Abstract：
OBJECTIVE: This study investigated the biomedical, psychological, and social behavior factors for supportive care needs in colorectal cancer patients with a stoma, aiming to provide a theoretical basis for the development of targeted interventions.
METHODS: This cross-sectional study included 175 colorectal cancer patients with a stoma. A questionnaire was used to collect demographic and disease-related data on patients. The M.D. Anderson Symptom Inventory-Gastrointestinal Cancer (MDASI-GI), Hospital Anxiety and Depression Scale (HADS), and Perceived Social Support Scale (PSSS) were used to assess patients\' symptom distress, anxiety and depression status, and social support, respectively. The Supportive Care Need Survey Short Form (SCNS-SF34) was used to evaluate supportive care needs.
RESULTS: The total score of supportive care needs of patients with colorectal cancer stoma was 87.75±17.34 points. The multivariate linear regression analysis results showed that younger age and a higher total score on symptom distress, depression, and anxiety were independent risk factors for supportive care needs.
CONCLUSIONS: Patients with colorectal cancer stoma with higher supportive care needs can be identified early from the bio-psycho-social perspective. Younger patients have more symptom distress, are depressed and anxious, have lower social support, and have higher supportive care needs. Closer monitoring of patients with symptom distress, early detection of depression and anxiety, and improving patients\' social support can meet supportive care needs and improve patients\' quality of life.
METHODS: This cross-sectional study included 175 colorectal cancer patients with a stoma. A questionnaire was used to collect demographic and disease-related data on patients. The M.D. Anderson Symptom Inventory-Gastrointestinal Cancer (MDASI-GI), Hospital Anxiety and Depression Scale (HADS), and Perceived Social Support Scale (PSSS) were used to assess patients\' symptom distress, anxiety and depression status, and social support, respectively. The Supportive Care Need Survey Short Form (SCNS-SF34) was used to evaluate supportive care needs.
RESULTS: The total score of supportive care needs of patients with colorectal cancer stoma was 87.75±17.34 points. The multivariate linear regression analysis results showed that younger age and a higher total score on symptom distress, depression, and anxiety were independent risk factors for supportive care needs.
CONCLUSIONS: Patients with colorectal cancer stoma with higher supportive care needs can be identified early from the bio-psycho-social perspective. Younger patients have more symptom distress, are depressed and anxious, have lower social support, and have higher supportive care needs. Closer monitoring of patients with symptom distress, early detection of depression and anxiety, and improving patients\' social support can meet supportive care needs and improve patients\' quality of life.
摘要：
目的：本研究调查了生物医学，心理,和社会行为因素对支持治疗需求的结肠直肠癌患者造口，旨在为制定有针对性的干预措施提供理论依据。
方法：这项横断面研究包括175例结肠直肠癌患者。使用问卷收集患者的人口统计学和疾病相关数据。M.D.Anderson症状量表-胃肠道癌（MDASI-GI），医院焦虑和抑郁量表（HADS），和领悟社会支持量表(PSSS)用于评估患者的症状困扰，焦虑和抑郁状态，社会支持,分别。支持性护理需求调查简表（SCNS-SF34）用于评估支持性护理需求。
结果：结直肠癌造口患者支持性护理需求总分为87.75±17.34分。多元线性回归分析结果显示,年龄较小,症状困扰总分较高,抑郁症,焦虑是支持治疗需求的独立危险因素.
结论：从生物-心理-社会的角度可以早期发现具有较高支持性护理需求的结直肠癌造口患者。年轻的病人有更多的症状困扰，沮丧和焦虑，有较低的社会支持，并且有更高的支持性护理需求。密切监测有症状困扰的患者，早期发现抑郁和焦虑，改善患者的社会支持可以满足支持性护理需求并改善患者的生活质量。
方法：这项横断面研究包括175例结肠直肠癌患者。使用问卷收集患者的人口统计学和疾病相关数据。M.D.Anderson症状量表-胃肠道癌（MDASI-GI），医院焦虑和抑郁量表（HADS），和领悟社会支持量表(PSSS)用于评估患者的症状困扰，焦虑和抑郁状态，社会支持,分别。支持性护理需求调查简表（SCNS-SF34）用于评估支持性护理需求。
结果：结直肠癌造口患者支持性护理需求总分为87.75±17.34分。多元线性回归分析结果显示,年龄较小,症状困扰总分较高,抑郁症,焦虑是支持治疗需求的独立危险因素.
结论：从生物-心理-社会的角度可以早期发现具有较高支持性护理需求的结直肠癌造口患者。年轻的病人有更多的症状困扰，沮丧和焦虑，有较低的社会支持，并且有更高的支持性护理需求。密切监测有症状困扰的患者，早期发现抑郁和焦虑，改善患者的社会支持可以满足支持性护理需求并改善患者的生活质量。
