Research On Correlation Among Social Alienation,Self-Disclosure,Family Resilience In Colorectal Cancer Survivors

Objective1.To investigate the current status of social alienation,self-expression,and family resilience among colorectal cancer survivors and analyze the correlation between the three.2.To explore the influence of demographic factors as well as self-representation and family resilience on social alienation of colorectal cancer survivors.3.To analyze and test whether family resilience has a mediating effect between selfrepresentation and social alienation among colorectal cancer survivors.MethodsFrom January to September 2022,a questionnaire survey was conducted on 226 survivors of colorectal cancer who met the inclusion criteria in the gastrointestinal surgery ward,oncology ward,and outpatient reexamination of four tertiary first-class hospitals in Shandong Province using convenient sampling method.The study instruments included a general information questionnaire,a general alienation scale,a simplified Chinese version of the Family Resilience Rating Scale and an index scale of pain expression.SPSS 25.0 and AMOS 26.0 were used for statistical analysis,and the statistical methods employed included descriptive analysis,Pearson correlation analysis,independent samples t-test,one-way ANOVA,multiple linear stepwise regression analysis,and construction of structural equation models to verify mediating effects.Results1.Colorectal cancer survivors had a social alienation score of(44.00±4.76)with a mean entry score of(2.93±0.32),which was moderately high;a self-expression score of(32.19±5.76)with a mean entry score of(2.68±0.48),which was moderate;and a family resilience score of(79.33±9.30)with a mean entry score of((2.48±0.29),which is at a moderate level.2.Total score and dimensions of social alienation were significantly negatively correlated with total score of self-expression in colorectal cancer survivors(P < 0.05,P <0.01);total score and dimensions of social alienation were significantly negatively correlated with total score and dimensions of family resilience(P < 0.05,P < 0.01);total score of family resilience and dimensions of family communication and problem solving were significantly positively correlated with total score of self-expression(P < 0.05,P <0.01).3.Colorectal cancer survivors’ marital status,education level,family residence,work status,monthly per capita household income,medical payment method,pathological stage,whether they had a stoma,and postoperative duration differed significantly(P <0.05)in social alienation scores.4.Marital status,educational level,family residence,monthly per capita household income,presence of stoma,self-expression,and family communication and problem solving dimensions of family resilience were predictors of social alienation in colorectal cancer survivors(P < 0.05)and together explained 53.8% of the variance.5.Family resilience partially mediated the relationship between self-expression and social alienation,with a standardized mediated effect value of-0.022 and a direct effect value of-0.153,for a mediated effect of 12.57%.Conclusion1.Colorectal cancer survivors were at a moderate to high level of social detachment;both self-expression and family resilience were at moderate levels.2.The total score and dimensions of social detachment were significantly and negatively correlated with the total score of self-expression;the total score and dimensions of social detachment were significantly and negatively correlated with the total score and dimensions of family resilience;the total score of family resilience and the dimensions of family communication and problem solving were significantly and positively correlated with the score of self-expression3.The main factors influencing social alienation in colorectal cancer survivors include marital status,educational attainment,family residence,monthly per capita household income,presence of stoma,self-expression,and family communication and problem-solving dimensions of family resilience.4.Family resilience in colorectal cancer survivors partially mediates the relationship between self-representation and social alienation,and self-representation can affect their level of social alienation either directly or indirectly through family resilience.