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Relationship between illness perception and family resilience in gynecologic cancer patients: the mediating role of couple illness communication

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Abstract

Objective

To analyze the current family resilience levels of Chinese patients with gynecologic cancer and explore the mediating role of couple illness communication between illness perception and family resilience to facilitate patient adaptation to cancer.

Methods

A total of 310 patients with gynecologic cancer were selected from the gynecology ward of a tertiary care hospital in Jinan, Shandong Province, China. All participants provided their demographic and clinical information and completed the Brief Illness Perception Questionnaire (BIPQ), Couples’ Illness Communication Scale (CICS), and Family Hardiness Index (FHI). The mediating effect of couple illness communication was analyzed using SPSS26.0 and Amos21.0.

Results

The family resilience score of patients with gynecologic cancer was moderate (55.78 ± 8.65). Illness perception was negatively correlated with couple illness communication(p < 0.05) and family resilience(p < 0.01), while couple illness communication was positively correlated with family resilience (p < 0.01). Couple illness communication mediated the relationship between illness perception and family resilience [β = − 0.071; 95% confidence interval: (− 0.127)–(− 0.013)].

Conclusions

The family resilience of patients with gynecologic cancer must be further improved. Since couple illness communication mediates the relationship between illness perception and family resilience in this population, it is important to improve patients’ illness perceptions and couple illness communication to enhance their family resilience.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Acknowledgements

The authors would like to thank the medical staff and all participants.

Author information

Authors and Affiliations

  1. School of Nursing and Rehabilitation, Shandong University, Jinan, China

    Xiaoxiang Xu, Xiaoxin Chen, Tianyi Wang & Chengmiao Qiu

  2. Department of Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China

    Min Li

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  1. Xiaoxiang Xu
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  2. Xiaoxin Chen
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  3. Tianyi Wang
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  4. Chengmiao Qiu
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  5. Min Li
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Contributions

Xiaoxiang Xu: study conception/design, data collection/analysis, and drafting of manuscript. Xiaoxin Chen: study conception/design. Tianyi Wang and Chengmiao Qiu: data collection. Min Li: supervision and critical revisions for important intellectual content.

Corresponding author

Correspondence to Min Li.

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Ethics approval

This study was approved by the Research Ethics Committee of the School of Nursing and Rehabilitation at Shandong University (Approval Number: 2022-R-120)

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Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Xu, X., Chen, X., Wang, T. et al. Relationship between illness perception and family resilience in gynecologic cancer patients: the mediating role of couple illness communication. Support Care Cancer 31, 522 (2023). https://doi.org/10.1007/s00520-023-07992-0

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