Relationships Among Perceived Social Support, Family Resilience, and Caregiver Burden in Lung Cancer Families: A Mediating Model

Zhang, Yalin; Ding, Yuxin; Liu, Chunhua; Li, Juejin; Wang, Qi; Li, Yunhuan; Hu, Xiaolin

doi:10.1016/j.soncn.2022.151356

Cited by 11 publications

(6 citation statements)

References 48 publications

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“…Finally, to ensure that patients implement nonpharmacological interventions effectively at home, it is essential to establish a platform to enable remote follow‐up supervision and timely contact between patients and professionals (Li, Li, & Hu, 2023; Zhang et al., 2023).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of nonpharmacological interventions for severe radiation‐induced oral mucositis among head and neck cancer patients: A network meta‐analysis of randomised controlled trials

Zhang,

Li,

Zhang

et al. 2024

Journal of Clinical Nursing

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Aims and ObjectivesTo assess the effectiveness of different nonpharmacological treatments for severe radiation‐induced oral mucositis in patients with head and neck cancer.BackgroundRadiation‐induced oral mucositis is highly prevalent in patients with head and neck cancer. Current medications for radiation‐induced oral mucositis are limited in effectiveness and susceptible to side effects, and while there is an increasing adoption of nonpharmacological interventions, the optimal one remains unclear.DesignSystematic review and network meta‐analysis based on the PRISMA‐NMA guidelines.MethodsSix databases were searched. Two authors independently performed the literature screening, data extraction and methodological quality assessment of the included studies. Traditional pairwise meta‐analysis was performed by R Studio. A network meta‐analysis was then conducted to assess the effects of nonpharmacological interventions for severe radiation‐induced oral mucositis in patients with head and neck cancer.ResultsFifty‐two studies involving seven types of nonpharmacological interventions were enrolled. The network meta‐analysis indicated that natural plant‐based therapies might be the most effective, health education interventions might be the second most effective, and honey might be the third most effective interventions for reducing the incidence of severe radiation‐induced oral mucositis. For reducing the incidence of severe oral mucositis‐related pain, the pairwise meta‐analysis showed that only natural plant‐based therapies and health education interventions were effective.ConclusionsNonpharmacological interventions are effective in the management of severe radiation‐induced oral mucositis among patients with head and neck cancer.Relevance to clinical practiceNonpharmacological interventions are a category of safe and effective adjunctive therapies that should be encouraged in clinical practice.Trial registration detailsCRD42023400745.

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Section: Discussionmentioning

confidence: 99%

Efficacy of nonpharmacological interventions for severe radiation‐induced oral mucositis among head and neck cancer patients: A network meta‐analysis of randomised controlled trials

Zhang,

Li,

Zhang

et al. 2024

Journal of Clinical Nursing

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“…FH facilitates the exploration of new possibilities for oneself, overturning the idea that they will be abandoned by the world if they are sick, reconnecting with their personal values, and resisting trauma with a positive and optimistic mindset to obtain PTG [53]. In addition, FH in the family support system allows patients with lung cancer undergoing chemotherapy to actively plan and seek solutions to the trauma of their current treatment and disease, rather than focusing on determining why the disease occurred and complaining that modern medical technology cannot cure the disease [54]. This problem-oriented approach helps patients with lung cancer undergoing chemotherapy utilize available medical and family resources, reduce trauma, develop their ability to resist illness, solve problems, and thrive [55].…”

Section: Discussionmentioning

confidence: 99%

“…Patients undergoing chemotherapy often experience side effects, such as nausea and vomiting, which trigger a disturbance in the secretion of antidiuretic hormones [53], leading to delayed excitation of the excitatory central nervous system and, ultimately, negative emotions, such as anger, frustration, and distress. All of these factors cause family concerns [54]. FH provides material, conditional, and emotional resources for patients with lung cancer undergoing chemotherapy and helps them construct the belief of changing life events through their own actions to alleviate negative emotions and re-establish PCER.…”

Section: Discussionmentioning

confidence: 99%

Mediating roles of positive cognitive emotion regulation and sense of coherence in the relationship between family hardiness and post-traumatic growth among patients with lung cancer undergoing chemotherapy

Liu,

Lixia,

Fang

et al. 2023

Preprint

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Background: Patients with lung cancer undergoing chemotherapy develop post-traumatic growth after a traumatic experience of lung cancer diagnosis and chemotherapy treatment, which is closely related to their quality of life. Although some studies have reported the effects of family hardiness (FH) on post-traumatic growth (PTG), the psychological mechanisms between them remain unclear. Therefore, this study aimed to investigate whether positive cognitive emotion regulation (PCER) and sense of coherence (SOC) mediate the relationship between FH and PTG in patients with lung cancer undergoing chemotherapy. Methods: A cross-sectional study was conducted on 321 patients with lung cancer who underwent chemotherapy between April and September 2022 at two hospitals in Shandong Province, China. Data were collected using the Family Hardiness Index (FHI), Cognitive Emotion Regulation Questionnaire (CERQ), Sense of Coherence Scale, and Post-Traumatic Growth Inventory (PTGI). Descriptive statistics, Pearson’s correlation, and mediation analyses were used. Results: PTG was positively associated with FH (r = 0.33, P < 0.01), PCER (r = 0.31, P < 0.01), and SOC (r = 0.37, P < 0.01). FH was positively associated with PCER (r = 0.31, P < 0.01) and SOC (r = 0.40, P < 0.01). PCER was positively associated with SOC (r = 0.32, P < 0.01). The mediation analysis showed that FH affected PTG (β = 0.250, P = 0.025) directly and indirectly through PCER and SOC (β = 0.093, 0.160, P < 0.05). The mediating effects of PCER and SOC accounted for 18.49% and 31.81%, respectively, of the total effect(FH→PTG). Conclusion: PCER and SOC mediated the relationship between FH and PTG in patients with lung cancer undergoing chemotherapy. Thus, future interventional studies should consider PCER and SOC as targets for developing post-traumatic growth in patients with lung cancer receiving chemotherapy.

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Section: What Does This Paper Contribute To the Wider Global Clinical...mentioning

confidence: 99%

“…Resilience is the ability to recover from adverse events through a thorough usage of various resources (Akkila et al, 2023), through which cancer caregivers can obtain internal strength to cope with the caregiving process (Üzar‐Özçeti & Dursun, 2020). A favourable social‐support system can provide cancer caregivers with external access to help when they face challenges in the process (Zhang et al, 2023). However, despite the obvious inner and outer associations, such relationships have not been clarified in palliative units, and a single‐method design could lead to imitations in the interpretation of results.…”

Section: Introductionmentioning

confidence: 99%

Caregiver burden among family caregivers of patients with advanced cancer in a palliative context: A mixed‐method study

Zhang,

Liu

et al. 2023

Journal of Clinical Nursing

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AimTo examine the multidimensional properties of caregiver burden among family caregivers of patients with advanced cancer in a palliative context.DesignA sequential, explanatory, mixed‐method study was performed.MethodsFamily caregivers of patients diagnosed with advanced cancer were recruited from a palliative care department of a third‐level hospital in Sichuan Province, China. The Caregiver Burden Inventory, Social Support Rating Scale and Connor–Davidson Resilience Scale were used to collect quantitative data, and a total of 150 caregivers were recruited from January 2022 to September 2022. Qualitative data were collected through semi‐structured interviews, and a total of 22 caregivers were interviewed from October 2022 to November 2022. Survey data were analysed using descriptive statistics, and the factors of caregiver burden were identified using the Mann–Whitney U test, Kruskal–Wallis H test and Spearman correlations. Interpretative phenomenological analysis was performed to analyse the interview data to initially explore the multidimensions of caregiver burden. The following‐a‐thread method and convergence coding matrix were used for triangulation to examine the multidimensional properties of caregiver burden.ResultsThe participants experienced a moderate level of caregiver burden (32.97 ± 13.09). Through triangulation, six meta‐themes and nine meta‐subthemes were identified as multidimensional properties of caregiver burden, including physical (too many caring tasks and poor health condition), emotional (strong negative emotions resulting from patients' suffering and insufficient and ineffective family communication), social (less social interaction and social role conflict) and economic burdens, factors that aggravate burden (prevention and control of COVID‐19 and spousal relationship with patients) and factors that mitigate burden (social support).ConclusionMultiple dimensions of caregiver burden were experienced by family caregivers of patients with advanced cancer in the palliative context. Family‐centred palliative care must be further developed.Implications for the professionIt is important to develop family‐centred palliative care. Therefore, the focus must be on developing a rational understanding of palliative care in public and a culture‐oriented death education in palliative units.Impact This study adopted a mixed‐method approach to comprehensively understand the phenomenon of and factors in caregiver burden in the Chinese palliative oncology context. Our findings suggest that family caregivers in palliative oncology experience a moderate level of caregiver burden, with dimensions including physical, emotional, social and economic burdens, among which emotional burden is the most prominent. The findings of this study provide policy makers and nurse practitioners with targets to be addressed in family‐centred care in Chinese palliative units. Reporting MethodThe results of this study are reported based on the guidelines of the Mixed‐Methods Article Reporting Standards.Patient or Public ContributionEligible caregivers were invited to participate in the study and semi‐structured interviews. Nurse managers of the palliative unit helped us access the patient‐management system.

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Relationships Among Perceived Social Support, Family Resilience, and Caregiver Burden in Lung Cancer Families: A Mediating Model

Cited by 11 publications

References 48 publications

Efficacy of nonpharmacological interventions for severe radiation‐induced oral mucositis among head and neck cancer patients: A network meta‐analysis of randomised controlled trials

Efficacy of nonpharmacological interventions for severe radiation‐induced oral mucositis among head and neck cancer patients: A network meta‐analysis of randomised controlled trials

Mediating roles of positive cognitive emotion regulation and sense of coherence in the relationship between family hardiness and post-traumatic growth among patients with lung cancer undergoing chemotherapy

Caregiver burden among family caregivers of patients with advanced cancer in a palliative context: A mixed‐method study

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