Bio-Psychosocial Adjustment and Social Support in Patients with Colorectal Cancer

• Main Authors: Huey-Jan Mo, 莫惠珍
• Other Authors: Fung-Chi Ma
• Format: Others
• Language: zh-TW
• Published: 2003
• Online Access: http://ndltd.ncl.edu.tw/handle/65499176867130512566

碩士 === 國立陽明大學 === 臨床護理研究所 === 91 === The purpose of this descriptive cross-sectional survey study was to investigate the bio-psychosocial adjustment and social support in patients with colorectal cancer after their discharge from hospitals. This study consisted of 70 patients with colorectal cancer who were selected by purposive sampling from out-patient departments of two gerneral hospital in Taichung. In this study, the instruments included physical distress adjustment scale, psychosocial adjustment to illness scale (PAIS), social support scale, demographic data and characteristic of illness. The data were analyzed by mean, standard deviation, percentage, one-way ANOVA, post Scheffe’s examination and Pearson product-moment correlation. The important results were as follows: 1. The physical distress adjustment was at moderate-superior degree of outpatients with colorectal cancer. The symptoms of fatigue, difficulty sleeping, radiation-induced skin reactions, frequent stools and pain in the radiotherapy area are the most difficult in physical adjustment. The degree of bio-psychosocial adjustment of these patients was mild disturbance to moderate. The health care orientation was the best item in psychosocial adjustment aspects, the social environment was the worst in psychosocial adjustment aspects. 2. The whole social support was at moderate-superior degree of outpatients with colorectal cancer. The material support was the best, but informational support was the worst. The health care professionals were the major providers in social network. 3. In demographic data, the relation of patient’s religious status to physical distress adjustment（200）；employment status to vocational environment and sexual relations have been significantly different. 4. In characteristics of illness data, Dukes’ stage to physical distress adjustment, psychological distress, health care orientation and social environment ; diagnosis time to social environment；recurrent to physical distress adjustment psychological distress, health care orientation, sexual relations and social environment；patient’s perception of disease severe level to physical distress adjustment, psychological distress, health care orientation, vocational environment, domestic environment, sexual relations and social environment；colostomy to physical distress adjustment；self care to physical distress adjustment, psychological distress, health care orientation, vocational environment, sexual relations and social environment have been significantly different. 5. The relationship between social support and vocational environment have been not significant. Social support and psysical distress adjustment, psychological distress, health care orientation, domestic environment, sexual relations, extended family and social environment have been significantly correlation. 6. Physical distress adjustment and whole psychosocial adjustment, psychological distress, health care orientation, vocational environment, domestic environment, sexual relations, extended family and social environment have been significantly correlation. The results of this study may provide the reference to design discharge education plan and continuous nursing intervention in colorectal cancer patients post-operative after discharge.