Patient Educ Couns. 2025 May 13;137:108821. doi: 10.1016/j.pec.2025.108821. Online ahead of print.
ABSTRACT
OBJECTIVE: This study aimed to explore the relationships between acceptance of illness, psychological resilience, and patient activation (PA) in young and middle-aged patients with lung cancer in China.
METHODS: A cross-sectional study was conducted between January and April 2024. Patients with lung cancer completed a survey that included the Patient Activation Measure (PAM), the Acceptance of Illness Scale (AIS), and the Summary of the Psychological Resilience Scale brief version (CD-RISC10). Descriptive statistics, independent sample t-test, one-way analysis of variance (ANOVA), and multivariate regression analysis were used to identify factors influencing PA.
RESULTS: A total of 292 patients participated in the study. The mean PAM score was 66.77 (SD=13.25). Higher levels of PA were positively associated with acceptance of illness (β=0.475, 95 % CI: 1.073-1.437, P < 0.001) and psychological resilience (β=0.503, 95 % CI: 1.073-1.426, P < 0.001), collectively explaining 78.4 % of the variance after controlling for age, education, and duration of discharge in the multiple linear regression analysis.
CONCLUSION: Age, education, duration of discharge, acceptance of illness, and psychological resilience each influenced PA distinctly, with acceptance of illness and psychological resilience emerging as the most significant predictors.
PRACTICE IMPLICATIONS: Professionals should implement targeted interventions for young and middle-aged lung cancer patients, focusing on enhancing illness acceptance and psychological resilience to improve self-care capabilities and promote long-term self-management.
PMID:40367550 | DOI:10.1016/j.pec.2025.108821
