The mediating role of perceived stress on the relationship between perceived social support and self-care ability among
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ORIGINAL ARTICLE
The mediating role of perceived stress on the relationship between perceived social support and self-care ability among Chinese enterostomy patients Feijie Wang 1 & Lijie Huang 1 & Hongmei Zhang 2
&
Hongxia Jiang 1 & Xiaoxia Chang 1 & Yinping Chu 1
Received: 24 July 2020 / Accepted: 13 October 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Enterostomy patients were exposed to various stressors, and self-care ability played an important role in their daily lives. This study aimed to examine the relationship between perceived social support and self-care ability among Chinese enterostomy patients and to explore whether perceived stress mediated this relationship. Methods A sample of 410 enterostomy patients aged 59.68 ± 12.95 years old were recruited in the study. Participants completed a set of questionnaires including demographics, perceived stress scale, perceived social support scale, and ostomy self-care ability scale. Results A total of 392 valid questionnaires were finally used in the data analyses among 410 questionnaires; the effective response rate was 95.6%. Results demonstrated that the scores of perceived social support were positively correlated with scores of self-care ability scores and negatively with perceived stress scores. And the effect of perceived social support on self-care ability was partially mediated by perceived stress (51.53%). Conclusions This study explained the mediating model that connects perceived social support with self-care ability through perceived stress, which enhances our understanding about the mediating role of perceived stress. Thus, when focusing on the selfcare ability of enterostomy patients, perceived stress was as important as perceived social support. Keywords Enterostomy patients . Perceived social support . Self-care ability . Perceived stress
Introduction Colorectal cancer (CRC) is the third most common cancer in the world after lung and breast cancers and the fourth in cancer-related deaths. Related studies predicted that almost 2.4 million cases will be diagnosed annually worldwide by 2035 [1]. Nowadays, the incidence of CRC is on the rise especially for the low- or middle-income countries such as China [2]. Approximately 1 million Chinese citizens are living with CRC, and about 100,000 new cases are diagnosed each year [3]. Surgery was recommended as the most common treatment for CRC, resulting in 10% of the patients with a * Hongmei Zhang [email protected] 1
Department of Urinary Surgery, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan 450003 Zhengzhou, China
2
Nursing Department, Henan Provincial People’s Hospital, Zhengzhou 450003, Henan, China
permanent ostomy [4]. But, after surgery, survivors have to face the major changes with their anatomy; they have to adapt to a more challenging life, including life-long modifications to their daily body functions, concerning the psychosocial, physical, and social issues [5, 6]. Self-care is an important factor on m
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