Correlations between Fatigue, Social Support and Psychological Resilience of Patients with Recurrent Ovarian Cancer
Department of Gynecology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China
T. Jiang, Department of Gynecology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China, E-mail: email@example.com
To analyze the correlations between fatigue, social support and psychological resilience of patients with recurrent ovarian cancer. 70 patients treated from January 2019 to June 2020 and scheduled to undergo cytoreduction or chemotherapy again were selected as the subjects. A questionnaire survey was conducted, including general socio-demographic questionnaire, fatigue assessment inventory, social support rating scale and Connor-Davidson resilience scale. Univariate and multivariate regression analyses were performed to explore the influencing factors for fatigue, social support and psychological resilience. Spearman’s analysis was employed to investigate the correlations of fatigue with social support and psychological resilience. The fatigue assessment inventory score was (4.71±0.65) points. There were 26 cases (37.62 %) of general fatigue, 33 cases (47.14 %) of moderate fatigue, and 11 cases (15.71 %) of severe fatigue. The total social support score and scores of objective support, subjective support and utilization of social support were (33.48±7.68), (8.71±2.82), (17.65±3.89) and (6.82±1.65) points, respectively. Life stress event and monthly per capita income (0-1000 Chinese yuan renminbi) were independent risk factors for social support score. The scores of psychological resilience, self-improvement, tenacity and optimism were (63.10±10.04), (2.51±0.57), (2.37±0.36) and (2.29±0.25) points, respectively. Age (≥61 y old) and chronic disease were independent risk factors affecting fatigue score and psychological resilience score. In addition, fatigue was significantly negatively correlated with social support (r=-0.694) and psychological resilience (r=-0.589) in patients with recurrent ovarian cancer (p<0.05). Patients with recurrent ovarian cancer have high degree of fatigue, which is closely associated with social support and psychological resilience. Medical workers should make the most of social support system to reduce the fatigue degree.