Objective To analyze the influencing factors of posttraumatic growth and quality of life of lung cancer pa-tients after thoracoscopic surgery,and the mediating effect of hope level in the traumatic process.Methods A total of 350 lung cancer patients who underwent thoracoscopic surgery at Yixing People's Hospital between January 2021 and De-cember 2022 were selected as the study subjects.The World Health Organization Quality of Life-BREF was used to assess the patients'quality of life.The posttraumatic growth inventory was employed to evaluate the patients'posttraumatic growth.The Herth hope index was used to measure the patients'level of hope.The patients were divided into hope low level group(89 cases),hope medium level group(132 cases)and hope high level group(129 cases)according to the HHI score.Spearman's correlation test was performed to analyze the relationship between hope levels and posttraumatic growth and quality of life in lung cancer patients after thoracoscopic surgery.Furthermore,the mediating effect of hope levels on the relationship between posttraumatic growth and quality of life in these patients was examined.Results The overall quality of life scores for patients with low,medium,and high levels of hope were 80.32±6.54,86.87±7.59,and 94.88±8.94,respectively,with statistically significant differences(F=4.872,P=0.008).The total posttraumatic growth scores for patients with low,medium,and high levels of hope were 66.51±8.43,75.64±7.28,and 87.45±7.15,respectively,showing significant differences(F=4.814,P=0.009).Hope levels partially mediated the relation-ship between posttraumatic growth and quality of life,with a mediation effect ratio of 46.39％(0.374x0.351/0.283x 100％).Conclusion Hope level plays an important mediating effect between posttraumatic growth and quality of life in patients with lung cancer after thoracoscopic surgery.Improving hope level can improve patients'quality of life and postt-raumatic growth in clinical practice.
Lung cancerHope levelThoracoscopic surgeryPosttraumatic growth after operationQuality of lifeMe-diation effect
维普
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