J Korean Acad Nurs.  2018 Oct;48(5):545-553. 10.4040/jkan.2018.48.5.545.

Psychosocial Adjustment in Korean Colorectal Cancer Survivors

• Sun H
• Lee J

• KMID: 2424361
• DOI: http://doi.org/10.4040/jkan.2018.48.5.545

Abstract

PURPOSE
The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors.
METHODS
A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model.
RESULTS
The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (β=.33, p < .001), followed by difficulty in activities of daily living (β=-.24, p=.001), posttraumatic growth (β=.20, p=.004), and having a stoma (β=-.19, p=.004).
CONCLUSION
Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

Keyword

Social Adjustment; Colorectal Neoplasms; Health Promotion; Growth

MeSH Terms

Activities of Daily Living
Colorectal Neoplasms*
Health Promotion
Humans
Korea
Linear Models
Nursing
Outpatients
Social Adjustment
Survival Rate
Survivors*
Tertiary Care Centers