Synergistic psychosocial pathways linking resilience to self-efficacy in lung cancer following video-assisted thoracic surgery: a cross-sectional study.
- 1Department 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.
- 2Department of Geriatrics,The Second Affiliated Hospital of South China University, of Technology/ Guangzhou First People's Hospital,Guangzhou, China.
Abstract
Background
Recovery after video-assisted thoracic surgery (VATS) can involve pain, fatigue, distress, and reduced confidence in rehabilitation activities.Objectives
Guided 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
A cross-sectional study.Settings
One tertiary Grade A cancer hospital in South China.Participants
A convenience sample of 225 adults with primary lung cancer who underwent elective VATS was assessed on postoperative days 3 to 5 before discharge.Methods
Participants 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
Resilience 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
In 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.
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BibTeX
@article{chen2026synergistic,
title = {{Synergistic psychosocial pathways linking resilience to self-efficacy in lung cancer following video-assisted thoracic surgery: a cross-sectional study.}},
author = {Xinru Chen and Gaoyang Duan and Jiudi Zhong and Heping Wu and Yang Dong and Dandan Liu},
journal = {International journal of nursing studies advances},
year = {2026},
month = oct,
doi = {10.1016/j.ijnsa.2026.100705},
url = {https://europepmc.org/article/MED/42927140},
note = {CC BY},
}
RIS
TY - JOUR
TI - Synergistic psychosocial pathways linking resilience to self-efficacy in lung cancer following video-assisted thoracic surgery: a cross-sectional study.
AU - Xinru Chen
AU - Gaoyang Duan
AU - Jiudi Zhong
AU - Heping Wu
AU - Yang Dong
AU - Dandan Liu
PY - 2026
DA - 2026/10/11
JO - International journal of nursing studies advances
DO - 10.1016/j.ijnsa.2026.100705
UR - https://europepmc.org/article/MED/42927140
AB - Background Recovery after video-assisted thoracic surgery (VATS) can involve pain, fatigue, distress, and reduced confidence in rehabilitation activities.Objectives Guided 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 A cross-sectional study.Settings One tertiary Grade A cancer hospital in South China.Participants A convenience sample of 225 adults with primary lung cancer who underwent elective VATS was assessed on postoperative days 3 to 5 before discharge.Methods Participants 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 Resilience 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 In 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.
SN - 2666-142X
ER -