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The Resilience and Influencing Factor among Colorectal Cancer Patients after Surgery

Saturday, 25 July 2015

Yu-Hua Lin, PhD, RN1
Hsin-Pao Chen, BS2
Kuang-Wen Liu, BSc2
Chih-I Chen, BsC3
(1)Department of Nursing, I-Shou University, Kaohsiung, Taiwan
(2)Division of Colon and Rectal Surgery, Department of Surgery, E-DA Hospital, E-DA Hospital, Kaohsiung, Taiwan
(3)Department of Surgery, Division of Colon and Rectal Surgery,, Kaohsiung, Taiwan

Purpose:

The purpose of this study was to understand the degree of resilience and also identified the influencing factor of resilience among colorectal cancer patients following colorectal surgery (CRS).

 Methods:

 Using a cross-sectional design, a chart review was first used to identify 571 patients who diagnosed colorectal cancer and underwent a CRS from a 1266-bed hospital in southern Taiwan. Then, a self-report questionnaire was mailed to patients between August 2013 and June 2014, with 188 responses (response rate 32.9%). The following instruments were used: the Resilience Scale, Urinary Incontinence Scale, personal features, and disease related variables.

Results:

 The degree of resilience was 27.7% (52/188) for low resilience, 50.5% (95/188) for moderate resilience, and 21.8% (41/188) for high resilience. The stepwise regression model showed three factors were the predictors of resilience, included physical recovery (4.3%), duration of bladder catheterization (3.3%), and educational years (2.9%), and account for 10.5% total variance.

Conclusion:

This study show that most participants have had a moderate to higher resilience after CRS. The nurse should identified and evaluated the influencing factors of resilience before discharge to enhance patients’ resilience after CRS.

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