The mediating role of resilience in the relationship between social support and quality of life among patients after radical cystectomy: A structural equation model analysis.
Shuhui Yu, Xiuyu Yao, Yonghui Sang and 5 others
PMID 36325731WHAT IT FOUND
Among urostomy patients more than one year after surgery, higher perceived social support and resilience were linked to better quality of life.
Family support was strongest, and resilience was associated with part of the social support and quality of life link.
Key findings
01Social support had a direct positive association with quality of life, and resilience was positively related to both social support and quality of life.
02Resilience partially mediated the relationship between social support and quality of life.
03Family support was the strongest source of perceived social support.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was recruited by convenience sampling from one hospital in Beijing, so it may not represent other patients or settings. All patients were more than 12 months after urostomy, so results may not apply to patients in the first year after surgery. The study was cross-sectional, so it cannot show that social support or resilience caused higher quality of life. Of 415 initially enrolled patients, 129 did not complete follow-up and 58 died, so the analysed group of 232 may differ from those lost.
Declared interests
No conflicts of interest were declared. The work was funded by the Peking University Evidence-Based Nursing Research Fund.
The easy way to misread this
Do not read the mediation result as proof that building resilience or increasing social support will improve quality of life. This was a cross-sectional survey, so it shows associations at one time, not that any treatment caused change.