Psychosocial adaptation and its influencing factors in young and middle-aged patients after colorectal cancer surgery
10.3760/cma.j.cn115682-20241006-05455
- VernacularTitle:中青年结直肠癌术后患者心理社会适应现状及其影响因素分析
- Author:
Xian LI
1
;
Lan SHEN
;
Lijuan SONG
;
Runping SU
;
Jianying TIAN
;
Yixun ZHANG
Author Information
1. 山西省肿瘤医院、中国医学科学院肿瘤医院山西医院、山西医科大学附属肿瘤医院结直肠外科，太原 030012
- Publication Type:Journal Article
- Keywords:
Colorectal cancer;
Young and middle-aged;
Psychosocial adaptation;
Family care;
Positive coping;
Negative coping
- From:
Chinese Journal of Modern Nursing
2025;31(18):2487-2492
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of psychosocial adaptation in young and middle-aged patients after colorectal cancer surgery and to explore its influencing factors, providing a basis for the development of targeted interventions.Methods:A total of 200 postoperative young and middle-aged colorectal cancer patients undergoing follow-up at the outpatient department of Shanxi Cancer Hospital from June 2023 to March 2024 were selected by convenience sampling. Data were collected using a general demographic questionnaire, the Self-Report Psychosocial Adjustment to Illness Scale (PAIS-SR), the Family APGAR Index Questionnaire, and the Simplified Ways of Coping Questionnaire (SWCQ). Multiple linear regression analysis was performed to identify factors influencing psychosocial adaptation.Results:A total of 200 questionnaires were distributed, and 191 valid responses were collected, yielding a valid response rate of 95.5%. The total PAIS-SR score of participants was (57.91±23.45). Multiple linear regression analysis revealed that education level, self-perceived economic status, employment status, presence of a stoma, time since surgery, family care, and positive coping style were statistically significant influencing factors ( P<0.05), explaining 46.4% of the variance in psychosocial adaptation. Conclusions:Healthcare providers should pay particular attention to patients with lower educational levels, poor self-perceived economic conditions, unemployment, a stoma, and shorter postoperative duration. Enhancing family care—starting with patient caregivers—and encouraging the use of positive psychological interventions to foster active coping strategies may help improve psychosocial adaptation in young and middle-aged colorectal cancer patients.
