Social isolation profiles and conditional process analysis among postoperative enterostomy patients with colorectal cancer.

Autor: Liao Y; School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China., Liu X; Department of General Surgery (Colorectal Surgery), The Sixth Affiliated Hospital, Sun Yat- sen University, Guangzhou, 510655, China.; Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China.; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China., Wu X; School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China., Li C; School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China. 376962485@qq.com.; Academic Affairs Office, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, 510006, China. 376962485@qq.com., Li Y; School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China. hlly@gzucm.edu.cn.
Jazyk: angličtina
Zdroj: BMC psychology [BMC Psychol] 2024 Dec 25; Vol. 12 (1), pp. 782. Date of Electronic Publication: 2024 Dec 25.
DOI: 10.1186/s40359-024-02304-5
Abstrakt: Purpose: This study aimed to identify social isolation latent profiles and analyze the specific mechanisms in which social support, resilience, and posttraumatic growth associated social isolation from the perspective of positive psychology. Suggestions were offered to improve the mental health status of postoperative enterostomy patients with colorectal cancer.
Methods: This was a cross-sectional survey. From December 2022 to September 2023, convenience sampling was used to select 303 enterostomy patients from three hospitals in Guangzhou. A paper questionnaire was used to investigate their levels of social support, resilience, posttraumatic growth, and social isolation. T-test, ANOVA, Pearson Correlation Analysis, Latent Profile Analysis and Conditional Process Analysis were used to analyze the correlation between variables.
Results: (1) Education level, occupation, family monthly income per capita and times of changing enterostomy bag per week were significantly associated with social isolation. (2) Social isolation of patients included low alienation-fluctuation group (Class 1, 13.9%), medium group (Class 2, 64.0%), high alienation-low meaning group (Class 3, 22.1%). (3) Social isolation was negatively correlated with social support, resilience, and posttraumatic growth (P < 0.001). (4) Resilience played a mediating role in the association between social support and social isolation. (5) The second half path of the mediation model was moderated by posttraumatic growth.
Conclusions: Clinical staff, community personnel and family members should pay attention to the potential differences in social isolation experienced by patients. Suitable psychological strategies should be employed to enhance resilience, promote posttraumatic growth, for improving the patients' mental health levels and help them return to society.
Competing Interests: Declarations. Ethics approval and consent to participate: The study was approved by the ethics board of Guangdong Provincial Hospital of Chinese Medicine (Approval No.ZE2022-248-01) and The Sixth Affiliated Hospital, Sun Yat-sen University (Approval No.2023ZSLYEC-598). Written informed consents were obtained from all participants before completing the survey, which was conducted in accordance with the principles of the Declaration of Helsinki. The purpose and process of this study was communicated to all participants prior to the start of the study. A verbal and written explanation of the survey and the purpose of the study was provided to the patients. Information sheets were distributed before participation and written informed consent was obtained prior to questionnaire completion. Participation in this study was voluntary. Patients had the right to withdraw from the study without affecting their clinical treatment. All information collected here was kept strictly confidential. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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