{
  "abstract": "Background\n\nRecovery after video-assisted thoracic surgery (VATS) can involve pain, fatigue, distress, and reduced confidence in rehabilitation activities.Objectives\n\nGuided by conservation of resources theory, this study examined associations between resilience and cancer-related self-care self-efficacy measured during early postoperative recovery, the indirect roles of social support and negative emotion, and whether social support moderated the resilience-self-efficacy association.Design\n\nA cross-sectional study.Settings\n\nOne tertiary Grade A cancer hospital in South China.Participants\n\nA convenience sample of 225 adults with primary lung cancer who underwent elective VATS was assessed on postoperative days 3 to 5 before discharge.Methods\n\nParticipants completed a sociodemographic/clinical questionnaire and validated Chinese versions of the social support, cancer self-care self-efficacy, resilience, and negative emotion scales. Observed-variable serial mediation paths were estimated with 5000 bootstrap resamples; moderation was examined with a resilience by social support interaction.Results\n\nResilience was positively associated with self-efficacy (B = 2.080, 95% CI 1.826 to 2.334). The indirect associations through social support (B = 0.118, 95% CI 0.024 to 0.212), negative emotion (B = 0.084, 95% CI 0.004 to 0.164), and both variables sequentially (B = 0.018, 95% CI 0.004 to 0.032) were statistically significant. The resilience by social support interaction was also significant (beta = 0.083, p = 0.010).Conclusions\n\nIn this early postoperative sample, resilience, social support, negative emotion, and self-efficacy showed patterns consistent with the proposed resource-based model. Nursing strategies that assess and support these resources should be tested in longitudinal and interventional studies.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Thoracic Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.",
    "Department of Geriatrics,The Second Affiliated Hospital of South China University, of Technology/ Guangzhou First People's Hospital,Guangzhou, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Xinru Chen"
    },
    {
      "affs": [
        0
      ],
      "name": "Gaoyang Duan"
    },
    {
      "affs": [
        0
      ],
      "name": "Jiudi Zhong"
    },
    {
      "affs": [
        0
      ],
      "name": "Heping Wu"
    },
    {
      "affs": [
        1
      ],
      "name": "Yang Dong"
    },
    {
      "affs": [
        0
      ],
      "name": "Dandan Liu",
      "orcid": "0009-0003-2742-1200"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bah5t0r2q8pgk.bib",
  "cited_by": 0,
  "doi": "10.1016/j.ijnsa.2026.100705",
  "fulltext_url": "https://europepmc.org/articles/PMC13694746",
  "id": "bah5t0r2q8pgk",
  "issns": [
    "2666-142X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42927140",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2730|Cancer survivorship and care"
    ]
  ],
  "openalex": "W7221433204",
  "pdf_url": "https://europepmc.org/articles/PMC13694746?pdf=render",
  "pmcid": "PMC13694746",
  "pmid": "42927140",
  "published": "2026-10-11",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/bah5t0r2q8pgk.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:18Z",
      "native_id": "MED:42927140",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42927140"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Cancer survivorship and care",
      "subfield": "oncology"
    }
  ],
  "title": "Synergistic psychosocial pathways linking resilience to self-efficacy in lung cancer following video-assisted thoracic surgery: a cross-sectional study.",
  "title_text": "Synergistic psychosocial pathways linking resilience to self-efficacy in lung cancer following video-assisted thoracic surgery: a cross-sectional study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:18Z",
  "url": "https://research.draconitic.com/paper/bah5t0r2q8pgk",
  "venue": "International journal of nursing studies advances",
  "versions": []
}