Network correlation between interoceptive sensitivity and sleep quality in colorectal cancer patients with colostomy: the bridging role of trust
10.3760/cma.j.cn115682-20250508-02383
- VernacularTitle:结直肠癌造口患者内感受敏感性与睡眠质量的网络关联：信任的桥梁作用
- Author:
Weijing CHEN
1
;
Huanling GAO
;
Lihong LIU
;
Siyuan ZHANG
;
Caicai CUI
;
Xujing LYU
Author Information
1. 山西医科大学汾阳学院护理学系，吕梁 032200
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Colostomy;
Interoceptive sensitivity;
Sleep quality;
Network analysis
- From:
Chinese Journal of Modern Nursing
2025;31(35):4809-4815
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the complex network correlation between interoceptive sensitivity and sleep quality in colorectal cancer patients with colostomy, clarify core symptoms and bridging symptoms, so as to provide theoretical support for developing targeted intervention measures.Methods:Convenience sampling method was used to select 287 colorectal cancer patients with colostomy at Shanxi Province Fenyang Hospital and Lyuliang First People's Hospital between October 2023 and November 2024 as study subjects. Patients were assessed using the General Information Questionnaire, Multidimensional Assessment of Interoceptive Awareness Version 2-Chinese, and Pittsburgh Sleep Quality Index. Network analysis was employed to investigate the network correlation between interoceptive sensitivity and sleep quality, as well as the characteristics of core nodes. A total of 287 questionnaires were distributed, and 281 effective questionnaires were collected, with an effective response rate of 97.91% (281/287) .Results:Network analysis revealed that the strongest connection weights linking interoceptive sensitivity to sleep quality were observed between trust and daytime dysfunction (connection weight: -0.20), followed by trust and sleep duration (connection weight: -0.10). The strength, betweenness, and closeness of trust centrality indicators were 1.24, 2.34, and 1.73, respectively. Trust emerged as the core node within the interoceptive sensitivity cluster. The strength, betweenness, and closeness of daytime dysfunction indicators were 1.15, 1.92 and 1.67. Daytime dysfunction emerged as the core node within the sleep quality cluster. Trust served as a bridging role in the complex network correlation between interoceptive sensitivity and sleep quality.Conclusions:There is a strong correlation between trust and daytime dysfunction and sleep duration among colorectal cancer patients with colostomy. Trust is a key factor in the network correlation between interoceptive sensitivity and sleep quality. Clinical healthcare providers can develop targeted interventions based on trust to improve the interoceptive sensitivity and sleep quality of colorectal cancer patients with colostomy.
