ArticleFrontiers in psychology2025
The mediating effect of family resilience between readiness for hospital discharge and self-management efficacy among breast cancer patients.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Predictors of return-to-work adaptability in young breast cancer patients: A structural equation model analysis of individual resilience, self-perceived burden, and family resilience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
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7 authors.
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Abstract
Background: Readiness for hospital discharge is a critical factor in the recovery of breast cancer patients, facilitating the transition from inpatient care to home-based self-management. While adequate preparation equips patients with the necessary knowledge and skills, effective behavioral change often requires support from the family system. Grounded in Family Systems Theory and Family Resilience Model, this study examined the relationship between readiness for hospital discharge (RHD) and self-management efficacy (SME) and tested the mediating role of family resilience (FR)-a key indicator of family adaptability. Methods: A cross-sectional survey was conducted between February 2024 and January 2025 at a tertiary hospital in Wuxi, China. Data were collected from 265 postoperative breast cancer patients using the Readiness for Hospital Discharge Scale (RHDS), the Family Hardiness Index (FHI), and the Self-Management Efficacy Scale for Cancer Patients (C-SUPPH). Pearson correlation analysis and structural equation modeling (SEM) were employed to examine associations and mediation effects. Results: Of the 274 questionnaires distributed, 265 were valid (response rate: 96.72%). The mean scores were 85.56 ± 9.62 (RHDS), 42.55 ± 5.70 (FHI), and 95.62 ± 13.16 (C-SUPPH). Readiness for hospital discharge was significantly correlated with both family resilience ( Conclusion: Readiness for hospital discharge significantly predicts self-management efficacy in breast cancer patients, with family resilience serving as a key mediating factor. These findings support targeted interventions to improve discharge preparation and family resilience, thereby enhancing recovery and outcomes.
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