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Factors associated with psychosocial adjustment in working-age colorectal cancer survivors: A cross-sectional study
OBJECTIVE: This study aimed to describe the level of psychosocial adjustment and identify factors associated with psychosocial adjustment in working-age colorectal cancer survivors. METHODS: This cross-sectional study involved 212 colorectal cancer survivors visiting a cancer clinic at a specialized...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9130516/ https://www.ncbi.nlm.nih.gov/pubmed/35647223 http://dx.doi.org/10.1016/j.apjon.2022.03.009 |
Sumario: | OBJECTIVE: This study aimed to describe the level of psychosocial adjustment and identify factors associated with psychosocial adjustment in working-age colorectal cancer survivors. METHODS: This cross-sectional study involved 212 colorectal cancer survivors visiting a cancer clinic at a specialized oncology hospital in China. Socio-demographic characteristics, disease-related characteristics, status of returning to work, Work Ability Index scores, M. D. Anderson Symptom Inventory for Gastrointestinal Cancer scores, and self-reported Psychological Adjustment to Illness Scale scores were collected from all participants. Data analyses included descriptive statistics, independent t-test, one-way analysis of variance, correlation analysis, and multiple linear regression analysis, which were performed using the Statistical Package for the Social Sciences version 25.0 (IBM Corporation, Armonk, NY, USA). RESULTS: Participants reported a medium level of psychosocial maladjustment (35.73 ± 19.68), with 19.3% of participants experiencing severe maladjustment, 29.7% experiencing moderate maladjustment, and 50.9% experiencing mild maladjustment, respectively. Age, gender, marital status, having a child, education level, having a stoma, comorbidities, return to work, work ability, and symptom distress were entered into a multiple linear regression analysis. The strongest factor influencing the level of psychosocial adjustment was work ability (β = −0.393, P < 0.001), followed by symptom distress (β = 0.380, P < 0.001) and an education level of college or above (β = 0.150, P = 0.027). These variables accounted for 46.1% of the variance in psychosocial adjustment. CONCLUSIONS: Colorectal cancer survivors with low work ability, high symptom distress, and an education level of college or above are at a high risk for psychosocial maladjustment. Nursing interventions for psychosocial adjustment should attach increased importance to the work status and symptom distress of colorectal cancer survivors. |
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