ABSTRACT
BACKGROUND: There is limited research exploring the psychological and social predictors of fear of cancer recurrence (FCR). OBJECTIVE: This study tested the effects of social support, family resilience, and individual resilience on FCR among persons with breast cancer. METHODS: A convenience sampling method was used to select 214 participants from March to August 2021 in 1 tertiary hospital in Jinan, China. Data were collected using self-administered questionnaires. Path analysis was adopted to explore the effects of social support, family resilience, and individual resilience on FCR. RESULTS: Findings showed that 94.6% of the participants reached a clinical level of FCR. Social support (ß = -.75, p < .01) and individual resilience (ß = -.32, p < .01) negatively and directly impacted FCR. Family resilience indirectly impacted FCR through individual resilience (ß = -.22, 95% confidence interval (CI): -.34 to -.08). Social support indirectly impacted FCR through family resilience and individual resilience (ß = -.15, 95% CI: -.23 to -.06). CONCLUSIONS: Persons with breast cancer experienced a high level of FCR. Individual resilience was a mediator between family resilience and FCR. Resilience (individual resilience and family resilience) partially mediated the effects of social support on FCR. The findings indicate that measures focused on improving individual resilience, family resilience, and social support should be considered by nurses, which are helpful for easing FCR.
ABSTRACT
Microplastics and biochar normally coexist in soil. In this study, two microplastics of different polarities (nonpolar polyethylene (PE) and polar polybutylene adipate-co-terephthalate (PBAT)) and two wheat straw biochars produced at 400 (W4) and 700 °C (W7) were selected to investigate the sorption behaviors of phenanthrene in soil where microplastics and biochar coexisted. The results showed that the presence of PE more significantly weakened the adhesion of soil particles onto biochar than the presence of PBAT. Meanwhile, the presence of biochar enhanced the soil particle attachment on the microplastic surface. As a result, the sorption behavior of phenanthrene was significantly different in soil where biochar coexisted with microplastics of different polarities. The Koc values of PE-biochar-soil mixtures at Ce= 0.005 Cs were up to 42 % lower than those of PBAT-biochar-soil mixtures, which is related to lower micropore area of particles isolated from the former. However, at Ce = 0.05 Cs and 0.5 Cs, the Koc values of PE-biochar-soil mixtures were up to 1.4 times higher than those of PBAT-biochar-soil mixtures because of a more significant reduction in biochar surface polarity when it coexisted with nonpolar PE.
