The mediating effect of resourcefulness between self-management efficacy and cancer-related fatigue in advanced cancer patients

Objective To explore the mechanism of resourcefulness in self-management efficacy and cancer-related fatigue in patients with advanced cancer, so as to provide reference for improving the fatigue level. Methods A total of 335 patients with advanced cancer who were hospitalized in the oncology department of a Grade-A hospital in Sichuan Province were selected by convenience sampling from January 2022 to September 2022. The general information questionnaire, Resourcefulness Scale (RS), Self-Management Efficacy Scale for Cancer Patients (SUPPH) and Cancer Fatigue Scale (CFS) were used to investigate. Results The scores of RS, SUPPH and CFS were (73. 18±7. 12), (87. 86±22. 27) and (25. 24±10. 14) respectively. Pearson correlation analysis showed that self-management efficacy of advanced cancer patients was positively correlated with resourcefulness (r=0. 338, P＜0. 001), resourcefulness was negatively correlated with cancer-related fatigue (r=-0. 282, P＜0. 001), self-management efficacy was negatively correlated with cancer-related fatigue (r=-0. 547, P＜0. 001). Mediating analysis showed that the mediating effect of resourcefulness on self-management efficacy and cancer-related fatigue was -0. 017［95%CI(-0. 033 - -0. 002)］, accounting for 6. 83% of the total effect. Conclusion Resourcefulness is a mediator of self-management efficacy and cancer-related fatigue in patients with advanced cancer. Medical staff can improve fatigue in patients with advanced cancer by enhancing their resourcefulness and self-management effectiveness (目的 探讨智谋在晚期癌症患者自我管理效能与癌因性疲乏间的作用机制, 为改善患者疲乏水平提供参考。方法 采用便利抽样法, 以2022年5月—11月在四川省成都市一所三级甲等医院肿瘤科及四川省雅安市一所二级甲等医院内科住院的共335例晚期癌症患者为调查对象, 采用一般资料调查表、癌症患者自我管理效能感量表(SUPPH)、智谋量表(RS)、癌症疲乏量表(CFS)进行调查。结果 晚期癌症患者SUPPH量表得分(87. 86±22. 27)分, RS量表得分(73. 18±7. 12)分, CFS量表得分(25. 24±10. 14)分; Pearson相关分析显示, 晚期癌症患者自我管理效能与智谋呈正相关(r=0. 338, P＜0. 001), 智谋与癌因性疲乏呈负相关(r=-0. 282, P＜0. 001), 自我管理效能和癌因性疲乏呈负相关(r=-0. 547, P＜0. 001); 中介分析显示智谋在自我管理效能与癌因性疲乏的中介效应为-0. 017［95%CI(-0. 033～-0. 002)］, 占总效应的6. 83%。结论 智谋是晚期癌症患者自我管理效能与癌因性疲乏的中介变量, 医护人员可通过提升患者的智谋及自我管理效能, 改善晚期癌症患者的疲乏状态。)