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. 2024 Jul;11(7):e2179.
doi: 10.1002/nop2.2179.

The chain mediating effect of spiritual well-being and anticipatory grief between benefit finding and meaning in life of patients with advanced lung cancer: Empirical research quantitative

Qingyue Luo  1 , Fanglin Liu  1 , Zhaoyu Jiang  2 , Lan Zhang  1
Affiliations

The chain mediating effect of spiritual well-being and anticipatory grief between benefit finding and meaning in life of patients with advanced lung cancer: Empirical research quantitative

Qingyue Luo et al. Nurs Open. 2024 Jul.

Abstract

Aim: This study aimed to explore the chain mediating effect of spiritual well-being and anticipatory grief between benefit finding and meaning in life of patients with advanced lung cancer.

Design: This was a cross-sectional study.

Methods: The research included 400 patients with advanced lung cancer who attended REDACTE from December 2022 to August 2023 as the research subjects. Data were collected using a questionnaire including socio-demographic and clinical characteristics, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale (FACIT-Sp-12), the Benefit Finding Scale (BFS), the Preparatory Grief in Advanced Cancer Patients Scale (PGAC), and the Meaning of Life Questionnaire (MLQ). The structural equation model (SEM) was used to analyse the relationship between benefit finding, spiritual well-being, anticipatory grief and meaning in life.

Results: There was a significant correlation between benefit finding, spiritual well-being, anticipatory grief, and meaning in life. Benefit finding could have a direct positive impact on meaning in life of patients with advanced lung cancer, but it could also indirectly affect meaning in life of patients with advanced lung cancer through three pathways: the mediating effect of spiritual well-being, the mediating effect of anticipatory grief and the chain mediating effect of spiritual well-being and anticipatory grief. Nursing staff should develop an integrated program of interventions to enhance the meaning in life of patients with advanced lung cancer.

Keywords: advanced lung cancer; anticipatory grief; benefit finding; chain mediating effect; meaning in life; spiritual well‐being.

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Conflict of interest statement

The author state that the study was conducted without any business or financial relationship that could be interpreted as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Conceptual model. AG, anticipatory grief; BF, Benefit finding; MIL, Meaning in life; SWB, Spiritual well‐being.
FIGURE 2
FIGURE 2
Standardized model.
See this image and copyright information in PMC

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