Yuan Chen, Xie Jingyue, Cui Lu, Du Qianqian, Li Xinxin, Wang Xiaoxuan, Liu Jianfei, Wu Xiaodan, Zhang Meifen
School of Nursing, Sun Yat-sen University, No.74, Zhongshan Rd.2, Guangzhou, 510080, Guangdong Province, China.
Sun Yat-sen University Cancer Center, No.651, Dongfeng East Road, Guangzhou, 510080, Guangdong Province, China.
Eur J Oncol Nurs. 2025 Apr;75:102818. doi: 10.1016/j.ejon.2025.102818. Epub 2025 Jan 28.
To identify subgroups of psychosocial adjustment among patients with newly diagnosed colorectal cancer, and to examine the inflencing factors of different subgroups.
The study surveyed 490 participants in Guangzhou from July 2022 to June 2023 using face-to-face method. The scales measured psychosocial adjustment, resilience, and coping styles. Statistical analysis included latent profile analysis and multinomial logistic regression. The STROBE guidelines were followed in this study.
Three subgroups of psychosocial adjustment were identified: the low adjustment (23.7%), the moderate adjustment (44.5%), and the high adjustment (31.8%). Factors influencing psychosocial adjustment included optimism, resignation coping style, household per capita monthly income, and tumor metastasis.
This study employed a human-centered approach to identify three types of psychosocial adjustment in newly diagnosed colorectal cancer patients. Variations were observed in optimism, resignation coping, tumor metastasis, and household income. Prompt identification of high-risk groups and tailored interventions are essential for improving psychosocial adjustment.
识别新诊断结直肠癌患者心理社会适应的亚组，并探讨不同亚组的影响因素。
本研究于2022年7月至2023年6月采用面对面访谈法对广州的490名参与者进行了调查。所使用的量表测量了心理社会适应、心理韧性和应对方式。统计分析包括潜在类别分析和多项逻辑回归。本研究遵循了STROBE指南。
识别出心理社会适应的三个亚组：低适应组（23.7%）、中度适应组（44.5%）和高适应组（31.8%）。影响心理社会适应的因素包括乐观、听天由命应对方式、家庭人均月收入和肿瘤转移。
本研究采用以人为本的方法，识别出新诊断结直肠癌患者的三种心理社会适应类型。在乐观、听天由命应对、肿瘤转移和家庭收入方面存在差异。及时识别高危人群并进行针对性干预对于改善心理社会适应至关重要。
