ObjectiveTo understand the current status of postoperative rehabilitation exercise adherence in lung cancer patients and to analyze the chain mediating effect of benefit finding and purposeful ruminative contemplation on rehabilitation exercise adherence in postoperative spiritual health of lung cancer patients.
MethodsA total of 203 postoperative lung cancer patients were selected for the study, and questionnaires were administered to them using the general information questionnaire, the revised Chinese version of benefit finding scale, the Chinese version of event related rumination inventory, the functional assessment of chronic illness therapy-spiritual and the questionnaire of exercise adherence; Pearson analysis was used to analyze the correlations between benefit finding, purposeful ruminative contemplation, spiritual health and rehabilitation exercise adherence; Amos software was used to develop structural equation models and to test the mediating effects.
ResultsPostoperative rehabilitation exercise adherence scores, spiritual health scores, benefit finding scores, and purposeful ruminative contemplation scores in 203 lung cancer patients were (33.54±5.28) points, (28.54±4.62) points, (62.34±8.54) points, (18.64±2.34) points, respectively.Age, education level, medical burden, and place of residence were influencing factors for postoperative rehabilitation exercise adherence in lung cancer patients (P<0.01);postoperative rehabilitation exercise adherence in patients with lung cancer was positively correlated with spiritual health, benefit finding, and purposeful rumination (P<0.01).A chain mediating effect of postoperative spiritual health on rehabilitation exercise adherence in lung cancer patients was established, with the total indirect effect accounting for 39.93 % of the total effect, among which the specific mediating effect of benefit finding accounted for 19.91 %, the specific mediating effect of purposeful ruminative contemplation accounted for 14.46%, and the chain mediating effect of benefit finding-purposeful ruminative contemplation accounted for 5.56%.
ConclusionsThe chain mediating effect of benefit finding and purposeful ruminative contemplation between spiritual health and rehabilitation exercise adherence is established, confirming that spiritual health can indirectly influence postoperative rehabilitation exercise adherence in lung cancer patients by moderating benefit finding and purposeful ruminative contemplation.
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