Correlation between psychological, family social support, and home nursing quality for an implanted venous access port

Table 1 General sociodemographic data

Items	Group	n (%)
Age (years)	18-44	56 (31.11)
	45-59	79 (43.89)
	≥ 60	45 (25.00)
Sex	Female	85 (47.22)
	Male	95 (52.78)
Education	Junior high school and below	62 (34.44)
	High school (including technical secondary school)	64 (35.56)
	University (including college) and above	54 (30.00)
Marital status	Married	109 (60.56)
	Single/divorced/widowed	71 (39.44)
Average monthly family income (yuan)	≤ 3000	113 (62.78)
	> 3000	67 (37.22)
Primary caregiver	Spouse	84 (46.67)
	Children	35 (19.44)
	Parent	41 (22.78)
	Other	20 (11.11)

Table 2 Disease and port-related data

Items	Group	n (%)
Tumor type	Breast cancer	71 (39.44)
	Lung cancer	36 (20.00)
	Colorectal cancer	22 (12.22)
	Ovarian cancer	10 (5.56)
	Gastric cancer	31 (17.22)
	Other	10 (5.56)
IVAP implantation site	Upper arm	58 (32.22)
	Chest wall	122 (67.78)
Implantation time (month)	< 3	65 (36.11)
	3-6	83 (46.11)
	> 6	32 (17.78)
Whether to accept health education	Yes	167 (92.78)
	No	13 (7.22)

IVAP: Implanted venous access port.

Table 3 State Anxiety Inventory, Perceived Social Support Scale, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire scores

Scale	Dimension	Scores
S-AI		47.06 ± 13.85
PSSS	Family support	19.05 ± 4.72
	Friends support	17.24 ± 5.20
	Other support	16.19 ± 5.41
PSSS-total score		52.48 ± 12.64
EORTC QLQ-C30
Functional domains	Physical function	64.89 ± 18.65
	Role function	56.11 ± 20.39
	Cognitive function	67.41 ± 22.13
	Emotional function	78.01 ± 16.07
	Social function	63.89 ± 21.25
Symptom domains	Fatigue	19.69 ± 17.57
	Pain	29.07 ± 14.43
	Nausea and vomiting	34.26 ± 20.30
	Dysphagia	31.85 ± 27.93
	Loss of appetite	31.11 ± 28.54
	Sleep disorders	38.89 ± 29.79
	Constipation	32.96 ± 24.41
	Diarrhea	31.30 ± 20.59
Financial difficulties		53.70 ± 30.39
Overall health		70.09 ± 17.32

S-AI: State Anxiety Inventory; PSSS: Perceived Social Support Scale; EORTC QLQ-C30: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.

Table 4 Univariate analysis of quality of life in home nursing of cancer patients with an implantable intravenous infusion port

Items	Group	Overall health	Statistical value	P value
Age (years)	18-44	70.59 ± 16.31	1.3611	0.259
	45-59	67.94 ± 18.95
	≥ 60	73.20 ± 15.36
Sex	Female	70.99 ± 16.06	0.6652	0.507
	Male	69.26 ± 18.46
Education	Junior high school and below	61.00 ± 17.45	20.7621	< 0.001
	High school (including technical secondary school)	70.67 ± 15.66
	University (including college) and above	79.80 ± 13.46
Marital status	Married	70.95 ± 18.22	0.8302	0.407
	Single/divorced/widowed	68.75 ± 15.94
Average monthly family income (yuan)	≤ 3000	63.55 ± 16.39	7.5042	< 0.001
	> 3000	81.09 ± 12.80
Primary caregiver	Spouse	69.33 ± 17.75	1.9331	0.126
	Children	65.43 ± 15.64
	Parent	74.59 ± 16.75
	Other	72.10 ± 18.40
Tumor type	Breast cancer	71.37 ± 16.21	0.9961	0.422
	Lung cancer	71.50 ± 14.87
	Colorectal cancer	71.18 ± 18.68
	Ovarian cancer	69.20 ± 17.03
	Gastric cancer	63.94 ± 20.38
	Other	73.30 ± 20.59
IVAP implantation site	Upper arm	68.55 ± 17.91	0.8132	0.417
	Chest wall	70.80 ± 17.10
Implantation time (month)	< 3	71.51 ± 18.94	0.4181	0.659
	3-6	68.88 ± 16.84
	> 6	70.28 ± 15.43
Whether to accept health education	Yes	70.19 ± 17.58	0.3152	0.753
	No	68.62 ± 14.48

¹ANOVA results.

²t-test results.

IVAP: Implanted venous access port.

Table 5 Correlation analysis (r)

Items	Psychological status	Family support	Friends support	Other support	Family social support
Family support	-0.430b
Friends support	-0.498b	0.526b
Other support	-0.487b	0.533b	0.495b
Family social support	-0.574b	0.819b	0.820b	0.832b
Home care life quality	-0.712b	0.594b	0.615b	0.628b	0.744b

^bP < 0.01.

Table 6 Multiple linear regression analysis

Items	β	SE	β’	t	P value
Average monthly family income (yuan)	6.402	1.889	0.179	3.389	0.001
Psychological status	-0.477	0.062	-0.381	-7.661	< 0.001
Family social support	0.610	0.069	0.444	8.817	< 0.001
Constant	48.958	6.067	-	8.069	< 0.001

r = 0.848, R² = 0.719, F = 111.705, P < 0.001.

Table 7 Structural equation model Bootstrap test

Effects	Effect	Boot SE	t	P value	Boot LLCI	Boot ULCI
Total effect	1.022	0.069	14.875	< 0.001	0.886	1.157
Direct effect	0.687	0.072	9.563	< 0.001	0.545	0.829
Indirect effect	0.335	0.055	-	-	0.236	0.451