Evaluation of Psychosocial Pathways to Family Adaptation of Chinese Patients With Liver Cancer Using the McCubbin's Family Resilience Model

• DOI: 10.3389/fpsyt.2021.703137
• Publication Date: 2021-12-16T17:42:11Z
• Authors: Shirou Mao; Huijuan Lu; Yuxia Zhang; Jingxian Yu; Xiaorong Li; Jian Peng; Yan Liang
• Keywords: Family Resilience; Family Support; Liver Cancer; Chinese family

Background and Aim: With the prolonged survival time of patients with liver cancer, these families may face tremendous pressure development dilemmas that can easily lead to family adaptation crises. Correspondingly, crises adversely affect quality life members. Basing on McCubbin's resilience model stress, adjustment, adaptation, considering key factors affecting based a review literature, this study involved construction influencing in Chinese cancer patients, which was then verified revised. Methods: This cross-sectional conducted between August December 2020. Using convenience sampling, we selected 265 from tumor center teaching hospital affiliated university Shanghai, China. Data 252 their caregivers were used identify pathways associated adaptation. The relationships modeled using structural equations. Results: A total participated survey, valid questionnaires returned, response rate 95.09%. pathway regression coefficients six (family burden, individual resilience, problem-solving coping, inner support, outer social function) found be statistically significant (P < 0.05), indicating all them significantly Among them, function direct factors, while others indirect. path effect determinants as follows (from largest smallest): (0.562), (0.483), support (0.345), burden (-0.300), (0.293), coping (0.127). Conclusions: Our findings suggest clinical nurses should not only pay particular attention develop strategies strengthen overall function, encourage utilize but also consider indirect influence focus vital role individual, promote patients' caregivers' personal ability.