BACKGROUND:Lymphoma has become 1 of the 10 most common cancers with increased prevalence in young- and middle-aged adults in China. This poses a tremendous burden on patients and their families and brings great challenges to maintaining the balance of family functioning in young- and middle-aged patients. OBJECTIVE:This cross-sectional study aimed to analyse the influence of resourcefulness on the family functioning of Chinese young- and middle-aged lymphoma patients. METHODS:A total of 172 Chinese young- and middle-aged patients with lymphoma were recruited from the oncology departments of two tertiary hospitals in Zhengzhou, Henan, China. They were invited to complete a survey that included a demographic questionnaire, the Resourcefulness Scale and the Chinese Version Family Adaptability and Cohesion Scale II. Multiple linear regression was used to analyse the related factors for family functioning. RESULTS:The multiple regression analysis revealed that the main influencing factors of family cohesion were resourcefulness (β = 0.338, 95% CI (0.072, 0.173)), spouse caregiver (β = 0.376, 95% CI (1.938, 10.395)), and cancer stage (β = -0.274, 95% CI (-3.219, -1.047)). Resourcefulness (β = 0.438, 95% CI (0.096, 0.181)), spouse caregiver (β = 0.340, 95% CI (1.348, 8.363)), and family per capita monthly income (β = 0.157, 95% CI (0.066, 2.243)) were the influencing factors of family adaptability. CONCLUSIONS:Healthcare professionals and family scholars should value young- and middle-aged lymphoma patients' family functioning throughout the cancer treatment process, and family interventions should be designed by healthcare providers based on patients' resourcefulness. Moreover, healthcare providers need to pay attention to the risk factors of patients' family cohesion and adaptability, such as low family per capita monthly income, and consider employing corresponding measures to help them.

目的:探讨郑州市中青年淋巴瘤患者智谋水平、心理一致感与家庭功能的关系,为制订相关干预措施提供依据.方法:采用一般资料调查表、智谋量表、家庭亲密度与适应性量表和心理一致感量表调查郑州市中青年淋巴瘤患者202 例.结果:中青年淋巴瘤患者智谋水平、家庭功能及心理一致感总分分别为(83.74±21.43)分、(119.42±15.21)分和(59.58±10.39)分.中青年淋巴瘤患者心理一致感总分与智谋水平总分、家庭功能总分均呈正相关(r=0.419、0.458,均P<0.01),智谋水平总分与家庭功能总分呈正相关(r=0.445,P<0.01).心理一致感是智谋水平与家庭功能间的中介变量,中介效应占总效应的 30.79%.结论:智谋水平可通过心理一致感影响中青年淋巴瘤患者的家庭功能,临床护理人员在重视提高患者智谋水平的同时应重视患者的心理一致感,提供针对性的支持以改善其家庭功能,促进患者康复.

重返工作岗位是癌症幸存者回归社会,恢复正常生活的重要标志.本文阐述了癌症幸存者重返工作的重要性,并对重返工作的概念、影响因素及国内外干预现状进行综述,旨在为促进我国癌症幸存者重返工作的发展提供借鉴.

阐述体适能的相关内容(心肺适能、肌肉适能、柔韧性和体成分)、体适能测评方式(自我评估问卷、实验室测评及现场测试);总结癌症患者体适能影响因素有人口学因素、疾病相关因素、血红蛋白水平、体力活动水平及运动自我效能,体适能运动干预措施包括有氧运动、抗阻运动、联合运动及多模式运动等,为医护人员对癌症患者体适能评估及干预方案构建提供参考.

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