The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
	    		
		   		
		   			
		   		
	    	
    	 
    	10.7739/jkafn.2021.28.4.421
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Kyungmi LEE
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Semi LIM
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Registered Nurse, Department of Nursing, Samsung Medical Center, Seoul, Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
            
            
            	- From:Journal of Korean Academy of Fundamental Nursing
	            		
	            		 2021;28(4):421-430
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:Korean
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	 Purpose:This study examined the mediating effect of bowel function symptoms in the relationship between social support and uncertainty in rectal cancer patients. 
				        	
				        
				        	Methods:In total, 132 rectal cancer patients were recruited online. Data were collected from October 1, 2020 to October 31, 2020 using on-line questionnaires and were analyzed using the t-test, analysis of variance, Pearson correlation coefficients and bootstrapping for mediation. 
				        	
				        
				        	Results:Social support had a significant and positive effect on bowel function symptoms and a negative effect on uncertainty. Bowel function symptoms had a significant negative effect on uncertainty; and showed a statistically significant mediating effect in the relationship between social support and uncertainty. In other words, social support had direct and indirect effects on uncertainty. 
				        	
				        
				        	Conclusion:In rectal cancer patients, social support attenuated bowel function symptoms and showed direct and indirect effects on uncertainty. Therefore, to increase the social support of rectal cancer patients, the patients’ family, friends, and meaningful others should be involved in providing nursing. In order to reduce bowel function symptoms, which have a mediating effect, rectal cancer patients need to be well aware of the symptoms of bowel function that change after surgery. Systematic pre- and post- operative education would be help reduce uncertainty.