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Supportive Care in Cancer

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01-05-2024 | Lung Cancer | Research

The impact of social support on benefit finding among patients with advanced lung cancer and their caregivers: based on actor-partner interdependence mediation model

Authors: Mengjiao Zhao, Na Na, Naijiao Xing, Hua Zhu, Guixia Wu, Guangyi Xu, Yunxia Jiang

Published in: Supportive Care in Cancer | Issue 5/2024

Abstract

Purpose

Advanced lung cancer and its treatment serve as a sudden stressful event that profoundly impacts the psychological experience of both the patients and their primary caregiver. This study used dyadic analyses to explore the dyadic effects of social support on benefit finding and whether hope level mediates the patient-caregiver dyads in advanced lung cancer.

Methods

Two hundred ninety-five pairs of patients with advanced lung cancer and primary caregivers completed the Social Support Rating Scale (SSRS), the Herth Hope Index (HHI), and the Benefit Finding Scale (BFS). Dyadic analyses were conducted using structural equation modelling based on the actor-partner interdependence mediation model.

Results

The results indicated that for both patients (B = 0.259, 95% CI = 0.135−0.423, P < 0.001) and their primary caregivers (B = 0.596, 95% CI = 0.403−0.838, P < 0.001), hope level mediated the actor effect of social support on benefit finding; social support was positively associated with hope level and further enhanced benefit finding. Regarding partner effects (B = 0.242, 95% CI = 0.119−0.404, P < 0.001), primary caregivers’ social support significantly indirectly affected patients’ benefit finding through patients’ hope level.

Conclusion

There is an interaction between social support, hope level, and benefit finding in patients with advanced lung cancer and their primary caregivers. Healthcare professionals ought to be vigilant in recognizing patients and caregivers who are vulnerable, have limited social support, and possess diminished hope levels. At the same time, nurses should provide timely psychological support and counseling to patients and their caregivers, encourage them to actively participate in social activities, and inspire their confidence and hope in life, thus improving their benefit findings.

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Title: The impact of social support on benefit finding among patients with advanced lung cancer and their caregivers: based on actor-partner interdependence mediation model
Authors: Mengjiao Zhao
Na Na
Naijiao Xing
Hua Zhu
Guixia Wu
Guangyi Xu
Yunxia Jiang
Publication date: 01-05-2024
Publisher: Springer Berlin Heidelberg
Keywords: Lung Cancer
Lung Cancer
Lung Cancer
Published in: Supportive Care in Cancer / Issue 5/2024
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-024-08435-0

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