结直肠癌和造口患者心理弹性和社会功能的纵向研究。

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-02-01 DOI:10.1016/j.jpsychores.2024.112013

Min Wang , Yanhua Xu , Bing Xiang Yang , Dan Luo , Hao Hou , Qian Liu

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引用次数: 0

摘要

目的探讨结直肠癌（CRC）和造口术患者在术后不同阶段的抗逆力和社会功能的动态变化、影响因素及其关系，为精准的心理康复干预提供依据：一项纵向研究于2021年1月至2023年6月在华东地区的一家三甲医院进行。患者在术后1个月填写了一份自行设计的社会人口学问卷，并在术后1、3和5个月填写了康纳和戴维森复原力量表（CD-RISC）和社会功能障碍筛查量表（SDSS）。数据分析采用了重复测量方差分析、斯皮尔曼相关性、基于组别的轨迹建模和二元逻辑回归等方法：结果：共有 131 名患者参与了分析。复原力最初有所提高，随后有所下降，而社会功能则持续改善。在所有时间点上，社会功能障碍与复原力之间均呈中度负相关。影响恢复力和社会功能的因素在术后不同阶段各不相同。根据教育程度和家庭收入的不同，复原力轨迹也存在显著差异。抗逆力轨迹对社会功能轨迹有明显影响（OR 19.39，95 % CI 2.46-152.91，P 结论：该研究发现了不同的抗逆力轨迹：本研究发现了结直肠癌和口腔癌患者不同的复原力和社会功能轨迹。低复原力与严重的社会功能缺陷有关。针对不同阶段的干预措施对于增强社会适应能力和提高整体生活质量至关重要。在整个康复过程中都需要有针对性的支持，以应对这些患者所面临的独特挑战。

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A longitudinal study of resilience and social function in patients with colorectal cancer and stomas

Objective

To explore the dynamic changes, influencing factors, and relationships between resilience and social function in patients with colorectal cancer (CRC) and stomas at different postoperative stages, and to inform precise psychosocial rehabilitation interventions.

Methods

A longitudinal study was conducted at a tertiary hospital in eastern China from January 2021 to June 2023. Patients completed a self-designed socio-demographic questionnaire one month post-surgery, and the Connor and Davidson Resilience Scale (CD-RISC) and Social Dysfunction Screening Scale (SDSS) at 1, 3, and 5 months post-surgery. Data were analyzed using repeated measures ANOVA, Spearman correlation, group-based trajectory modeling, and binary logistic regression.

Results

A total of 131 patients were included in the analysis. Resilience showed an initial increase followed by a decline, while social function consistently improved. A moderate negative correlation between social dysfunction and resilience was observed at all time points. Influencing factors for resilience and social function varied across different postoperative stages. Significant differences in resilience trajectories were observed based on education and family income. Resilience trajectories significantly impacted social function trajectories (OR 19.39, 95 % CI 2.46–152.91, P < 0.05).

Conclusions

This study identifies distinct trajectories of resilience and social function in patients with colorectal cancer and stomas. Low resilience is linked to severe social function deficits. Stage-specific interventions are crucial to enhance social adaptation and improve overall quality of life. Tailored support is needed throughout recovery to address the unique challenges faced by these patients.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.