Observational Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Feb 19, 2025; 15(2): 99252
Published online Feb 19, 2025. doi: 10.5498/wjp.v15.i2.99252
Correlation between psychological, family social support, and home nursing quality for an implanted venous access port
Heng-Ya Jia, Li-Qun Yan, Xiao-Bei Liu, Jie Cao
Heng-Ya Jia, Li-Qun Yan, Department of Emergency, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Xiao-Bei Liu, Department of Neuropsychology, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Jie Cao, Department of Urology, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Co-first authors: Heng-Ya Jia and Li-Qun Yan.
Author contributions: Jia HY and Yan LQ conceived and conducted the manuscript, they contributed equally to this article as co-first authors; Liu XB and Cao J provided technical guidance; Cao J conducted a critical review. All authors approved the manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of the First Affiliated Hospital of Naval Medical University, No. 2024-056.
Informed consent statement: All study participants or their legal guardians provided written informed consent before study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: According to institutional policies and participant requirements, datasets that do not contain private information can be obtained from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Cao, Associate Professor, Department of Urology, The First Affiliated Hospital of Naval Medical University, No. 168 Changhai Road, Yangpu District, Shanghai 200433, China. chjz_1981@126.com
Received: October 23, 2024
Revised: December 1, 2024
Accepted: December 23, 2024
Published online: February 19, 2025
Processing time: 82 Days and 23.1 Hours
Abstract
BACKGROUND

Cancer patients with an implanted venous access port (IVAP) often manage their care at home during chemotherapy intervals, including maintaining the device, monitoring complications, and following medication instructions. Home care ensures continued support after discharge. However, due to factors such as age, gender, culture, psychological status, and family support, the quality of home care varies significantly. Understanding these factors can help provide targeted guidance to improve the care of cancer patients.

AIM

To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.

METHODS

This investigative study was based on a medical records system. It investigated the relationship between psychological status, family support, and home care quality in 180 patients with cancer undergoing IVAP chemotherapy. Psychological status was assessed using the State Anxiety Inventory (S-AI); family support was assessed using the Perceived Social Support Scale (PSSS), and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Pearson’s correlation and Structural Equation Modeling were used to analyze the interplay between these factors.

RESULTS

The average S-AI score was 47.52 ± 14.47, PSSS was 52.48 ± 12.64, and EORTC QLQ-C30 was 70.09 ± 17.32. A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores (r = -0.712). A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS, with a correlation coefficient of (r = 0.744). The multiple linear regression analysis indicated that family social support, psychological status, and average monthly family income were the main factors influencing the variation in the quality of home care, explaining 71.9% of the variation. The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life, explaining 32.78% of the mediation effect.

CONCLUSION

Psychological status and family social support positively impacted cancer patients’ home care quality, with psychology partially mediating this effect.

Keywords: Implanted venous access port; Cancer patient; Home nursing life quality; Family social support; Psychological status

Core Tip: Psychological status and family social support play crucial roles in improving the quality of life of patients with cancer receiving home care. Specifically, family social support helps improve patients’ psychological status, reduces negative emotions such as anxiety and depression, and indirectly enhances their quality of life. Family social support has a significant positive impact on the quality of life of home-care cancer patients, and psychological status acts as a partial mediator of the association between family social support and quality of life.