Mediating effect of distress disclosure on the relationship between perceived social support and psychological distress in colorectal cancer patients
10.3760/cma.j.cn115682-20231109-01961
- VernacularTitle:痛苦表露在结直肠癌患者领悟社会支持与心理困扰间的中介效应分析
- Author:
Lifang SUN
1
;
Hengyu CAI
;
Hongyan GUO
;
Chunmin LIN
Author Information
1. 吉林大学中日联谊医院肿瘤血液科，长春 130033
- Keywords:
Colorectal cancer;
Distress disclosure;
Psychological distress;
Perceived social support;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2024;30(11):1516-1520
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of distress disclosure between perceived social support and psychological distress in colorectal cancer patients.Methods:The convenient sampling method was used to select 220 postoperative colorectal cancer patients who were reviewed in China-Japan Union Hospital of Jilin University from February to August 2023 as the research objetcs. The Distress Disclosure Index (DDI), Perceived Social Support Scale (PSSS), and Chinese version of Screening Tool for Psychological Distress in Cancer Patients were used to conduct the survey.Results:A total of 220 questionnaires were distributed in this study, and 213 valid questionnaires were recovered, with a valid recovery rate of 96.82%. The total score of the Chinese version of Screening Tool for Psychological Distress in Cancer Patients for colorectal cancer patients was (4.31±2.46), the total score of the DDI was (37.26±9.97), and the total score of the PSSS was (57.82±14.60). Pearson correlation analysis showed that psychological distress was negatively correlated with distress disclosure in colorectal patients ( P<0.01), distress disclosure was positively correlated with perceived social support ( P<0.01), and psychological distress was negatively correlated with perceived social support ( P<0.01). The mediating effect results showed that the direct effect of perceived social support on psychological distress was -0.359 ( P<0.01), and the mediating effect between perceived social support and psychological distress was -0.227 ( P<0.01), which acted as a partial mediating effect with the mediating effect accounting for 38.74% of the total effect. Conclusions:Perceived social support can not only directly affect the psychological distress of colorectal cancer patients, but also indirectly affect psychological distress through distress disclosure. Clinical staffs should take certain interventions to improve the level of patients' perceived social support and distress disclosure, so as to improve the psychological distress of patients.
