• Eur J Oncol Nurs · Aug 2017

    The mediating role of resilience in the relationship between social support and posttraumatic growth among colorectal cancer survivors with permanent intestinal ostomies: A structural equation model analysis.

    • Xiaoling Dong, Guopeng Li, Chunlei Liu, Linghua Kong, Yueyan Fang, Xiaofei Kang, and Ping Li.
    • School of Nursing, Shandong University, China; Shandong Cancer Hospital affiliated to Shandong University, Shandong Academy of Medical Science, China.
    • Eur J Oncol Nurs. 2017 Aug 1; 29: 47-52.

    PurposeInformation on posttraumatic growth (PTG) among colorectal cancer (CRC) survivors with permanent intestinal ostomies is limited. The aim of this cross-sectional study was to investigate the occurrence of PTG among CRC survivors with permanent intestinal ostomies and its association with perceived social support and resilience.MethodsThis study was conducted with 164 CRC survivors with permanent intestinal ostomies at least one month after surgery. Participants completed questionnaires assessing socio-demographic and clinical characteristics, perceived social support, resilience and PTG.ResultsThe mean total score on the Post Traumatic Growth Inventory was 66.74 (SD = 13.99). Perceived social support (r = 0.450) and resilience (r = 0.545) were significantly positively correlated with PTG. Structural equation modeling analysis showed that resilience mediated the relationship between perceived social support and PTG in which the indirect effect of perceived social support on PTG through resilience was 0.203 (P < 0.001).ConclusionsModerate to high PTG was found in CRC survivors with permanent intestinal ostomies. The most important implication of this study was that improving social support and resilience might be scientific intervention strategies for promoting PTG among CRC survivors.Copyright © 2017 Elsevier Ltd. All rights reserved.

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