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Supportive care needs and related factors among colorectal cancer patients with stoma in the postoperative rehabilitation period from a bio-psycho-social perspective: a cross-sectional study

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Abstract

Objective

This study investigated the biomedical, psychological, and social behavior factors for supportive care needs in colorectal cancer patients with a stoma, aiming to provide a theoretical basis for the development of targeted interventions.

Methods

This cross-sectional study included 175 colorectal cancer patients with a stoma. A questionnaire was used to collect demographic and disease-related data on patients. The M.D. Anderson Symptom Inventory-Gastrointestinal Cancer (MDASI-GI), Hospital Anxiety and Depression Scale (HADS), and Perceived Social Support Scale (PSSS) were used to assess patients’ symptom distress, anxiety and depression status, and social support, respectively. The Supportive Care Need Survey Short Form (SCNS-SF34) was used to evaluate supportive care needs.

Results

The total score of supportive care needs of patients with colorectal cancer stoma was 87.75±17.34 points. The multivariate linear regression analysis results showed that younger age and a higher total score on symptom distress, depression, and anxiety were independent risk factors for supportive care needs.

Conclusions

Patients with colorectal cancer stoma with higher supportive care needs can be identified early from the bio-psycho-social perspective. Younger patients have more symptom distress, are depressed and anxious, have lower social support, and have higher supportive care needs. Closer monitoring of patients with symptom distress, early detection of depression and anxiety, and improving patients’ social support can meet supportive care needs and improve patients’ quality of life.

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Data availability

The data used to support the findings of this study are available from the corresponding author upon request.

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Author information

Authors and Affiliations

  1. People’s Hospital of Longhua, Shenzhen, 518109, Guangdong Province, China

    Ye Xiangting

  2. Department of Colorectum, Sun Yat-sen University Cancer Center, Guangzhou, 510060, Guangdong Province, China

    Zheng Meichun

  3. Department of Nursing, Sun Yat-sen University Cancer Center, Guangzhou, 510060, Guangdong Province, China

    Qin Huiying

Authors
  1. Ye Xiangting
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  2. Zheng Meichun
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  3. Qin Huiying
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by YX and ZM. The first draft of the manuscript was written by YX, and QH revised the article critically for important intellectual content, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Qin Huiying.

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Ethical approval

The study was conducted according to the guidelines of the Declaration of Helsinki, and this is an observational study. The Medical Ethics Committee of the Cancer Center of Sun Yat-sen University has confirmed that no ethical approval is required.

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Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Xiangting, Y., Meichun, Z. & Huiying, Q. Supportive care needs and related factors among colorectal cancer patients with stoma in the postoperative rehabilitation period from a bio-psycho-social perspective: a cross-sectional study. Support Care Cancer 31, 599 (2023). https://doi.org/10.1007/s00520-023-08067-w

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