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Grounded in Family Systems Theory and the Family Resilience Model, a cross-sectional study assessed how readiness for discharge relates to self-management efficacy and whether family resilience mediates this association among postoperative breast cancer patients. 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Responses from 265 postoperative breast cancer patients were collected using RHDS, FHI, and C-SUPPH.",{"name":70,"@type":61,"acceptedAnswer":71},"What did the results show about family resilience as a mediator?",{"text":72,"@type":64},"Readiness for hospital discharge was significantly correlated with both family resilience and self-management efficacy. Structural equation modeling indicated that family resilience partially mediated the relationship, accounting for 29.60% of the total effect.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},407796,1790794379,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":55,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":123,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},1374402968488,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","TYPE Original Research PUBLISHED 17 December 2025 DOI 10.3389/fpsyg.2025.1716566  \nOPEN ACCESS  \nEDITED BY  \nSimon Dunne,  \nDublin City University, Ireland  \nREVIEWED BY  \nMaría Cantero-García,  \nUniversidad a Distancia de Madrid, Spain Varoon Jaiswal,  \nMaharashtra Academy of Engineering Education and Research, India  \n*CORRESPONDENCE  \nLing Chen  \n [rainbow_lyn@163.com](rainbow_lyn@163.com)[ ](rainbow_lyn@163.com)Xiaoyun Qin  \n [15312239385@163.com](15312239385@163.com)[ ](15312239385@163.com)RECEIVED 30 September 2025 REVISED 11 November 2025 ACCEPTED 04 December 2025 PUBLISHED 17 December 2025  \nCITATION  \nWang S, Wu H, Xu H, Zhou L, Xu D, Qin X and Chen L (2025) The mediating effect of family resilience between readiness for hospital discharge and self-management efficacy among breast cancer patients.  \nFront. Psychol. 16:1716566 .  \ndoi: 10.3389/fpsyg.2025.1716566  \nCOPYRIGHT  \n© 2025 Wang, Wu, Xu, Zhou, Xu, Qin and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.  \nThe mediating effect of family resilience between readiness for hospital discharge and  \nself-management efficacy among breast cancer patients  \nShan Wang 1, Haochan Wu 2, Hongkun Xu 1, Liyan Zhou 1, Dewu Xu3, Xiaoyun Qin 1* and Ling Chen4*  \n1Department of Operating Room, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China, 2Obstetrics, Gynecology and Reproduction Research, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China, 3Department of Medical Education, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China, 4Department of Breast Surgery, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China  \nBackground: Readiness for hospital discharge is a critical factor in the recovery of breast cancer patients, facilitating the transition from inpatient care to homebased self-management. While adequate preparation equips patients with the necessary knowledge and skills, effective behavioral change often requires support from the family system. Grounded in Family Systems Theory and Family Resilience Model, this study examined the relationship between readiness for hospital discharge (RHD) and self-management efficacy (SME) and tested the mediating role of family resilience (FR)—a key indicator of family adaptability. Methods: A cross-sectional survey was conducted between February 2024 and January 2025 at a tertiary hospital in Wuxi, China. Data were collected from 265 postoperative breast cancer patients using the Readiness for Hospital Discharge Scale (RHDS), the Family Hardiness Index (FHI), and the Self-Management Efficacy Scale for Cancer Patients (C-SUPPH) . Pearson correlation analysis and structural equation modeling (SEM) were employed to examine associationsand mediation effects.  \nResults: Of the 274 questionnaires distributed, 265 were valid (response rate: 96.72%) . The mean scores were 85.56 ± 9.62 (RHDS), 42.55 ± 5.70 (FHI), and 95.62 ± 13.16 (C-SUPPH) . Readiness for hospital discharge was significantly correlated with both family resilience (r = 0.343, p \u003C 0.01) and self-management efficacy (r = 0.394, p \u003C 0.01) . SEM results indicated that family resilience partially mediated the relationship between Readiness for hospital discharge and selfmanagement efficacy, accounting for 29.60% of the total effect.  \nConclusion: Readiness for hospital discharge significantly predicts selfmanagement efficacy in breast cancer patients, with family resilience serving asa key mediating factor. These findings support targeted interventions to improve discharge preparation and family resilience, thereby enhancing recov","cbCaifrHmcreUqvI","https://ap.wps.com/l/cbCaifrHmcreUqvI","pdf",970057,"English","# Introduction\n# Methods\n# Results\n# Conclusion","[{\"question\":\"What is the main objective of the study?\",\"answer\":\"To examine the relationship between readiness for hospital discharge and self-management efficacy among breast cancer patients, and to test whether family resilience mediates this relationship.\"},{\"question\":\"How was the study conducted and what data were used?\",\"answer\":\"A cross-sectional survey was conducted between February 2024 and January 2025 at a tertiary hospital in Wuxi, China. Responses from 265 postoperative breast cancer patients were collected using RHDS, FHI, and C-SUPPH.\"},{\"question\":\"What did the results show about family resilience as a mediator?\",\"answer\":\"Readiness for hospital discharge was significantly correlated with both family resilience and self-management efficacy. Structural equation modeling indicated that family resilience partially mediated the relationship, accounting for 29.60% of the total effect.\"}]","The mediating effect of family resilience between readiness for hospital discharge and self-management efficacy among breast cancer patients | PDF",1790576053,25]