Asia-Pacific journal of oncology nursing · 2025
Latent profiles and influencing factors of quality of life among patients with colorectal cancer and an enterostomy in Southwest China: A multicenter cross-sectional study.
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Li Xia, Liu Xiaoyu, Deng Xiaolian, Zhang Hua, Su Jiayi, Yuan Li, Zhou Aixin
Аннотация
OBJECTIVE: This study aimed to identify latent profiles of quality of life (QoL) among patients with colorectal cancer and an enterostomy, and to explore factors associated with each profile.
METHODS: This multicenter cross-sectional study was conducted from August to November 2024 using convenience sampling. Patients diagnosed with colorectal cancer and living with a colostomy were recruited from gastrointestinal surgical wards and stoma outpatient clinics at three tertiary hospitals in Chongqing, China. Data were collected using the General Information Questionnaire, Stoma Quality of Life Scale, Medical Coping Modes Questionnaire, Social Isolation Scale for patients with colorectal cancer, and the Patient Health Questionnaire-9 (PHQ-9). Latent profile analysis (LPA) was employed to identify QoL subgroups, and multinomial logistic regression was used to examine influencing factors.
RESULTS: A total of 304 patients were included. Three distinct QoL profiles were identified: "Low Impact" (29.93%), "Moderate Equilibrium" (29.93%), and "High Social Support" (40.13%). Key influencing factors included self-care ability, postoperative duration, stoma type, stoma acceptance, coping style, level of social isolation, and depressive symptoms (P < 0.05).
CONCLUSIONS: Patients with colorectal cancer and an enterostomy exhibit diverse quality of life profiles following stoma surgery. Individualized nursing interventions tailored to profile characteristics may help improve their well-being and overall outcomes.
METHODS: This multicenter cross-sectional study was conducted from August to November 2024 using convenience sampling. Patients diagnosed with colorectal cancer and living with a colostomy were recruited from gastrointestinal surgical wards and stoma outpatient clinics at three tertiary hospitals in Chongqing, China. Data were collected using the General Information Questionnaire, Stoma Quality of Life Scale, Medical Coping Modes Questionnaire, Social Isolation Scale for patients with colorectal cancer, and the Patient Health Questionnaire-9 (PHQ-9). Latent profile analysis (LPA) was employed to identify QoL subgroups, and multinomial logistic regression was used to examine influencing factors.
RESULTS: A total of 304 patients were included. Three distinct QoL profiles were identified: "Low Impact" (29.93%), "Moderate Equilibrium" (29.93%), and "High Social Support" (40.13%). Key influencing factors included self-care ability, postoperative duration, stoma type, stoma acceptance, coping style, level of social isolation, and depressive symptoms (P < 0.05).
CONCLUSIONS: Patients with colorectal cancer and an enterostomy exhibit diverse quality of life profiles following stoma surgery. Individualized nursing interventions tailored to profile characteristics may help improve their well-being and overall outcomes.