Abstract
Aims This study aimed to assess the resilience, empowerment, and benefit finding of colorectal cancer patients in China, and to examine the mediating role of resilience in the relationship between empowerment and benefit finding.
Method Three hundred and eleven colorectal cancer patients were recruited from January to July 2023.The questionnaire contained general information questionnaire, resilience scale (CD-RISC-10), Chinese cancer empowerment questionnaire (CEQ), and patients' benefit finding scale (BFS).Structural equation models were used to evaluate whether resilience as mediator between empowerment and benefit finding.
Results Colorectal cancer patients' resilience score was(19.408 ± 9.011), empowerment score was (117.453 ± 32.995), and benefit finding score was (65.752 ± 18.756). Empowerment was positively correlated with resilience(r = 0.116, p < 0.05), resilience was positively correlated with benefit finding (r = 0.187, p < 0.01), and empowerment was positively correlated with benefit finding (r = 0.22, p < 0.01).The fitness indices of structural models were satisfactory.The indirect effect (a*b) of this pathway(empowerment > resilience > benefit finding)was 0.011(95%CI 0.003 ~ 0.054). The total effect (c) of empowerment on benefit finding was 0.125(0.063–0.187), and resilience plays a partial mediating role between empowerment and benefit finding, with the mediating effect (a*b/c) constituting 8.8%.
Conclusions Most patients with colorectal cancer exhibit a moderate levels of resilience.Resilience plays a partial mediating role in the empowerment and benefit finding. Enhancing patients' resilience is one of the ways to enhance benefit finding.