{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:03:01Z","timestamp":1790136181800,"version":"4.0.1"},"reference-count":44,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp; Health Sciences"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Liver cancer poses a serious global health burden, with China experiencing particularly high incidence and mortality rates. Treatment complexity and severe side effects often impair patients' quality of life, leading to self\u2010perceived burden (SPB) stemming from care dependency, financial pressure, and emotional distress. This cross\u2010sectional study of 139 patients with liver cancer explored predictors of SPB using multiple linear regression. Results showed that 97.82% of the participants experienced SPB (mean\u2009=\u200963.58\u2009\u00b1\u200915.33). Unemployment before illness, chemotherapy, use of confrontation, and fantasy coping strategies were significant predictors of SPB. Findings highlight the urgent need for targeted interventions to alleviate SPB and enhance patients' quality of life.<\/jats:p>","DOI":"10.1111\/nhs.70378","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T23:49:59Z","timestamp":1782431399000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding the Predictors of Self\u2010Perceived Burden in Patients With Liver Cancer"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1930-5141","authenticated-orcid":false,"given":"Bingyang","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Serdang Selangor Malaysia"},{"name":"Department of Medicine Shijiazhuang Vocational College of Engineering  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6045-6067","authenticated-orcid":false,"given":"Dongmei","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim Lam","family":"Soh","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Fourth Hospital of Hebei Medical University  Shijiazhuang Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6262-5634","authenticated-orcid":false,"given":"Hasni Idayu","family":"Saidi","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5477-9847","authenticated-orcid":false,"given":"Putri","family":"Yubbu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salimah","family":"Japar","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Serdang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-47674-4.00077-3"},{"key":"e_1_2_14_3_1","volume-title":"Cancer Chemotherapy","author":"Amjad M. T.","year":"2023"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.BBCAN.2019.188314"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000805"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41398\u2010022\u201002178\u20104"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2023.100231"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2023.102462"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/61.5.P262"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-8315.2010.00327.x"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200301000-00013"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.70240"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-25315-7_18"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.662777"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.12590"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jncc.2024.01.006"},{"issue":"8","key":"e_1_2_14_18_1","first-page":"517","article-title":"Compilation and Evaluation of Cancer Response Questionnaire","volume":"21","author":"Huang X.","year":"2007","journal-title":"Chinese Journal of Mental Health"},{"key":"e_1_2_14_19_1","volume-title":"IBM SPSS Statistics for Windows, Version 26.0","author":"IBM Corp","year":"2019"},{"issue":"11","key":"e_1_2_14_20_1","first-page":"1762","article-title":"Self\u2010Perceived Burden and Its Risk Factors Among Youth Patients With Primary Liver Cancer","volume":"36","author":"Lei L.","year":"2016","journal-title":"Journal of Clinical Pathology"},{"key":"e_1_2_14_21_1","volume-title":"Adequacy of Sample Size in Health Studies","author":"Lemeshow S.","year":"1990"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/CM9.0000000000003264"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4108"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010022\u201007129\u20109"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010025\u201009590\u20108"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz099"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.09.013"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13672"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000723"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm\u201022\u2010623"},{"issue":"5","key":"e_1_2_14_31_1","first-page":"25","article-title":"Screening of Item Pool of the Self\u2010Perceived Burden Scale (SPBS) for Patients With Cancer: Formation of a Test Version","volume":"28","author":"Ren Y.","year":"2013","journal-title":"Journal of Nursing"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2022.08.021"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.70029"},{"issue":"1","key":"e_1_2_14_34_1","first-page":"75","article-title":"The Balance of Give and Take: Toward a Social Exchange Model of Burnout","volume":"19","author":"Schaufeli W. B.","year":"2006","journal-title":"Revue Internationale de Psychologie Sociale"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NCC.0000290816.37442.af"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005514310142"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.70076"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/jama.2013.281053"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.3870\/j.issn.1001\u20104152.2021.12.094"},{"key":"e_1_2_14_40_1","first-page":"98","article-title":"Theoretical Basis and Research Application of Social Support Rating Scale","volume":"2","author":"Xiao S.","year":"1994","journal-title":"Journal of Clinical Psychiatry"},{"issue":"4","key":"e_1_2_14_41_1","first-page":"140","article-title":"Self\u2010Perceived Burden Among Advanced Cancer Patients: A Cross\u2010Sectional Survey","volume":"17","author":"Xie M.","year":"2020","journal-title":"Journal of US\u2010China Medical Science"},{"key":"e_1_2_14_42_1","first-page":"72","article-title":"Analysis on the Effect of Caregiver Reaction on the Self\u2010Perceived Burden in Patients With Primary Hepatic Carcinoma in a Certain Hospital in Wenzhou","volume":"7","author":"Yang Q.","year":"2014","journal-title":"Medicine and Society"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/0164212X.2025.2530436"},{"key":"e_1_2_14_44_1","first-page":"1097","article-title":"Self\u2010Perceived Burden Among Elderly Patients With Primary Liver Cancer","volume":"8","author":"Zeng H.","year":"2015","journal-title":"Journal of Qiqihar Medical College"},{"key":"e_1_2_14_45_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1481752"}],"container-title":["Nursing &amp; Health Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.70378","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nhs.70378","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nhs.70378","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T03:07:27Z","timestamp":1790132847000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nhs.70378"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":44,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/nhs.70378"],"URL":"https:\/\/doi.org\/10.1111\/nhs.70378","archive":["Portico"],"relation":{},"ISSN":["1441-0745","1442-2018"],"issn-type":[{"value":"1441-0745","type":"print"},{"value":"1442-2018","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,25]]},"assertion":[{"value":"2025-10-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70378"}}