108985
论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
- 3.4 Breast Cancer (Dove Med Press)
- 3.2 Clin Epidemiol
- 2.6 Cancer Manag Res
- 2.9 Infect Drug Resist
- 3.7 Clin Interv Aging
- 5.1 Drug Des Dev Ther
- 3.1 Int J Chronic Obstr
- 6.6 Int J Nanomed
- 2.6 Int J Women's Health
- 2.9 Neuropsych Dis Treat
- 2.8 OncoTargets Ther
- 2.0 Patient Prefer Adher
- 2.2 Ther Clin Risk Manag
- 2.5 J Pain Res
- 3.0 Diabet Metab Synd Ob
- 3.2 Psychol Res Behav Ma
- 3.4 Nat Sci Sleep
- 1.8 Pharmgenomics Pers Med
- 2.0 Risk Manag Healthc Policy
- 4.1 J Inflamm Res
- 2.0 Int J Gen Med
- 3.4 J Hepatocell Carcinoma
- 3.0 J Asthma Allergy
- 2.2 Clin Cosmet Investig Dermatol
- 2.4 J Multidiscip Healthc
已发表论文
结直肠癌患者失志感、医学应对方式、心理韧性与感知社会支持之间的关系
Authors Li Y, Liu Z, Lu X, Chai X, Bai N, Chen Y
Received 18 April 2025
Accepted for publication 30 September 2025
Published 22 October 2025 Volume 2025:19 Pages 3285—3294
DOI https://doi.org/10.2147/PPA.S535288
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Ramón Morillo-Verdugo
Yunyun Li,1,2 Zhimin Liu,1,2 Xingyao Lu,1,2 Xiaoying Chai,3 Ning Bai,3 Ying Chen4
1Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, People’s Republic of China; 2Jiangnan University, Wuxi, Jiangsu, People’s Republic of China; 3Endocrine Department, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, People’s Republic of China; 4Oncology Department, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, People’s Republic of China
Correspondence: Ning Bai, Endocrine Department, Affiliated Hospital of Jiangnan University, 1000 Hefeng Road, Binhu District, Wuxi, Jiangsu, 214000, People’s Republic of China, Tel +86 18762692562, Email ddrbaining@163.com Ying Chen, Oncology Department, Affiliated Hospital of Jiangnan University, 1000 Hefeng Road, Binhu District, Wuxi, Jiangsu, 214000, People’s Republic of China, Tel +86 18762692562, Email chenyingtj4@21cn.com
Objective: To explore the severity of demoralisation in patients with colorectal cancer (CRC) and its relationship with medical coping style, psychological resilience and perceived social support.
Methods: This cross-sectional study sequentially recruited a total of 253 patients with CRC between August 2023 and April 2024. Socio-demographic and clinical information were collected using a survey. The Demoralisation Scale II (DS-II) was used to assess demoralisation, and results from a Chinese version of the medical coping style questionnaire, a perceived social support scale and a simplified psychological resilience scale were collected. Pearson correlation and multiple linear regression analyses were performed to analyse the relationship between demoralisation and other variables.
Results: The mean score of the DS-II was 11.71 ± 6.32, with 40.7%, 44.3% and 15% of patients with CRC exhibiting low, moderate and high levels of demoralisation, respectively. Demoralisation was significantly correlated with gender, education level, marital status, occupation, family residence, family per capita monthly income, health insurance type, presence of a caregiver, past medical history, number of chronic diseases, length of hospitalisation, number of hospitalisations, disease stage, metastasis and presence of an enterostomy (p < 0.05). Multiple linear regression analysis indicated that metastasis, medical coping style, social support and psychological resilience were independent risk factors significantly associated with demoralisation in patients with CRC (adjusted R2 = 0.801; p < 0.05).
Conclusion: Demoralisation is associated with medical coping style, social support and psychological resilience in patients with CRC. Early and regular monitoring using specially designed and effective tools is essential. This innovative study combines demoralization with coping, support, and resilience to reveal its profound impact on nursing practice and enhance the quality of patient care.
Keywords: colorectal cancer, medical coping style, social support, psychological resilience, demoralisation scale
1Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, People’s Republic of China; 2Jiangnan University, Wuxi, Jiangsu, People’s Republic of China; 3Endocrine Department, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, People’s Republic of China; 4Oncology Department, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, People’s Republic of China
Correspondence: Ning Bai, Endocrine Department, Affiliated Hospital of Jiangnan University, 1000 Hefeng Road, Binhu District, Wuxi, Jiangsu, 214000, People’s Republic of China, Tel +86 18762692562, Email ddrbaining@163.com Ying Chen, Oncology Department, Affiliated Hospital of Jiangnan University, 1000 Hefeng Road, Binhu District, Wuxi, Jiangsu, 214000, People’s Republic of China, Tel +86 18762692562, Email chenyingtj4@21cn.com
Objective: To explore the severity of demoralisation in patients with colorectal cancer (CRC) and its relationship with medical coping style, psychological resilience and perceived social support.
Methods: This cross-sectional study sequentially recruited a total of 253 patients with CRC between August 2023 and April 2024. Socio-demographic and clinical information were collected using a survey. The Demoralisation Scale II (DS-II) was used to assess demoralisation, and results from a Chinese version of the medical coping style questionnaire, a perceived social support scale and a simplified psychological resilience scale were collected. Pearson correlation and multiple linear regression analyses were performed to analyse the relationship between demoralisation and other variables.
Results: The mean score of the DS-II was 11.71 ± 6.32, with 40.7%, 44.3% and 15% of patients with CRC exhibiting low, moderate and high levels of demoralisation, respectively. Demoralisation was significantly correlated with gender, education level, marital status, occupation, family residence, family per capita monthly income, health insurance type, presence of a caregiver, past medical history, number of chronic diseases, length of hospitalisation, number of hospitalisations, disease stage, metastasis and presence of an enterostomy (p < 0.05). Multiple linear regression analysis indicated that metastasis, medical coping style, social support and psychological resilience were independent risk factors significantly associated with demoralisation in patients with CRC (adjusted R2 = 0.801; p < 0.05).
Conclusion: Demoralisation is associated with medical coping style, social support and psychological resilience in patients with CRC. Early and regular monitoring using specially designed and effective tools is essential. This innovative study combines demoralization with coping, support, and resilience to reveal its profound impact on nursing practice and enhance the quality of patient care.
Keywords: colorectal cancer, medical coping style, social support, psychological resilience, demoralisation scale