Uncertainty affects cancer-related fatigue among breast cancer women undergoing peripherally inserted central catheter chemotherapy: the chain mediating role of psychological resilience and self-care

Breast cancer patients undergoing chemotherapy via peripherally inserted central catheter often experience serious behavioral and psychological challenges, with uncertainty and cancer-related fatigue being prevalent issues that profoundly impact prognosis. Therefore, this study aimed to investigate...

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Bibliographic Details
Published in:BMC women's health 2024-06, Vol.24 (1), p.344-11
Main Authors: Yang, Yue, Liu, Shihui
Format: Article
Language:English
Subjects:
Adult
Aged
Analysis
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Breast cancer
Breast Neoplasms - complications
Breast Neoplasms - drug therapy
Breast Neoplasms - psychology
Cancer
Cancer-related fatigue
Care and treatment
Catheterization
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - psychology
Catheters
Chain mediating effect
Chemotherapy
China - epidemiology
Correlation analysis
Cross-Sectional Studies
Disease
Fatigue
Fatigue - etiology
Fatigue - psychology
Female
Health aspects
Humans
Hypotheses
Medical instruments
Medical prognosis
Methods
Middle Aged
PICC chemotherapy
Psychological resilience
Quality of life
Questionnaires
Regression analysis
Resilience (Personality trait)
Resilience, Psychological
Self Care - methods
Self Care - psychology
Self-care
Self-care, Health
Side effects
Surveys and Questionnaires
Uncertainty
Women
Womens health
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Summary:Breast cancer patients undergoing chemotherapy via peripherally inserted central catheter often experience serious behavioral and psychological challenges, with uncertainty and cancer-related fatigue being prevalent issues that profoundly impact prognosis. Therefore, this study aimed to investigate the relationship between uncertainty and cancer-related fatigue by employing a chain mediation model to examine the potential mediating roles of psychological resilience and self-care. A cross-sectional study was conducted with 223 breast cancer patients receiving peripherally inserted central catheter chemotherapy at two tertiary affiliated hospitals of China Medical University in Liaoning, China, from February 2021 to December 2022. Participants completed self-reported questionnaires to assess uncertainty, psychological resilience, self-care, and cancer-related fatigue. The collected data were subsequently analyzed using Pearson's correlation analysis, hierarchical regression analysis, and mediation analysis. Uncertainty exhibited a significant positive correlation with cancer-related fatigue (p 
ISSN:1472-6874
1472-6874
DOI:10.1186/s12905-024-03187-9