Dissertation
Dissertation > Medicine, health > Oncology > Gastrointestinal Cancer

Research on Relationship of Resilience, General Self-efficacy, Coping Mode and Quality of Life in Patients with Gastric or Intestinal Cancer

Author ZhongXing
Tutor WangJianNing
School Nanchang University Medical College
Course Nursing
Keywords Gastric cancer Intestinal cancer Resilience General self-efficacy Coping mode Quality of life Mediation
CLC R735
Type Master's thesis
Year 2013
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Objective:This study investigated the status of resilience, general self-efficacy, copingmodes (confrontation, avoidance, acceptance-resignation) and quality of life, as wellas their interaction relationship in patients with gastric or intestinal cancer, and triedto build a path between resilience and quality of life, analyzing mediating effect ofgeneral self-efficacy and coping mode. Demographic data, disease-relatedinformation and laboratory indexes were also collected to find their impact onresilience, general self-efficacy, coping mode and quality of life.Methods:Resilience was evaluated by Cornor-Davidson Resilience Scale(CD-RISC),general self-efficacy, coping mode and quality of life were respectively estimated bythe General Self-Efficacy Scale(GSES), the Medical Coping Modes Questionnaire(MCMQ), and the General scale of Functional Assessment of Cancer Therapy(FACT-G). Other information was tapped by self-made questionnaire. Descriptiveanalysis, Kolmogorov-Smirnov Z Test, t-test, variance analysis, Kruskal-Wallis Test,Pearson correlation analysis, and unitary or multivariate liner regression analysiswere used in analyzing data. The path between resilience and quality of life wasverified by Amos.Results:1. The mean score of resilience is25.31(SD=6.88), and2.50(SD=0.56) forgeneral self-efficacy,19.88(SD=3.43) for confrontation,17.12(SD=2.46) foravoidance,9.10(SD=2.93) for acceptance-resignation, and71.44(SD=15.10) forquality of life.2. Differences on resilience in age and education were statistically significant(P<0.05), as well as differences on general self-efficacy in gender (P<0.05),differences on confrontation in gender, place of residence, occupation, time span after awareness of diagnose, number of times of chemotherapy (P<0.05), differences onavoidance in age, occupation, education (P<0.05), differences on acceptance-resignation in time span after awareness of diagnose and number of times ofchemotherapy (P<0.05), differences on quality of life in education, time span afterawareness of diagnose, number of times of chemotherapy (P<0.05).3. Very significant positive correlations were found between resilience andgeneral self-efficacy, avoidance, as well as quality of life (P<0.01). Resilience andconfrontation was significantly positively linked (P<0.05), whereas acceptance-resignation was very significantly negatively linked with resilience (P<0.01).Laboratory indexes had no significant correlation with resilience. General self-efficacy had a very significant positive correlation with quality of life (P<0.01), and asignificant positive correlation with avoidance (P<0.05), whereas a very significantnegative correlation with acceptance-resignation (P<0.01). Quality of life also had avery significant positive correlation with lymphocyte percentage (P<0.01), and asignificant positive correlation with confrontation, avoidance, and lymphocyte count(P<0.05), whereas a very significant negative correlation with acceptance-resignation(P<0.05).4. Multiple regression analysis showed that resilience, general self-efficacy andacceptance-resignation had a statistically significance for quality of life (P<0.01)。5. General self-efficacy played a role of partial mediation between resilience andquality of life, the mediating effect made up33.7%of the total effect. Acceptance-resignation played a role of partial mediation between general self-efficacy andquality of life, the mediating effect made up25.8%of the total effect. Acceptance-resignation played a role of partial mediation between resilience and quality of life,the mediating effect made up32.7%of the total effect. General self-efficacy played arole of partial mediation between resilience and acceptance-resignation, themediating effect made up22.4%of the total effect. Acceptance-resignation played arole of partial mediation between time span after awareness of diagnose and qualityof life, the mediating effect made up45.1%of the total effect. Acceptance-resignationplayed a role of complete mediation between number of times of chemotherapy andquality of life, the mediating effect made up64.1%of the total effect. Conclusion:1. The level of resilience, general self-efficacy, and quality of life in patientswith gastric or intestinal cancer were relatively higher than ideal average. Scores ofconfrontation, avoidance, and acceptance-resignation were a little lower than idealaverage.2. Demographic and disease-related variables had impact on resilience, generalself-efficacy, coping modes and quality of life in patients with gastric or intestinalcancer. Resilience could be affected by age and education, general self-efficacy couldbe affected by gender, while quality of life could be affected by education, time spanafter awareness of diagnose, and number of times of chemotherapy. As for copingmodes, confrontation could be influenced by gender, place of residence, occupation,time span after awareness of diagnose, and number of times of chemotherapy;avoidance could be influenced by age, occupation, and education; while acceptance-resignation could be influenced by time span after awareness of diagnose and numberof times of chemotherapy.3. Gastric or intestinal cancer patients who had high level of resilience, generalself-efficacy, and quality of life tend to adopt coping strategies such as confrontationand avoidance. Positive coping strategies had an positive effect on physical andmental health. Avoidance could be an effective coping strategy for gastric or intestinalcancer patients.4. Quality of life in patient with gastric or intestinal cancer could be wellpredicted by resilience, general self-efficacy, and acceptance-resignation. Quality oflife could be affected by resilience directly or indirectly with the mediation effect ofgeneral self-efficacy and acceptance-resignation, could be affected by generalself-efficacy directly or indirectly with the mediation effect of acceptance-resignation,and also could be affected by time span after awareness of diagnose and number oftimes of chemotherapy directly or indirectly with the mediation effect of acceptance-resignation.

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