Emotional state and cancer-related self-efficacy as affecting resilience and quality of life in kidney cancer patients: a cross-sectional study

• Published in: Supportive care in cancer Vol. 30; no. 3; pp. 2263 - 2271
• Main Authors: Liu, Kuan-Lin, Chuang, Cheng-Keng, Pang, See-Tong, Wu, Chun-Te, Yu, Kai-Jie, Tsai, Shang-Chin, Chien, Ching-Hui
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.03.2022; Springer; Springer Nature B.V
• Subjects: Analysis; Cancer; Cancer patients; Care and treatment; Cross-Sectional Studies; Depression, Mental; Disease management; Emotions; Health psychology; Humans; Kidney cancer; Kidney Neoplasms; Mediation; Medical centers; Medicine; Medicine & Public Health; Nursing; Nursing Research; Oncology; Oncology, Experimental; Original Article; Pain Medicine; Quality of Life; Rehabilitation Medicine; Resilience, Psychological; Self Efficacy; Surveys and Questionnaires; Self-management; Emotions; Self-efficacy; Kidney neoplasms; Quality of life; Resilience
• ISSN: 0941-4355; 1433-7339
• DOI: 10.1007/s00520-021-06644-5

Objective To assess the relationship between resilience and quality of life (QOL) of kidney cancer patients, including influencing factors. Methods Based on a cross-sectional study design, participants ( N  = 103) were recruited from patients who were admitted to the urology clinic of a medical center in Taiwan between April 2020 and January 2021. Data collection was accomplished via a questionnaire. The study variables included demographic information, disease attributes, happiness level, depression, cancer-related self-efficacy, resilience, and QOL. One-way analysis of variance, Pearson correlation coefficients, independent-sample t -tests, hierarchical regression, and process analysis were the statistical methods used to analyze the data. Results Kidney cancer patients who were less depressed exhibited better cancer-related self-efficacy and have better resilience. In non-depressed individuals, higher levels of happiness and better resilience resulted in better QOL. Resilience is a mediator that affects the relationship between depression and QOL. Conclusions Patients with better emotional state experience better resilience and QOL. Patients’ better cancer-related self-efficacy is related to better resilience while better resilience is associated with better QOL. Clinical care providers need to evaluate and improve cancer-related self-efficacy, emotional state, and resilience of kidney cancer patients, which will improve their resilience and QOL.