Factors Influencing Quality of Life in Colorectal Cancer Patients with a Stoma during the First 6 Months after Surgery.

Purpose: This study aimed to identify predictors of quality of life (QoL), including self-efficacy, social support, illness perceptions, and resilience, among colorectal cancer patients during the first 1 to 6 months after stoma surgery. Methods: A predictive correlational design was used with 142 a...

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Publicado en:Korean Journal of Adult Nursing Vol. 38; no. 2; pp. 182 - 193
Autores principales: Yang, Bicong, Chantamit-O-Pas, Chutima, Hengudomsub, Pornpat
Formato: research tables/charts Journal Article
Publicado: Korean Society of Adult Nursing May2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
      vid: 38
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      pid: 69073
      pub: Korean Society of Adult Nursing
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        10.7475/kjan.2025.1203
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        atl: Factors Influencing Quality of Life in Colorectal Cancer Patients with a Stoma during the First 6 Months after Surgery.
      aug:
        au:
          Yang, Bicong
          Chantamit-O-Pas, Chutima
          Hengudomsub, Pornpat
        affil: Graduate Student, Faculty of Nursing, Burapha University, Chon Buri, Thailand
      sug:
        subj:
          Colorectal Neoplasms Surgery
          Ostomy
          Quality of Life Evaluation
          Self-Efficacy Evaluation
          Support, Social Evaluation
          Attitude to Illness Evaluation
          Hardiness Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Correlational Studies
          Self Report
          Data Analysis Software
          Descriptive Statistics
          T-Tests
          One-Way Analysis of Variance
          Pearson's Correlation Coefficient
          Post Hoc Analysis
          Univariate Statistics
          Funding Source
          Questionnaires
          Scales
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: This study aimed to identify predictors of quality of life (QoL), including self-efficacy, social support, illness perceptions, and resilience, among colorectal cancer patients during the first 1 to 6 months after stoma surgery. Methods: A predictive correlational design was used with 142 adult patients who had undergone stoma surgery within the preceding 1 to 6 months. Data were collected using validated instruments measuring QoL, self-efficacy, social support, illness perceptions, and resilience. The data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, the Games-Howell post-hoc test, Pearson correlation coefficients, and hierarchical multiple linear regression analysis. Results: The participants had a mean age of 56.15 years (standard deviation, 6.51 years); 67.6% were male, and 57.0% had a temporary stoma. In model 1, the method of paying medical expenses significantly predicted QoL, explaining 6.0% of the variance (adjusted R²=.06, p=.006), with self-financed patients reporting lower QoL than insured patients. In model 2, the addition of psychosocial variables (self-efficacy, social support, illness perceptions, and resilience) substantially improved the model, explaining 70.0% of the variance (adjusted R²=.70, p<.001). In the final model, illness perceptions (β= -.61), social support (β=.32), resilience (β=.20), and self-efficacy (β=.19) were significant predictors (all p<.001), whereas method of paying medical expenses was no longer significant. Conclusion: This study provides evidence to support the development of interventions targeting illness perceptions, social support, resilience, and self-efficacy to improve QoL among stoma patients during the early postoperative period.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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