Mediating Role of Psychological Resilience between Perceived Spousal Support and Dignity Loss in Breast Cancer Patients

Haiyin YANG; Yong DONG; Shiyao YANG; Yuexi ZHU; Yuhan SHEN; Jinhu MIAO; Qiongyao GUAN

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Haiyin YANG, Yong DONG, Shiyao YANG, Yuexi ZHU, Yuhan SHEN, Jinhu MIAO, Qiongyao GUAN. Mediating Role of Psychological Resilience between Perceived Spousal Support and Dignity Loss in Breast Cancer Patients[J]. Journal of Kunming Medical University.

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Mediating Role of Psychological Resilience between Perceived Spousal Support and Dignity Loss in Breast Cancer Patients

Department of Nursing，The Third Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650118，China

Received Date: 2024-09-22
Available Online: 2025-02-22

Abstract

Abstract

Objective To explore the mediating effect of psychological resilience between perceived spousal support and dignity loss in breast cancer patients. Methods A convenience sampling method was employed, involving 377 breast cancer patients who met the study criteria and received treatment at a tertiary oncology hospital in Yunnan Province from March to September 2023. Data were collected using a general information questionnaire, the Dignity Scale, the Perceived Spousal Support Scale, and the Psychological Resilience Scale. Data analysis was conducted using IBM SPSS 26.0 software. Results The scores for dignity loss, perceived spousal support, and psychological resilience of breast cancer patients were （41.72±6.77）, （100.42±6.93）, and （75.27±8.50）, respectively. Pearson correlation analysis showed that dignity loss was negatively correlated with both perceived spousal support and psychological resilience （r1=-0.568, r2=-0.640, both P < 0.05）. Mediation effect analysis indicated that psychological resilience had a mediating effect between perceived spousal support and dignity loss, with a value of -0.320 （95%CI -0.409 to -0.246）, accounting for 57.1% of the total effect. Conclusion The dignity of breast cancer patients in this study is in a state of mild loss, and psychological resilience plays a partial mediating role between perceived spousal support and dignity loss. This suggests that clinical medical staff should pay attention to the spousal support situation of breast cancer patients, provide timely guidance and health education to spouses, enhance the level of support from spouses, and strengthen the confidence and capability of couples in jointly coping with the disease, thereby alleviating dignity loss in breast cancer patients and improving their quality of life.
- Breast cancer,
- Dignity,
- Spousal support,
- Psychological resilience,
- Mediating effect

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