Mediating Effect of Psychological Resilience on Medication Compliance and Disease Fear Progression in Patients with Cerebral Aneurysms During the Perioperative Period
LIU Qing
CUI Yunfeng
TIE Ning
Abstract：Objective To investigate the association between the level of hope among patients undergoing nephron-sparing surgery for renal tumors and the level of renal function preservation postoperatively,as well as the role of psychological resilience in this association.Methods From June 2024 to June 2025,80 patients who underwent nephron-sparing surgery for renal tumors and met the inclusion criteria were selected from the Department of Urology at Pingmei Shenma Medical Group General Hospital.Models 4 and 5 in the SPSS Process plugin were used to analyze the mediating role of different dimensions of psychological resilience in the association between hope levels and postoperative renal function preservation levels in patients who underwent nephron-sparing surgery for renal tumors.Results The mean score on the psychological resilience scale was(74.22±8.90)points,the mean score on the hope level scale was(29.53±6.48)points,and the estimated glomerular rate(eGFR)at 6 months post-surgery was(68.03±2.11)mL·min-1·1.73-1·m-2.Significant correlations were observed among hope level,psychological resilience,and postoperative eGFR(P＜0.05).Mediation analysis indicated that psychological resilience played a partial mediating role in the relationship between hope level and postoperative eGFR,accounting for 36.40％of the total effect.Specifically,the mediating proportions of the resilience,self-efficacy,and optimism dimensions were 15.47％(β=0.004,95％CI:0.001-0.005),16.83％(β=0.011,95％CI:0.005-0.018),and 42.66％(β=0.016,95％CI:0.009-0.024),respectively.All indirect effects were statistically significant(P＜0.05).Conclusion The various dimensions of psychological resilience play varying degrees of mediating roles in the association between hope levels and postoperative renal function preservation levels in patients undergoing nephron-sparing surgery for renal tumors.It is recommended to implement targeted intervention measures to enhance hope levels and psychological resilience in patients undergoing nephron-sparing surgery for renal tumors,thereby preventing adverse outcomes.
Keywords：kidney tumor kidney-sparing surgeryhope levelpsychological resiliencekidney function preservationmediating effect
Publication Date：2026-07-28
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 2547-2551 )