Classifying family resilience trajectory of patients undergoing lung cancer surgery: a longitudinal study.
Source: PubMed, NCBI / U.S. National Library of Medicine
Lung cancer creates significant challenges for patients and families. Surgery and recovery bring heavy physical and psychological burdens. Family resilience, the ability to adapt and recover from crises, is vital for coping. However, current research is mostly cross-sectional and fails to reveal how family resilience changes over time. This study aims to identify the distinct trajectories and predictors of family resilience in lung cancer patients undergoing surgery. To identify trajectories of family resilience and their predictors in lung cancer surgery patients. This longitudinal study initially enrolled 442 patients, with 381 completing follow-up at 2 weeks (T1) and 3 months (T2). Socio-demographic and clinical data were collected at baseline (T0). Family resilience, psychological resilience, and perceived social support were assessed at all three time points. K-means clustering and multinomial logistic regression were used to identify trajectories and predictors. STROBE guidelines were followed. Three trajectories emerged: Cluster A (28.9%, high baseline with a rapid decline), Cluster B (42.3%, moderate baseline with a gradual decline), and Cluster C (28.9%, low baseline with a slight rise and a following decline). Predictors of Cluster A included male gender, no comorbidities, and greater psychological and perceived social support. Older age (51-60) and low income (< 1000 RMB) predicted Cluster B. Middle income (1000-5000 RMB) and no family cancer histo
Abstract
Lung cancer creates significant challenges for patients and families. Surgery and recovery bring heavy physical and psychological burdens. Family resilience, the ability to adapt and recover from crises, is vital for coping. However, current research is mostly cross-sectional and fails to reveal how family resilience changes over time. This study aims to identify the distinct trajectories and predictors of family resilience in lung cancer patients undergoing surgery. To identify trajectories of family resilience and their predictors in lung cancer surgery patients. This longitudinal study initially enrolled 442 patients, with 381 completing follow-up at 2 weeks (T1) and 3 months (T2). Socio-demographic and clinical data were collected at baseline (T0). Family resilience, psychological resilience, and perceived social support were assessed at all three time points. K-means clustering and multinomial logistic regression were used to identify trajectories and predictors. STROBE guidelines were followed. Three trajectories emerged: Cluster A (28.9%, high baseline with a rapid decline), Cluster B (42.3%, moderate baseline with a gradual decline), and Cluster C (28.9%, low baseline with a slight rise and a following decline). Predictors of Cluster A included male gender, no comorbidities, and greater psychological and perceived social support. Older age (51-60) and low income (< 1000 RMB) predicted Cluster B. Middle income (1000-5000 RMB) and no family cancer history predicted Cluster C. Family resilience showed three distinct trajectories. Males without comorbidities and with greater perceived social support had higher family resilience. Females, middle-income households, no cancer family history, and low perceived social support were linked to low family resilience. Early nursing intervention is essential for at-risk families.