LIN Xiaojing,ZHOU Xiaocong,HUANG Weihong, et al. Effect of postoperative hope level and social support on the outpatient follow-up compliance in patients with colorectal cancer[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2023, 53(2): 121-126.
Abstract：Objective: To explore the effect of postoperative hope level and social support on the outpatient follow-up compliance in patients with colorectal cancer (CRC). Methods: A total of 187 eligible CRC patients from Wenzhou Central Hospital between January 2019 and April 2021 were selected as subjects. The postoperative hope level was assessed by the Chinese version of Herth hope index, while the social support level was assessed by the Chinese version of Social science research solutions. Routine follow-up time after operation was determined based on the Chinese guidelines for the diagnosis and treatment of colorectal cancer. Participants were contacted by phone or WeChat two weeks after the specified follow-up date to determine whether the patients were followed up on time, and the compliance rate of on-time follow-up was calculated. Results: The total score of Herth Hope Index for CRC patients was 29.6±5.1, and the total score of social support was 39.5±7.6. 42 (22.5%). The rate of on-time follow-up was 100%, with the median (interquartile range) compliance rate of 62.5% (33.3%, 72.7%) in all CRC patients. Multiple Logistic regression analysis showed independent risk factors for poor outpatient follow-up compliance (P<0.05) included lower education, lower monthly family income, traveling to the hospital without car, no ostomy, lower level of hope and lower level of social support. Conclusion:The postoperative outpatient follow-up compliance of CRC patients is poor and is affected by the level of hope and social support, which is of significance to develop targeted intervention strategies for patients with poor outpatient follow-up compliance.
