Skip to main content

The mediating role of perceived stress on the relationship between perceived social support and self-care ability among Chinese enterostomy patients

Supportive Care in Cancer volume 29, pages 3155–3162 (2021)Cite this article

Abstract

Purpose

Enterostomy patients were exposed to various stressors, and self-care ability played an important role in their daily lives. This study aimed to examine the relationship between perceived social support and self-care ability among Chinese enterostomy patients and to explore whether perceived stress mediated this relationship.

Methods

A sample of 410 enterostomy patients aged 59.68 ± 12.95 years old were recruited in the study. Participants completed a set of questionnaires including demographics, perceived stress scale, perceived social support scale, and ostomy self-care ability scale.

Results

A total of 392 valid questionnaires were finally used in the data analyses among 410 questionnaires; the effective response rate was 95.6%. Results demonstrated that the scores of perceived social support were positively correlated with scores of self-care ability scores and negatively with perceived stress scores. And the effect of perceived social support on self-care ability was partially mediated by perceived stress (51.53%).

Conclusions

This study explained the mediating model that connects perceived social support with self-care ability through perceived stress, which enhances our understanding about the mediating role of perceived stress. Thus, when focusing on the self-care ability of enterostomy patients, perceived stress was as important as perceived social support.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

Fig. 1

References

  1. Mafiana RN, Al Lawati AS, Waly MI, Al Farsi Y, Al Kindi M, Al Moundhri M (2018) Association between dietary and lifestyle indices and colorectal cancer in Oman: a case-control study. Asian Pac J Cancer Prev 19:3117–3122

    Article  Google Scholar 

  2. Li Q, Lin Y, Chen Y, Loke AY (2018) Mutual support and challenges among Chinese couples living with colorectal cancer: a qualitative study. Cancer Nurs 41:E50–E60

    Article  Google Scholar 

  3. Yu DH (2005) Current status and prospect of stoma therapy in China. Chin J Nurs 40:415–417

    Google Scholar 

  4. Vonk-Klaassen SM, de Vocht HM, den Ouden ME, Eddes EH, Schuurmans MJ (2016) Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Qual Life Res 25:125–133

    Article  Google Scholar 

  5. Krouse RS, Grant M, Wendel CS, Mohler MJ, Rawl SM, Baldwin CM, Coons SJ, McCorkle R, Ko CY, Schmidt CM (2007) A mixed-methods evaluation of health-related quality of life for male veterans with and without intestinal stomas. Dis Colon Rectum 50:2054–2066

    Article  Google Scholar 

  6. Sun V, Ercolano E, McCorkle R, Grant M, Wendel CS, Tallman NJ, Passero F, Raza S, Cidav Z, Holcomb M, Weinstein RS, Hornbrook MC, Krouse RS (2018) Ostomy telehealth for cancer survivors: design of the Ostomy Self-management Training (OSMT) randomized trial. Contemp Clin Trials 64:167–172

    Article  Google Scholar 

  7. Zhang Y, Kwekkeboom K, Petrini M (2015) Uncertainty, self-efficacy, and self-care behavior in patients with breast cancer undergoing chemotherapy in China. Cancer Nurs 38:E19–E26

    Article  Google Scholar 

  8. Cheng F, Meng AF, Yang LF, Zhang YN (2013) The correlation between ostomy knowledge and self-care ability with psychosocial adjustment in Chinese patients with a permanent colostomy: a descriptive study. Ostomy Wound Manage 59:35–38

    PubMed  Google Scholar 

  9. Abdollahi A, Taheri A, Allen KA (2020) Self-compassion moderates the perceived stress and self-care behaviors link in women with breast cancer. Psychooncology 29:927–933

    Article  Google Scholar 

  10. Tseng YL, Lin SY, Tseng HC, Wang JY, Chiu JL, Weng KT (2019) Stress and other factors associated with colorectal cancer outpatients with temporary colostomies. Eur J Cancer Care 28:e13054

    Article  Google Scholar 

  11. Nahm ES, Warren J, Zhu S, An M, Brown J (2012) Nurses’ self-care behaviors related to weight and stress. Nurs Outlook 60:e23–e31

    Article  Google Scholar 

  12. Kuru N, Piyal B (2018) Perceived social support and quality of life of parents of children with autism. Niger J Clin Pract 21:1182–1189

    CAS  PubMed  Google Scholar 

  13. Lakey B, Vander Molen RJ, Fles E, Andrews J (2016) Ordinary social interaction and the main effect between perceived support and affect. J Pers 84:671–684

    Article  Google Scholar 

  14. Mama SK, Li Y, Basen-Engquist K, Lee RE, Thompson D, Wetter DW, Nguyen NT, Reitzel LR, McNeill LH (2016) Psychosocial mechanisms linking the social environment to mental health in African Americans. PLoS One 11:e0154035

    Article  Google Scholar 

  15. Benca-Bachman CE, Najera DD, Whitfield KE, Taylor JL, Horpe RJ Jr, Palmer RHC (2020) Quality and quantity of social support show differential associations with stress and depression in African Americans. Am J Geriatr Psychiatry S1064-7481(1020):30222–30220

    Google Scholar 

  16. Wade B (1989) Patients’ fears after stoma surgery. Nurs Stand 3:23–26

    CAS  Article  Google Scholar 

  17. Zhang L, Guo AM (2008) The early self-care ability of the patients undergoing permanent colostomy and influencing factors. J Nurs Sci 23:23–25

    CAS  Google Scholar 

  18. Yeung NCY, Ramirez J, Lu Q (2017) Perceived stress as a mediator between social constraints and sleep quality among Chinese American breast cancer survivors. Support Care Cancer 25:2249–2257

    Article  Google Scholar 

  19. Jiang QJ (2001) Perceived social Support scale. Chinese Journal of Behavioral Medicine and Brain Science 10:41–43

    Google Scholar 

  20. Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24:385–396

    CAS  Article  Google Scholar 

  21. Yang TZ, Huang HT (2003) An epidemiological study on stress among urban residents in social transition period. Chin J Epidemiol 24:11–19

  22. Goldblatt J, Buxey K, Paul E, Foot-Connolly LT, Bell S (2018) Study on the time taken for patients to achieve the ability to self-care their new stoma. ANZ J Surg 88:E503–E506

    Article  Google Scholar 

  23. Seo HW (2019) Effects of the frequency of ostomy management reinforcement education on self-care knowledge, self-efficacy, and ability of stoma appliance change among Korean hospitalised ostomates. Int Wound J 16(Suppl 1):21–28

    Article  Google Scholar 

  24. Wang XY, Mei D, Xuan L (2017) The research progress of self-care ability present situation and its influencing factors of intestinal colostomy patients in China. J Gannan Med Univ 37:649–652+658

    Google Scholar 

  25. Haritatosa J, Mahalingamb R, James SA (2007) John Henryism, self-reported physical health indicators, and the mediating role of perceived stress among high socio-economic status Asian immigrants. Soc Sci Med 64:1192–1203

    Article  Google Scholar 

  26. Miczo N (2004) Stressors and social support perceptions predict illness attitudes and care-seeking intentions: re-examining the sick role. Health Commun 16:347–361

    Article  Google Scholar 

  27. Arnardottir RH, Gudmundsson G, Bjornsson EH (2019) COPD patients’ experiences, self-reported needs, and needs-driven strategies to cope with self-management. Int J Chron Obstruct Pulmon Dis 14:1033–1043

    Article  Google Scholar 

  28. Kim B, Kim J (2019) Influence of uncertainty, depression, and social support on self-care compliance in hemodialysis patients. Ther Clin Risk Manag 15:1243–1251

    Article  Google Scholar 

  29. Graven LJ, Grant JS (2014) Social support and self-care behaviors in individuals with heart failure: an integrative review. Int J Nurs Stud 51:320–333

    Article  Google Scholar 

  30. Hanucharurnkul S (1989) Predictors of self-care in cancer patients receiving radiotherapy. Cancer Nurs 12:21–27

    CAS  Article  Google Scholar 

  31. Zhao FF, Suhonen R, Katajisto J, Leino-Kilpi H (2018) The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study. Patient Prefer Adherence 12:1677–1686

    Article  Google Scholar 

  32. Stark MA, Brinkley RL (2007) The relationship between perceived stress and health-promoting behaviors in high-risk pregnancy. J Perinat Neonatal Nurs 21:307–314

    Article  Google Scholar 

  33. Hannele Lukkarinen MH (1997) Self-care agency and factors related to this agency among patients with coronary heart disease. Int J Nurs Stud 34:295–333

    Article  Google Scholar 

Download references

Author information

Affiliations

  1. Department of Urinary Surgery, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan, 450003, Zhengzhou, China

    Feijie Wang, Lijie Huang, Hongxia Jiang, Xiaoxia Chang & Yinping Chu

  2. Nursing Department, Henan Provincial People’s Hospital, Zhengzhou, 450003, Henan, China

    Hongmei Zhang

Authors
  1. Feijie Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lijie Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hongmei Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hongxia Jiang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Xiaoxia Chang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yinping Chu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hongmei Zhang.

Ethics declarations

All procedures performed in this study involving human participants were in accordance with the ethical standards of the Institute of Henan Provincial People’s Hospital. Informed consent was obtained from all participants included in the study.

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Wang, F., Huang, L., Zhang, H. et al. The mediating role of perceived stress on the relationship between perceived social support and self-care ability among Chinese enterostomy patients. Support Care Cancer 29, 3155–3162 (2021). https://doi.org/10.1007/s00520-020-05829-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-020-05829-8

Keywords

  • Enterostomy patients
  • Perceived social support
  • Self-care ability
  • Perceived stress