Abstract:
Objective To explore the impact of social support on the sense of benefit finding in colorectal cancer patients with ostomy, and to analyze the chain mediating effect of self-regulation fatigue and meaning in life.
Methods The Medical Social Support Scale, the Sense of Disease Benefit Scale, the Self-Regulation Fatigue Scale, and the Sense of Meaning in Life Scale were used to measure 211 patients with esophageal colorectal cancer stoma. Pearson analysis was used to analyze the correlation between social support, self-regulation fatigue, sense of meaning of life and sense of disease benefit, and Amos software was used to construct the structural equation model and conduct the mediation effect test.
Results The 211 colorectal cancer stoma patients had a score of (57.58 ± 8.16) for sense of disease benefit, (64.28 ± 7.45) for social support, (50.64 ± 6.75) for self-regulation fatigue, and (33.24 ± 5.58) for sense of meaning in life. Sense of disease benefit in colorectal cancer stoma patients was positively correlated with social support, negatively correlated with self-regulation fatigue, and positively correlated with sense of meaning in life (all P ＜ 0.05), social support was negatively correlated with self-regulation fatigue, and positively correlated with sense of meaning in life (all P ＜ 0.05), self-regulation fatigue was negatively correlated with sense of meaning in life (P ＜ 0.05). The total indirect effect of self-regulation fatigue and sense of meaning in life on the relationship between social support and sense of benefit from illness was 42.13%, with a mediating effect of self-regulation fatigue of 16.95%, a mediating effect of sense of meaning in life of 17.87%, and a chain mediating effect of self-regulation fatigue-sense of meaning in life of 7.31%.
Conclusion The chain-mediated effects of self-regulatory fatigue and sense of meaning in life between social support and sense of disease benefit are established, confirming that social support can indirectly influence the sense of disease benefit in colorectal cancer stoma patients by moderating self-attrition and sense of meaning in life.
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