Social isolation profiles and conditional process analysis among postoperative enterostomy patients with colorectal cancer.

IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY BMC Psychology Pub Date : 2024-12-25 DOI:10.1186/s40359-024-02304-5
Yuan Liao, Xuelan Liu, Xinyu Wu, Chun Li, Yu Li
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Abstract

Purpose: This study aimed to identify social isolation latent profiles and analyze the specific mechanisms in which social support, resilience, and posttraumatic growth associated social isolation from the perspective of positive psychology. Suggestions were offered to improve the mental health status of postoperative enterostomy patients with colorectal cancer.

Methods: This was a cross-sectional survey. From December 2022 to September 2023, convenience sampling was used to select 303 enterostomy patients from three hospitals in Guangzhou. A paper questionnaire was used to investigate their levels of social support, resilience, posttraumatic growth, and social isolation. T-test, ANOVA, Pearson Correlation Analysis, Latent Profile Analysis and Conditional Process Analysis were used to analyze the correlation between variables.

Results: (1) Education level, occupation, family monthly income per capita and times of changing enterostomy bag per week were significantly associated with social isolation. (2) Social isolation of patients included low alienation-fluctuation group (Class 1, 13.9%), medium group (Class 2, 64.0%), high alienation-low meaning group (Class 3, 22.1%). (3) Social isolation was negatively correlated with social support, resilience, and posttraumatic growth (P < 0.001). (4) Resilience played a mediating role in the association between social support and social isolation. (5) The second half path of the mediation model was moderated by posttraumatic growth.

Conclusions: Clinical staff, community personnel and family members should pay attention to the potential differences in social isolation experienced by patients. Suitable psychological strategies should be employed to enhance resilience, promote posttraumatic growth, for improving the patients' mental health levels and help them return to society.

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结直肠癌术后肠造口患者社会隔离状况及条件过程分析
目的:本研究旨在从积极心理学的角度,识别社会孤立的潜在特征,并分析社会支持、心理弹性和创伤后成长与社会孤立相关的具体机制。为改善结直肠癌术后肠造口患者的心理健康状况提出建议。方法:采用横断面调查。于2022年12月至2023年9月,采用方便抽样方法,选取广州市三家医院的303例肠造口患者。采用纸质问卷调查了他们的社会支持、恢复力、创伤后成长和社会孤立水平。采用t检验、方差分析、Pearson相关分析、潜在剖面分析和条件过程分析分析变量间的相关性。结果:(1)受教育程度、职业、家庭人均月收入、每周更换肠造口袋次数与社会隔离显著相关。(2)患者社会隔离分为低疏远-波动组(1类,13.9%)、中等疏远-波动组(2类,64.0%)、高疏远-低意义组(3类,22.1%)。(3)社会隔离与社会支持、心理弹性和创伤后成长呈负相关(P)结论:临床工作人员、社区工作人员和家属应注意患者社会隔离体验的潜在差异。应采取适当的心理策略,增强心理弹性,促进创伤后成长,提高患者的心理健康水平,帮助其回归社会。
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来源期刊
BMC Psychology
BMC Psychology Psychology-Psychology (all)
CiteScore
3.90
自引率
2.80%
发文量
265
审稿时长
24 weeks
期刊介绍: BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.
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