Hu Min, A Tingting, Zhang Xinxin, Huang Xinxin, Wu Qingqiu, Wei Tingting, Song Beibei, Hu Shaohua
School of Nursing, Anhui Medical University, Hefei, China.
Nursing Department, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Asia Pac J Oncol Nurs. 2025 Jul 11;12:100755. doi: 10.1016/j.apjon.2025.100755. eCollection 2025 Dec.
This study aimed to explore the attitudes of patients with colorectal cancer (CRC) toward seeking professional psychological help and to identify latent profiles and associated influencing factors.
A total of 236 patients with CRC were recruited through convenience sampling. Participants completed validated instruments assessing attitudes toward seeking professional psychological help, mental health literacy, and stigma related to psychological help-seeking. Latent profile analysis was conducted to identify distinct subgroups.
Attitudes scores were moderate to low, with three profiles identified: "negative attitudes-high independence" (26.6%), "general attitudes" (51.8%), and "positive attitudes-high affirmation" (21.6%). Multivariate analysis revealed that age, mental health literacy, and stigma were significant predictors of subgroup membership.
The findings reveal significant heterogeneity in attitudes toward psychological help-seeking among patients with CRC. Medical staff should tailor interventions to patient subgroups, particularly older individuals and those with low mental health literacy or high perceived stigma, to improve access to psychological care. This study offers evidence-based guidance for developing targeted mental health interventions in oncology care.
本研究旨在探讨结直肠癌（CRC）患者对寻求专业心理帮助的态度，并识别潜在类型及相关影响因素。
通过便利抽样招募了236名CRC患者。参与者完成了经过验证的评估寻求专业心理帮助的态度、心理健康素养以及与寻求心理帮助相关的污名化的工具。进行潜在类别分析以识别不同的亚组。
态度得分中等偏低，识别出三种类型：“消极态度 - 高独立性”（26.6%）、“一般态度”（51.8%）和“积极态度 - 高肯定性”（21.6%）。多变量分析显示，年龄、心理健康素养和污名化是亚组成员的显著预测因素。
研究结果揭示了CRC患者在寻求心理帮助的态度上存在显著异质性。医务人员应针对患者亚组，特别是老年人以及心理健康素养低或污名化认知高的患者，量身定制干预措施，以改善心理护理的可及性。本研究为肿瘤护理中制定有针对性的心理健康干预措施提供了循证指导。
