Effect of resilience on quality of life and anxiety in patients with breast cancer

BACKGROUND The incidence of breast cancer is high,with serious implications in terms of lives and health.Relevant data show that there are approximately 1 million new cases of breast cancer reported annually,with a rising trend.Some patients have poor treatment effects and are prone to anxiety and other negative emotions,which affect their quality of life(QoL).AIM To explore the correlation between mental resilience,QoL,and anxiety in patients with breast cancer.METHODS Using convenience sampling,200 patients with breast cancer were selected from the First Affiliated Hospital of Hebei North University.These patients were investigated using the Conner-Davidson Resilience Scale,Self-Rating Anxiety Scale,and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire to analyze the impact of resilience in patients with breast cancer on their QoL and anxiety.RESULTS The mean(SD)mental resilience score of the patients with breast cancer was 59.68(±9.84)points,the anxiety score was 49.87(±8.26)points,and the QoL score was 59.73(±8.29)points.Overall,they showed low mental resilience,mild anxiety,and medium QoL.Anxiety was negatively correlated with mental resilience and QoL(r=-0.275,r=-0.289,P<0.05).QoL was positively correlated with mental resilience(r=0.513,P<0.05).Anxiety was a mediating variable between mental resilience and QoL,accounting for 8.58%of the mediating effect.CONCLUSION Regarding psychological elasticity,anxiety plays an intermediary role in QoL among patients with breast cancer.Medical staff can improve patients'mental resilience by reducing their anxiety and improving their QoL.

The impacts of resilience on the association between illness uncertainty and sleep quality among patients with type 2 diabetes mellitus

Objective:The objective was to investigate the relationship between resilience,illness uncertainty,and sleep quality in patients with type 2 diabetes mellitus(T2DM).Methods:This cross‑sectional study was conducted from September 2019 to August 2020 from a tertiary hospital in Guangzhou,China.Totally,205 participants completed questionnaires concerning demographic characteristics,Pittsburgh sleep quality index,Mishel uncertainty in illness scale(MUIS),and Connor–Davidson Resilience Scale(CD‑RISR)were collected by convenience sampling.Multiple hierarchical regression analysis was used to evaluate the interaction of illness uncertainty,resilience,and sleep quality.The mediating role of resilience was also tested.Results:The total score of illness uncertainty was 94.68±11.19 in T2DM patients,which was proved in the medium level.There was a significant negative correlation between the total CD‑RISR score and total MUIS score(r=−0.716,P<0.01);there was a significant negative correlation between the total CD‑RISR score and total PISQ score(r=−0.806,P<0.01);total MUIS score was positively correlated with PISQ score(r=0.872,P<0.01).Psychological resilience could partially mediate the association between sleep quality and the level of illness uncertainty,and the mediating effect was 0.293,accounting for 34.20%of the total effect.Conclusion:Patients with T2DM have a moderate level of illness uncertainty,and it was negatively correlated with mental resilience level and positively associated with sleep quality.Medical staff should strengthen psychological intervention for T2DM patients to reduce the sense of uncertainty.

心理弹性对新型冠状病毒肺炎疫情期间临床一线护士心理压力与焦虑状态间的中介效应

目的分析抗击新型冠状病毒肺炎疫情期间临床一线护士知觉压力、焦虑状态现状及两者之间的关系,探究心理弹性的中介作用。为抗疫一线护理管理提供依据。方法采用知觉压力量表、中文版心理弹性量表、焦虑量表对178名发热门诊、隔离病房的一线护士进行问卷调查。结果护士焦虑总均分为(57.4±7.9)分,存在焦虑问题者占61.8%。知觉压力与焦虑呈明显正相关(P<0.05),心理弹性与焦虑呈明显负相关(P<0.05)。心理弹性在压力与焦虑间的中介效应为0.21,占总效应的比例为35.5%。结论抗击新型冠状病毒肺炎疫情期间知觉压力与心理弹性是影响临床一线护士焦虑状况的重要因素,心理弹性部分中介了知觉压力对焦虑状态的负面影响。