Resilience profiles and related factors among colorectal cancer inpatients with an enterostomy: A cross- sectional study

Abstract

Purpose This study aimed to explore psychological resilience subgroups of colorectal cancer inpatients with an enterostomy through latent profile analyses and to identify the sociodemographic, clinical and psychological characteristics among resilience subgroup members. Methods A cross-sectional study was conducted. 226 colorectal cancer patients after enterostomy were recruited in the study. Data were collected with a general information questionnaire, Conner Davidson Resilience Scale, Medical Coping Modes Questionnaire, Stoma Self-Efficacy Scaleand Social Support Rating Scale. Results Three distinct subgroups of resilience were identified: “adaptation difficulty group” (33.6%), “moderate adaptation group” (29.2%) and “complete adaptation group” (37.2%). Monthly per capita family income, social support, and self-efficacy were predictors of resilience subgroups. Conclusion The resilience of colorectal cancer patients after enterostomy can be divided into several subgroups. The decrease in family income per month, self-efficacy and social support will increase the risk of patients belonging to the adaptation difficulty group or moderate adaptation group. Clinical nurses should develop targeted intervention programmes based on the characteristics of subgroups at high risk of resilience to further improve patient resilience.