[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-167203-en":3,"doc-seo-167203-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":11,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},167203,687197100911,"Himbo","https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697",7,"Healthcare","Relationships Among Perceived Social Support, Family Resilience, and Caregiver Burden in Lung Cancer Families - A Mediating Model","A mediating model explores how perceived social support relates to caregiver burden among Chinese lung cancer families, with family resilience positioned as the key intermediary. Data from 213 family caregivers collected between October 2021 and March 2022 used the Zarit Burden Interview, the Perceived Social Support Scale, and the Family Resilience Assessment Scale. Nonparametric tests identified influencing factors, while bootstrapping assessed the mediating effect of resilience.","| ARTICLE IN PRESS |  |  |\n| --- | --- | --- |\n| Seminars in Oncology Nursing 000 (2022) 151356 |  |  |\n| \u003Cbr>\u003Cbr>Contents lists available at ScienceDirect\u003Cbr>Seminars in Oncology Nursing\u003Cbr> journal homepage: [https://www.journals.elsevier.com/seminars-in-oncology-nursing](https://www.journals.elsevier.com/seminars-in-oncology-nursing) |  | |\n| Relationships Among Perceived Social Support, Family Resilience, and Caregiver Burden in Lung Cancer Families: A Mediating Model\u003Cbr>Yalin Zhanga,\\#, Yuxin Dinga,\\#, Chunhua Liub,\\#, Juejin Lia, Qi Wanga, Yunhuan Lia, Xiaolin Hua,*\u003Cbr>a West China School of Nursing, Sichuan University/Department of Nursing, West China Hospital, Sichuan University, Chengdu, China b Department of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, China |  |  |\n| A R T I C L E I N F O\u003Cbr>Key Words: Caregiver burden Social support Resilience Family\u003Cbr>Lung neoplasms | A B S T R A C T\u003Cbr>Objectives: To identify the factors associated with caregiver burden in Chinese lung cancer families and to detect whether family resilience mediates the effect of perceived social support on caregiver burden.\u003Cbr>Data Sources: From October 2021 to March 2022, a total of 213 family caregivers of patients with lung cancer from a public hospital in Sichuan Province, China, completed the Zarit Burden Interview (ZBI), the Perceived Social Support Scale (PSSS), and the Family Resilience Assessment Scale (FRAS). The Mann-Whitney U test and the Kruskal-Wallis H test were used to identify the inﬂuencing factors of family caregiver burden, and the bootstrapping method was conducted to detect the mediating role of family resilience.\u003Cbr>Conclusion: In this study, family caregiver burden could be inﬂuenced by caregiver age, caregivers’ relationships with patients, and patients’ self-care degree; family resilience was found to mediate the relationship between caregivers’ perceived social support and caregiver burden.\u003Cbr>Implication for Nursing Practice: Our study manifested that factor from both the patients’ and caregivers’ sides could inﬂuence caregiver burden of lung cancer family caregivers. The results provide further evidence that lung cancer care should be family-centered, and relevant family-supportive systems should be further developed in this ﬁeld.\u003Cbr>© 2022 Elsevier Inc. All rights reserved. |  |\n\nBackground  \nLung cancer is one of the most common cancers and the leading cause of death worldwide, and more than 2.2 million new cases and 1.8 million lung cancer-caused deaths were recorded in 2020.1 In China, lung cancer has had the highest incidence and mortality for years, and mortality is projected to increase by approximately 40% from 2015 to 2030.2 Due to worse disease characteristics and poorer physical, functional, and psychological outcomes, lung cancer is likely to impose heavy burdens on both patients and their caregivers.3-4  \nCaregiver burden is deﬁned as the distressed results from providing care.5 Suffering from a reduction in free time and a lack of rest because of the inﬂuence of cancer-caring tasks, cancer caregivers are likely to feel burdened and experience a deteriorating state of health.6 Caregivers of patients with lung cancer may experience a higher burden because these patients seem to experience more symptom interference3 and heavier psychological distress7 than other patients with cancer, and caregivers are required to manage  \n* Address correspondence to: Xiaolin Hu, West China School of Nursing, West China Hospital/Department of Nursing, Sichuan University, No 37 Guo-xue-xiang Lane, Wuhou district, Chengdu, Chengdu, Sichuan, Peoples Republic of China.  \n[E-mail address:](E-mail address: huxiaolin1220@126.com)[ huxiaolin1220@126.com](E-mail address: huxiaolin1220@126.com) (X. Hu).  \n\\#  \nYalin Zhang, Yuxin Ding, and Chunhua Liu contributed equally to this work.  \n[https://doi.org/10.1016/j.soncn.2022.151356](https://doi.org/10.1016/j.soncn.2022.151356)  \n[0749-2081/](0749-2081/","cbCaiiZbJLmt0Mjt","https://ap.wps.com/l/cbCaiiZbJLmt0Mjt","pdf",516863,3,1,"English","en",105,"# Objectives\n# Data Sources and Measures\n# Analytical Methods\n# Key Findings and Conclusion\n# Nursing Practice Implications\n# Background\n## Lung cancer burden\n## Definition of caregiver burden\n## Role of perceived social support\n## Role of family resilience","[{\"question\":\"What is the main objective of the study in lung cancer families?\",\"answer\":\"The study identifies factors associated with caregiver burden in Chinese lung cancer families and tests whether family resilience mediates the effect of perceived social support on caregiver burden.\"},{\"question\":\"What data and instruments were used to assess caregiver burden, social support, and resilience?\",\"answer\":\"A total of 213 family caregivers completed the Zarit Burden Interview (ZBI), the Perceived Social Support Scale (PSSS), and the Family Resilience Assessment Scale (FRAS).\"},{\"question\":\"Which factors were reported to influence caregiver burden in this study?\",\"answer\":\"Caregiver age, the caregiver’s relationship with the patient, and the patient’s self-care degree were reported as influencing caregiver burden.\"}]","Relationships Among Perceived Social Support, Family Resilience, and Caregiver Burden in Lung Cancer Families - A Mediating Model | PDF",1788210246,18,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"relationships-among-perceived-social-support-family-resilience-and-caregiver-burden-in-lung-cancer-families-a-mediating-model","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,50],{"item":41,"name":42,"@type":43,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":20},"https://docshare.wps.com/document/healthcare/",{"item":51,"name":13,"@type":43,"position":52},"https://docshare.wps.com/document/relationships-among-perceived-social-support-family-resilience-and-caregiver-burden-in-lung-cancer-families-a-mediating-model/167203/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":23,"description":14,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-09-03","2026-08-31",true,{"@type":65,"interactionType":66,"userInteractionCount":20},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What is the main objective of the study in lung cancer families?","Question",{"text":75,"@type":76},"The study identifies factors associated with caregiver burden in Chinese lung cancer families and tests whether family resilience mediates the effect of perceived social support on caregiver burden.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"What data and instruments were used to assess caregiver burden, social support, and resilience?",{"text":80,"@type":76},"A total of 213 family caregivers completed the Zarit Burden Interview (ZBI), the Perceived Social Support Scale (PSSS), and the Family Resilience Assessment Scale (FRAS).",{"name":82,"@type":73,"acceptedAnswer":83},"Which factors were reported to influence caregiver burden in this study?",{"text":84,"@type":76},"Caregiver age, the caregiver’s relationship with the patient, and the patient’s self-care degree were reported as influencing caregiver burden.","https://schema.org",{"og:url":51,"og:type":87,"og:title":13,"og:site_name":58,"og:description":14},"article",{"robots":89,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,97,101,105,110,115,118,123,128,131,135],{"id":21,"doc_module":4,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},"Literature",80,"literature",{"id":52,"doc_module":4,"doc_module_name":46,"category_name":102,"show_sort_weight":103,"slug":104},"Exam",70,"exam",{"id":106,"doc_module":4,"doc_module_name":46,"category_name":107,"show_sort_weight":108,"slug":109},5,"Comic",60,"comic",{"id":111,"doc_module":4,"doc_module_name":46,"category_name":112,"show_sort_weight":113,"slug":114},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":116,"slug":117},40,"healthcare",{"id":119,"doc_module":4,"doc_module_name":46,"category_name":120,"show_sort_weight":121,"slug":122},8,"Research & Report",30,"research-report",{"id":124,"doc_module":4,"doc_module_name":46,"category_name":125,"show_sort_weight":126,"slug":127},9,"Religion & Spirituality",20,"religion-spirituality",{"id":126,"doc_module":4,"doc_module_name":46,"category_name":129,"show_sort_weight":126,"slug":130},"World Cup","world-cup",{"id":132,"doc_module":4,"doc_module_name":46,"category_name":133,"show_sort_weight":132,"slug":134},10,"Lifestyle","lifestyle",{"id":136,"doc_module":4,"doc_module_name":46,"category_name":137,"show_sort_weight":106,"slug":138},19,"General","general"]