. 20(8), 1253-1265. [6] Connor, K.M., Davidson, J.R., 2003. Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety. 18(2), 76-82. [7] Yu, X., Zhang, J., 2007. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale (CD-RISC) with Chinese people. Social Behavior and Personality: An International Journal. 35(1), 19-30. [8] Zimet, G.D., Powell, S.S., Farley, G.K., et al., 1990. Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment. 55(3-4), 610-617. DOI: https://doi.org/10.1080/00223891.1990.9674095 [9] Jiang, Q.J., 2001. Ling wu she hui zhi chi liang biao (Chinese) [Perceived social support scale]. China Behavioral Medicine Science. 10(10), 41-43. [10] Buysse, D.J., Reynolds III, C.F., Monk, T.H., et al., 1989. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research. 28(2), 193-213. [11] Chen, Y., 2007. Gu du zheng huan er jia zhang fu yuan li ji xiang guan yin su yan jiu (Chinese) [Resilience and related factors of parents of children with autism] [Master’s thesis]. Nanjing: Nanjing Normal University. DOI: https://doi.org/10.7666/d.y1118295 [12] Benson, A.B., Venook, A.P., Al-Hawary, M.M., et al., 2021. Colon cancer, Version 2.2021, NCCN clinical practice guidelines in oncology. Journal of the National Comprehensive Cancer Network: JNCCN. 19(3), 329-359. [13] Hong, Q.J., 2012. Jin qi hua liao dui wan qi zhong liu huan zhe xin li tong ku he sheng huo zhi liang de ying xiang (Chinese) [Investigation and analysis of psychological pain and quality of life in patients with advanced cancer before and after chemotherapy]. Anhui Medical University. 16(9), 3. [14] Zhu, Sh.X., Li, X.D., Xie, Y., et al., 2020. Bi yan ai fang liao huan zhe xin li tan xin shui ping ji qi ying xiang yin su diao cha (Chinese) [Survey on the level of psychological resilience and its influencing factors in patients with nasopharyngeal carcinoma undergoing radiotherapy]. Nursing Practice and Research. 17(1), 22-24. [15] Qiu, X.F., Hu, X., Wang, X.P., et al., 2019. Xin ji geng si ji zhen jing pi guan zhuang dong mai jie ru zhi liao shu hou huan zhe xin li tan xing shui ping ji qi ying xiang yin su (Chinese) [Psychological resilience and its influencing factors in patients with myocardial infarction after emergency percutaneous coronary intervention]. PLA Nursing Journal. 36(1), 32-35. [16] Liang, X.X., Yang, G.M., Wan, L.P., et al., 2023. She qu ju jia lao nian ren she hui jing ji di wei yu sheng ming zhi liang de guan xi yan jiu-ji yu EQ-5D liang biao (Chinese) [Research on the relationship between socioeconomic status and quality of life of the elderly living in the community-based on the EQ-5D scale]. China Health Management. 40(4), 306-309. [17] Zhao, L.H., Sun, Q.X., Guo, Y.Ch., et al., 2021. Nao cu zhong huan zhe ling wu she hui zhi chi yu yi yu jian de zhong jie xiao ying ji xin li tan xing de tiao jie xiao ying (Chinese) [The mediating effect between perceived social support and depression and the moderating effect of psychological resilience in stroke patients]. PLA Nursing Journal. 38(9), 6-10. DOI: https://doi.org/10.3969/j.issn.1008-9993.2021.09.002 [18] Xiao, Sh.Y., Yang, D., 1987. She hui zhi chi dui shen xin jian kang de ying xiang (Chinese) [The influence of social support on physical and mental health]. Chinese Mental Health Journal. (4), 5. [19] Costanzo, E.S., Ryff, C.D., Singer, B.H., 2009. Psychosocial adjustment among cancer survivors: Findings from a national survey of health and well-being. Health Psychology. 28(2), 147. [20] Khalid, A., Dawood, S., 2020. Social support, self-efficacy, cognitive coping and psychological distress in infertile women. Archives of Gynecology and Obstetrics. 302, 423-430. [21] Bai, T., Zhao, Q.Q., Liu, Y.H., et al., 2019. Nao cu zhong huan zhe xin li tan xing yu jiao lv, yi yu de xiang guan xing yan jiu (Chinese) [Research on the correlation between resilience, anxiety, and depression in patients with stroke]. Qilu Journal of Nursing. 25(3), 36-39. [22] Zhang, L., Li, Y., Chen, Ch.X., 2017. Chuang shang xing gu zhe huan zhe xin li tan xing xian zhuang ji qi ying xiang yin su (Chinese) [Status and influencing factors of mental resilience in patients with traumatic fractures]. Occupation and Health. 33(5), 3. [23] Kirmil-Gray, K., Eagleston, J.R., Gibson, E., et al., 1984. Sleep disturbance in adolescents: Sleep quality, sleep habits, beliefs about sleep, and daytime functioning. Journal of Youth and Adolescence. 13(5), 375-384.