The Mediating Role of Psychological Resilience in the Relationship Between Spiritual Well-Being and Supportive Care Needs in Women With Breast Cancer.

Özlem Soyer Er, Hamide Nur Erkan
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Abstract

Objective: The aim of this study was to examine the mediating role of psychological resilience as part of the effect of spiritual well-being in the supportive care needs of women with breast cancer.

Materials and methods: Cross-sectional design. The Connor-Davidson Resilience Scale Short Form, the Spiritual Well-Being Scale, and the Supportive Care Needs Survey Short Form were completed women with breast cancer treated at the oncology clinic of a university hospital. For the mediation model, Bootstrap methods with PROCESS Macro were used.

Results: The study was conducted with 126 breast cancer patients. A significant negative, moderate relationship was found between supportive care needs and psychological resilience (r = -0.560). There was a significant negative, but weak relationship between supportive care needs and spiritual well-being (r = -0.385). The indirect effect of spiritual well-being on supportive care needs was significant, thus, psychological resilience was shown to have a mediating effect on the relationship between spiritual well-being and supportive care needs [b = -0.370, 95% confidence interval (- 0.5568, -0.1911)].

Conclusion: Psychological resilience appears to contribute to a reduction in supportive care needs of breast cancer patients by affecting spiritual well-being.

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心理韧性在癌症妇女精神健康与支持性护理需求关系中的中介作用。
目的:本研究旨在探讨心理复原力作为精神幸福感影响的一部分在癌症女性支持性护理需求中的中介作用。材料和方法:截面设计。Connor-Davidson复原力量表简表、精神健康量表和支持性护理需求调查简表是在一所大学医院的肿瘤学诊所接受治疗的癌症女性完成的。对于中介模型,使用了带有PROCESS宏的Bootstrap方法。结果:对126例癌症患者进行了研究。支持性护理需求与心理弹性之间存在显著的负向、中度关系(r=-0.560)。支持性护理需要与精神幸福感之间存在显著负向但较弱的关系(r=-0.385)。精神幸福感对支持性护理需要的间接影响显著,因此,心理复原力对精神健康与支持性护理需求之间的关系具有中介作用[b=-0.370,95%置信区间(-0.5568,-0.1711)]。
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