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Published on: July 13, 2019
Correlation between psychological, family social support, and home nursing quality for an implanted venous access
Heng-Ya Jia1, Li-Qun Yan1, Xiao-Bei Liu2
1Department of Emergency, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China.
Background:
Cancer patients with an implanted venous access port (IVAP) often manage their care at home during chemotherapy intervals, including maintaining the device, monitoring complications, and following medication instructions. Home care ensures continued support after discharge. However, due to factors such as age, gender, culture, psychological status, and family support, the quality of home care varies significantly. Understanding these factors can help provide targeted guidance to improve the care of cancer patients.
Aim:
To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.
Methods:
This investigative study was based on a medical records system. It investigated the relationship between psychological status, family support, and home care quality in 180 patients with cancer undergoing IVAP chemotherapy. Psychological status was assessed using the State Anxiety Inventory (S-AI); family support was assessed using the Perceived Social Support Scale (PSSS), and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Pearson's correlation and Structural Equation Modeling were used to analyze the interplay between these factors.
Results:
The average S-AI score was 47.52 ± 14.47, PSSS was 52.48 ± 12.64, and EORTC QLQ-C30 was 70.09 ± 17.32. A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores (r = -0.712). A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS, with a correlation coefficient of (r = 0.744). The multiple linear regression analysis indicated that family social support, psychological status, and average monthly family income were the main factors influencing the variation in the quality of home care, explaining 71.9% of the variation. The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life, explaining 32.78% of the mediation effect.
Conclusion:
Psychological status and family social support positively impacted cancer patients' home care quality, with psychology partially mediating this effect.
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