Objective To explore the mediating effect of distress disclosure between perceived social support and psychological distress in colorectal cancer patients.Methods The convenient sampling method was used to select 220 postoperative colorectal cancer patients who were reviewed in China-Japan Union Hospital of Jilin University from February to August 2023 as the research objetcs.The Distress Disclosure Index(DDI),Perceived Social Support Scale(PSSS),and Chinese version of Screening Tool for Psychological Distress in Cancer Patients were used to conduct the survey.Results A total of 220 questionnaires were distributed in this study,and 213 valid questionnaires were recovered,with a valid recovery rate of 96.82％.The total score of the Chinese version of Screening Tool for Psychological Distress in Cancer Patients for colorectal cancer patients was(4.31±2.46),the total score of the DDI was(37.26±9.97),and the total score of the PSSS was(57.82±14.60).Pearson correlation analysis showed that psychological distress was negatively correlated with distress disclosure in colorectal patients(P＜0.01),distress disclosure was positively correlated with perceived social support(P＜0.01),and psychological distress was negatively correlated with perceived social support(P＜0.01).The mediating effect results showed that the direct effect of perceived social support on psychological distress was-0.359(P＜0.01),and the mediating effect between perceived social support and psychological distress was-0.227(P＜0.01),which acted as a partial mediating effect with the mediating effect accounting for 38.74％of the total effect.Conclusions Perceived social support can not only directly affect the psychological distress of colorectal cancer patients,but also indirectly affect psychological distress through distress disclosure.Clinical staffs should take certain interventions to improve the level of patients'perceived social support and distress disclosure,so as to improve the psychological distress of patients.
关键词
结直肠肿瘤/痛苦表露/心理困扰/领悟社会支持/中介效应
Key words
Colorectal cancer/Distress disclosure/Psychological distress/Perceived social support/Mediating effect
维普
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