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 20 publications

(10 citation statements)

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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%

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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“…Cronbach’s αs and model-based internal consistency index is >0.90, and intraclass correlations range from 0.66 to 0.93 in MS patient and caregiver version 44. The Chinese version of MS has a high internal consistency (Cronbach’s alpha=0.96) in 120 Chinese caregivers 45…”

Section: Methodsmentioning

confidence: 95%

Effectiveness of a smartphone-enabled dyadic self-care programme (SDSCP) for stroke survivors and caregivers: study protocol for a randomised controlled trial

Wang,

Vellone

et al. 2023

BMJ Open

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IntroductionThe promotion of self-care has begun to serve as a central response strategy to the rising burden of stroke. In fact, stroke self-care can be recognised to be a dyad phenomenon having an effect on the health of stroke survivors and their caregivers. While studies have confirmed the effectiveness of smartphone-based interventions in improving self-care among stroke survivors, there remains a lack of evidence specifically regarding dyadic self-care interventions for both patients and caregivers.AimThe present single-blinded, two-arm, randomised controlled trial aims to verify the effectiveness of a smartphone-enabled dyadic self-care programme (SDSCP) for stroke survivors and their caregivers.Methods and analysisThe estimated sample size is 152 stroke survivor–caregiver dyads. The participants will be randomly classified (1:1) into either a control (N=76) or an experimental group (N=76) through block randomisation. The participants classified into the experimental group will be provided with SDSCP, and during the initial home visit, the research team members will provide instructions to all patients and caregivers on how to download and use the smartphone application. While the participants in the control group will be given the existing stroke standard care. The main outcome measures of stroke survivors will consist of the Self-Care of Stroke Inventory and a short version of the Stroke Specific Quality of Life Scale. The outcome measures of stroke caregivers will primarily cover the Caregiver Contribution to Self-Care of Stroke Inventory and Zarit burden interview. The data of this study will be collected at three time points, including baseline, 1 month and 6 months from the baseline.Ethics and disseminationThis study has been approved by the Ethics Committee of Zhengzhou University (ZZUIRB 2021–115) in January 2021. The results achieved in this study will facilitate the clinical practice to improve self-care of stroke survivors and promote dyadic health outcomes for stroke patients and caregivers.Trial registration numberThe study was registered with the Chinese Clinical Trial Registry and the registration number is ChiCTR2100053591.

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

Cited by 20 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

Effectiveness of a smartphone-enabled dyadic self-care programme (SDSCP) for stroke survivors and caregivers: study protocol for a randomised controlled trial

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