1.Psychosocial adaptation and its influencing factors in young and middle-aged patients after colorectal cancer surgery
Xian LI ; Lan SHEN ; Lijuan SONG ; Runping SU ; Jianying TIAN ; Yixun ZHANG
Chinese Journal of Modern Nursing 2025;31(18):2487-2492
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.
2.Psychosocial adaptation and its influencing factors in young and middle-aged patients after colorectal cancer surgery
Xian LI ; Lan SHEN ; Lijuan SONG ; Runping SU ; Jianying TIAN ; Yixun ZHANG
Chinese Journal of Modern Nursing 2025;31(18):2487-2492
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.
3.Acute stress disorder and posttraumatic stress disorder: a review
Yanju ZHANG ; Runping ZHAO ; Junhua REN ; Yuhong LUO ; Haitao SU ; Ya'nan ZHANG
Chinese Journal of Modern Nursing 2018;24(12):1486-1488
Acute stress disorder and posttraumatic stress disorder refer to mental disorders when suffering egregious and strong traumatic events caused by earthquake, fire and so on. If the intervention is not timely, it will bring severe pain of body and mind to patients as well as serious economic losses to society. This article summarized related theses at home and abroad to deepen the understanding of health care providers to this disease, improve the life quality of patients, reduce economic losses so as to provide instructional significance for clinical medical workers and patients.
4.Effects of systematic desensitization therapy on emotion of cancer patients with acute stress disorder
Yuhong LUO ; Runping ZHAO ; Junhua REN ; Yanju ZHANG ; Haitao SU ; Ya'nan ZHANG
Chinese Journal of Modern Nursing 2018;24(24):2940-2942
Objective To investigate the effects of systematic desensitization therapy on the emotion of cancer patients with acute stress disorder. Methods A total of 50 cancer patients with acute stress disorder admitted in Cangzhou People's Hospital were selected and divided into control group (n=25) and observation group (n=25) according to the random number table from July 2016 to May 2017. Patients in the control group received conventional psychological nursing, while patients in the observation group received systematic desensitization therapy by professional psychological consultant on this basis. Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were used to evaluate the anxiety and depression of the two groups. Results After two weeks' intervention, the anxiety and depression scores of the observation group were (15.00±1.12) and (14.36±1.38), respectively, which both were lower than those of the control group (t=5.099, 5.045; P< 0.05). Conclusions Systematic desensitization therapy is more favorable to alleviate negative emotions such as anxiety and depression in cancer patients with acute stress disorder than conventional psychological nursing, which has better intervention effects and is worth promoting in clinical work.

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