Volume 24 Issue 5
May  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(5): 869-873
ZHONG Chunyu, ZHU Chenjing, CHENG Yin. Correlation between self-management ability, psychological resilience, and complications in cervical cancer patients undergoing chemotherapy via PICC[J]. Chinese Journal of General Practice, 2026, 24(5): 869-873. doi: 10.16766/j.cnki.issn.1674-4152.004511
Citation: ZHONG Chunyu, ZHU Chenjing, CHENG Yin. Correlation between self-management ability, psychological resilience, and complications in cervical cancer patients undergoing chemotherapy via PICC[J]. Chinese Journal of General Practice, 2026, 24(5): 869-873. doi: 10.16766/j.cnki.issn.1674-4152.004511
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Correlation between self-management ability, psychological resilience, and complications in cervical cancer patients undergoing chemotherapy via PICC

doi: 10.16766/j.cnki.issn.1674-4152.004511

  • Department of Gynecological Radiotherapy, Jiangsu Cancer Hospital, Nanjing, Jiangsu 210000, China

Funds:

 82102850

  • Received Date: 2025-07-18
    Available Online: 2026-10-23
    Abstract
  •   Objective  To analyze the correlation between self-management ability, psychological resilience level, and the risk of complications in chemotherapy patients with peripherally inserted central catheter (PICC) for cervical cancer, and to provide evidence for the development of targeted nursing strategies.  Methods  Between January 2022 and January 2025, a retrospective analysis was conducted on 120 patients with cervical cancer treated with PICC catheterization in Jiangsu Cancer Hospital. The patients were divided into a no-complication group (n=95) and a complication group (n=25) according to the occurrence of complications within one month after PICC tube placement. The self-management ability and psychological resilience were assessed used the strategies used by people to promote health (SUPPH) and the connor-davidson resilience scale (CD-RISC), respectively. The factors influencing complications in patients with cervical cancer PICC tube placement chemotherapy were analyzed by binary logistic regression model. The correlation between self-management ability (SUPPH score) and psychological resilience (CD-RISC score) of patients with cervical cancer PICC tube placement chemotherapy was analyzed by Pearson correlation.  Results  Complications occurred in 25 cases (20.8%) of 120 patients with cervical cancer PICC tube placement chemotherapy, with infection being the most common type (7.5%, 9 cases). Three patients experienced 2 or more complications. The total CD-RISC score ranged from 33 to 66, with a mean of 48.59±7.38, while the total SUPPH score ranged from 54 to 111, with a mean of 82.86±10.13. Binary logistic regression showed that age was not significantly associated with the occurrence of complications in patients undergoing PICC tube placement chemotherapy for cervical cancer (P>0.05). However, receiving more than 5 chemotherapy treatments, lower CD-RISC scores, and lower SUPPH scores were significantly associated with an increased risk of complications in patients undergoing PICC tube placement chemotherapy for cervical cancer (P < 0.05). Pearson's correlation analysis showed that CD-RISC score was positively correlated with SUPPH score in patients with cervical cancer PICC tube placement chemotherapy (r=0.870, P < 0.001).  Conclusion  The main type of complications in patients with PICC tube placement chemotherapy for cervical cancer is infection. Self-management ability and level of psychological resilience are closely related to the occurrence of complications. More than five chemotherapy treatments, lower CD-RISC scores, and SUPPH scores are the independent risk factors for the occurrence of complications.

     

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