ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Health-related hardiness and influencing factors among cervical cancer radiotherapy patients: A cross-sectional study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeHealth-Related Hardiness (HRH) is a key psychological resource for adaptive recovery in cancer patients, but evidence remains limited among cervical cancer (CC) patients undergoing radiotherapy. Based on the hardiness model, this study assesses HRH levels in this population and examines its associations with coping styles, perceived social support, and health literacy, aiming to identify key influencing factors and inform targeted psychological support.
methodsThis cross-sectional study enrolled 230 eligible CC patients via convenience sampling from the radiotherapy department of a tertiary hospital in Northeast China between December 2024 and August 2025. Research instruments included the General Demographic Information questionnaire, Health-Related Hardiness Scale, Medical Coping Modes Questionnaire, Perceived Social Support Scale, and Health Literacy Management Scale.
resultsThe total HRH score for CC radiotherapy patients was (128 ± 20.04), indicating a moderately low level. Among the HRH dimensions, control had the lowest mean score (3.44 ± 0.77), followed by commitment (3.88 ± 0.79) and challenge (4.05 ± 0.72). Confronting coping styles, perceived social support, and health literacy were positively correlated with HRH, while avoiding and yielding coping styles were negatively correlated. Multiple linear regression analysis identified education level (β = 0.157, p = 0.004), number of children (β = - 0.134, p = 0.013), number of radiotherapy sessions (β = - 0.171, p = 0.002), and coping dimensions of confrontation, avoidance, and submission (β = 0.351, p < 0.01; β = - 0.235, p < 0.01; β = - 0.145, p = 0.015), perceived social support (β = 0.136, p = 0.021), and health literacy (β = 0.125, p = 0.045) as significant factors influencing HRH, jointly accounting for 41.3% of the total variance.
conclusionThe overall HRH among CC radiotherapy patients remains suboptimal. Healthcare institutions should prioritize fostering patients' positive psychological states and guiding them toward adaptive coping strategies. By improving health literacy and strengthening social support, healthcare providers can enhance patients' HRH, thereby promoting treatment adherence and health outcomes.
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