Current status and influencing factors of social alienation in patients with primary colorectal cancer
10.3760/cma.j.cn211501-20240825-02308
- VernacularTitle:原发性结直肠癌患者社会疏离现状及影响因素的研究
- Author:
Dan LI
1
;
Ruzhen ZHOU
Author Information
1. 中国人民解放军海军军医大学第一附属医院麻醉科，上海 200433
- Publication Type:Journal Article
- Keywords:
Colorectal cancer, primary;
Social alienation;
Dyadic coping;
Correlation study
- From:
Chinese Journal of Practical Nursing
2025;41(20):1521-1528
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate and analyze the current situation of social alienation and dyadic coping in primary colorectal cancer patients and its correlation, and to explore the relevant influencing factors of the level of social alienation in primary colorectal cancer patients with a view to providing a reference basis for reducing the level of social alienation in primary colorectal cancer patients.Methods:A cross-sectional study was used to select 147 primary colorectal cancer patients admitted to the First Affiliated Hospital of PLA Naval Medical University from November 2023 to February 2024 by convenience sampling method. Questionnaires were administered using the General Information Questionnaire, dyadic Coping Scale, and Colorectal Cancer Survivors′Sense of Social Alienation Scale. Correlation analysis and linear regression analysis were performed using SPSS25.0 statistical software.Results:A total of 147 patients with colorectal cancer were included in the investigation, 103 males and 44 females, aged (61.64 ± 11.25) years. The social alienation score of primary colorectal cancer patients was (37.28 ± 10.91), the dyadic coping score was (127.02 ± 13.08), and they were negatively correlated ( r = - 0.247, P<0.05). The differences in the social alienation scores of primary colorectal cancer patients with different ages, age of marriage, literacy, place of residence, per capita monthly family income, colostomy status, and time of stoma were statistically significant ( t = 2.36, F values ranging from 3.98 to 21.53, all P<0.05); literacy, colostomy status, and dyadic coping level of colorectal cancer patients were the influencing factors of social alienation in primary colorectal cancer patients ( t = - 2.67, 4.22, - 2.94, all P<0.05), which could explain 32.7% of the variance of regression equations. Conclusions:The level of social alienation in colorectal cancer patients needs to be further improved, and healthcare professionals can reduce the level of social alienation in primary colorectal cancer patients in terms of literacy, colostomy condition, and dyadic coping level.
