Psychological resilience of patients with bladder cancer after radical cystectomy and urinary diversion: A cross‐sectional study

Abstract

Objective:The aims of this study were to investigate the current state of psychological resilience and identify its associated factors in bladder cancer (BC) patients undergoing radical cystectomy (RC). Methods:A cross-sectional study, using convenience sampling was conducted among 248 patients recruited from urology department of a tertiary hospital in Shenyang, China. According to the resilience in illness model, participants were invited to finish a questionnaire included demographic and disease-related information, Connor-Davidson Resilience Scale, Mishel Uncertainty in Illness Scale, Medical Coping Modes Questionnaire, Social Support Rating Scale, Family adaptation, partnership, growth, affection, and resolve Index and Herth Hope Index.Multiple regression analysis was conducted to explore the predictors of resilience. Results:The average resilience score of 53.45 ± 6.22 among BC patients undergoing RC. Multiple regression showed that the associated factors of resilience of postoperative BC patients were gender (β = −0.142, p = 0.002), living in town (β = −0.103, p = 0.052), living alone (β = 0.118, p = 0.026), almost need to be taken care of (β = 0.094, p = 0.064), illness uncertainty (β = −0.249, p < 0.001), confrontation (β = 0.091, p = 0.077), acceptance-resignation (β = −0.205, p < 0.001), social support (β = 0.122, p = 0.029) and hope (β = 0.350, p < 0.001).These predictors accounted for 56.9% of the total variance in resilience (F = 14.964, p < 0.001). Conclusions:Resilience among BC patients undergoing RC needs to be further improved. Hope was the most important variable influencing resilience in BC patients undergoing RC. In the future, we need to pay more attention to the psychological status of patients and encourage them to face the disease with positive emotion and positive coping style to enhance the hope and resilience of patients, so as to improve the quality of life of patients with BC undergoing RC.

Analysis of influencing factors of job demands of healthcare workers working in mobile cabin hospitals in China

“…As a protective factor for individuals to cope with stress, psychological resilience can change with the surrounding pressure and then play a positive role in regulating psychology and adapting to stress. Psychological resilience was found to be better for physical and mental health preparations in HCWs who were more adapted to the work (Dong et al, 2022 ; Finstad et al, 2021 ). Thus, the demand for physical and mental health preparations was higher (Dong et al, 2022 ; Finstad et al, 2021 ).…”

“…Psychological resilience was found to be better for physical and mental health preparations in HCWs who were more adapted to the work (Dong et al, 2022 ; Finstad et al, 2021 ). Thus, the demand for physical and mental health preparations was higher (Dong et al, 2022 ; Finstad et al, 2021 ). Therefore, hospital management personnel can establish precise training and intervention measures based on the influencing factors of job demands in mobile cabin hospitals to improve HCWs' emergency response ability and advance their career growth to achieve the purpose of normalized emergency prevention and control management.…”

A randomised controlled trial to improve the resilience of oesophageal cancer survivors in rural China: A study protocol

“…Further analysis found that the coping mode can be roughly divided into two categories; that is, some coping styles have more positive components, such as seeking support and trying to change, and some are mainly negative elements, such as avoidance and venting (Frantsve et al, 2008; Parker et al, 1986; Santarnecchi et al, 2018). Previous studies reported that positive coping strategies have a positive effect on resilience in cancer patients (Dong et al, 2021; Lai et al, 2020; Macía et al, 2020; Wu et al, 2021).…”