The Mediating Effect Of Resilience Between Self-perceived Burden And Posttraumatic Growth In Colorectal Cancer Patients

Objectives:The study aimed to explore the relationship between self-perceived burden and posttraumatic growth and analyse whether self-perceived burden can forecast the changement of posttraumatic growth or not.To explore the path in resilience,self-perceived burden,and posttraumatic growth furthermore,clarify the mediating role of resilience between self-perceived burden and posttraumatic growth.Methods:The Colorectal Cancer Patients were recruited from 4 third rate synthetic hospitals by convenience sampling method according to the inclusive criterion and investigated with questionnaires.The questionnaires included basic information questionnaire,Posttraumatic Growth inventory(PTGI),Self-perceived burden inventory,and Connor-Davidson resilience scale(CD-RISC).Apply Epidata 3.01,spss21.0 and Amos to input and analyze the data.The data was described constituent ratio and frequency.The one-way analysis included the statistical methods of ANOVA analysis,t-test,and rank sum.We used Pearson analysis,Spearman analysis and multiple regression analysis for correlation and mutiple factor analysis.Furthermore,the Amos software was used to build the Mediating model of self-perceived burden between resilience and posttraumatic growth.Results:1.The average score of self-perceived burden in patients with colorectal cancer was(34.81±6.82),the major influencing factors were consists of working condition,religion,hometown,economic income,living conditions.(P < 0.05).2.The score of posttraumatic growth and resilience is(76.78±14.98)and(69.03±19.06).3.The relation between self-perceived burden each dimension with posttraumatic growth level are negatively correlated(P<0.05),psychological resilience andposttraumatic growth levels are in positive correlation(P < 0.05).4.There are 4% variance of posttraumatic growth condition were explained by self-perceived burden,resilience played an completely intermediary role in the process.5.The indices of the final structure equation model adaptation degree were:RMSA = 0.034,GFI=0.994,AGFI =0.988,NFI = 0.996,TLI=0.996,CFI = 0.999,IFI= 0.999,indicate that the model is more reasonable.The total effect of Self-perceived burden that influenced the each dimension of posttraumatic growth is: spirit change dimension was-0.260,new possibilities dimension was-0.231,appreciate of life was-0.112,interpersonal was-0.244,personal power was-0.240.Conclusion:1.The posttraumatic growth,self-perceived burden and resillience are in the medium level.2.There are correlation between self-perceived burden,resilience and posttraumatic growth and it's each dimension;self-perceived burden,resilience has a certain prediction effect of posttraumatic growth.3.The influence of self-perceived burden to posttraumatic growth situation is entirely through resilience variable,resilience played a partial mediating role in the process.4.The influence of self-perceived burden to dimension new possibilities,appreciate life,interpersonal relationship and personal strength are mainly through resilience,it has direct effect and indirect effect to the dimension change of mental.