The mediating role of sense of coherence between uncertainty in illness and psychological distress in patients undergoing sphincter-preserving surgery for rectal cancer
10.3760/cma.j.cn115682-20240523-02915
- VernacularTitle:心理一致感在直肠癌保肛术后患者疾病不确定感与心理痛苦间的中介效应分析
- Author:
Wei YAO
1
;
Na SUN
;
Shuai LIU
Author Information
1. 哈尔滨医科大学附属第二医院第一手术室，哈尔滨 150001
- Keywords:
Rectal neoplasms;
Sphincter-preserving surgery;
Sense of coherence;
Uncertainty in illness;
Psychological distress
- From:
Chinese Journal of Modern Nursing
2024;30(34):4640-4645
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of sense of coherence (SOC) in the relationship between uncertainty in illness and psychological distress in patients undergoing sphincter-preserving surgery for rectal cancer and provide a theoretical basis for developing interventions to alleviate psychological distress in these patients.Methods:Totally 220 patients who underwent sphincter-preserving surgery for rectal cancer and attended follow-up at the 2nd Affiliated Hospital of Harbin Medical University from January to December 2023 were selected by convenience sampling. Data were collected using a general information questionnaire, Sense of Coherence Scale (SOC-13), Mishel Uncertainty in Illness Scale (MUIS), and Distress Thermometer (DT). Structural equation modeling was performed using AMOS 26.0 software, and the mediating effect of SOC between uncertainty in illness and psychological distress was tested using the Bootstrap method.Results:A total of 220 questionnaires were distributed, and 208 valid questionnaires were returned, with a response rate of 94.55%. The total score for MUIS was (75.40±21.38), the total score for SOC was (50.24±14.92), and the total score for DI was (4.70±2.50). The mediating effect analysis showed that SOC had a mediating effect value of 0.217 ( P<0.01) between uncertainty in illness and psychological distress, accounting for 37.41% (0.217/0.580) of the total effect, indicating a partial mediation. Conclusions:Uncertainty in illness has a direct impact on psychological distress in patients undergoing sphincter-preserving surgery for rectal cancer. SOC partially mediates the relationship between uncertainty in illness and psychological distress. These findings suggest that healthcare providers should comprehensively assess patients' uncertainty in illness and provide personalized information and guidance. In addition, psychological interventions aimed at enhancing patients' SOC may help reduce their psychological distress.
