Liao Yuan, Liu Xuelan, Wu Xinyu, Li Chun, Li Yu
School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China.
Department of General Surgery (Colorectal Surgery), The Sixth Affiliated Hospital, Sun Yat- sen University, Guangzhou, 510655, China.
BMC Psychol. 2024 Dec 25;12(1):782. doi: 10.1186/s40359-024-02304-5.
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.
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.
(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.
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.
本研究旨在识别社会隔离潜在剖面，并从积极心理学的角度分析社会支持、心理韧性和创伤后成长与社会隔离相关的具体机制。为改善结直肠癌术后肠造口患者的心理健康状况提供建议。
这是一项横断面调查。2022年12月至2023年9月，采用便利抽样法从广州三家医院选取303例肠造口患者。采用纸质问卷对他们的社会支持、心理韧性、创伤后成长和社会隔离水平进行调查。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来分析变量之间的相关性。
（1）教育程度、职业、家庭人均月收入和每周更换肠造口袋次数与社会隔离显著相关。（2）患者的社会隔离包括低疏离-波动组（第1类，13.9%）、中等组（第2类，64.0%）、高疏离-低意义组（第3类，22.1%）。（3）社会隔离与社会支持、心理韧性和创伤后成长呈负相关（P < 0.001）。（4）心理韧性在社会支持与社会隔离之间的关联中起中介作用。（5）中介模型的后半路径受到创伤后成长的调节。
临床工作人员、社区人员和家庭成员应关注患者在社会隔离方面的潜在差异。应采用合适的心理策略来增强心理韧性，促进创伤后成长，以提高患者的心理健康水平，并帮助他们回归社会。
