Abstract：
OBJECTIVE: Colorectal cancer (CRC) survivors with permanent stomas might be at higher risk of social isolation, and stigma can play an important role in the development of social isolation. However, the underlying psychological mechanisms are understudied. The current study examined how stoma acceptance and valuable actions mediated the relationships between stigma and social isolation among CRC survivors with permanent stomas.
METHODS: A cross-sectional survey was conducted with a sample of 303 CRC survivors with permanent stomas. The chain mediation models were conducted using the PROCESS macro for SPSS to explore the pathways through which stigma can be associated with CRC survivors\' social isolation, mediated by stoma acceptance and valuable actions.
RESULTS: The results indicated that higher stigma was related to lower stoma acceptance, less personal values enactment, and higher social isolation, as well as lower objective social connectedness and subjective social belongingness among CRC survivors with permanent stomas. Additionally, the mediational analyses revealed that stoma acceptance and valuable actions jointly mediated the relationships between stigma and social isolation.
CONCLUSIONS: Social isolation among CRC survivors during the adjustment to both stoma and stigma may be alleviated through tailored interventions that improve stoma acceptance and valuable actions.
CONCLUSIONS: The chain mediating roles of stoma acceptance and valuable actions highlight that tailored interventions, such as acceptance and commitment therapy, can be targeted for this population, considering this population\'s unique needs.
METHODS: A cross-sectional survey was conducted with a sample of 303 CRC survivors with permanent stomas. The chain mediation models were conducted using the PROCESS macro for SPSS to explore the pathways through which stigma can be associated with CRC survivors\' social isolation, mediated by stoma acceptance and valuable actions.
RESULTS: The results indicated that higher stigma was related to lower stoma acceptance, less personal values enactment, and higher social isolation, as well as lower objective social connectedness and subjective social belongingness among CRC survivors with permanent stomas. Additionally, the mediational analyses revealed that stoma acceptance and valuable actions jointly mediated the relationships between stigma and social isolation.
CONCLUSIONS: Social isolation among CRC survivors during the adjustment to both stoma and stigma may be alleviated through tailored interventions that improve stoma acceptance and valuable actions.
CONCLUSIONS: The chain mediating roles of stoma acceptance and valuable actions highlight that tailored interventions, such as acceptance and commitment therapy, can be targeted for this population, considering this population\'s unique needs.
摘要：
目的：结肠直肠癌（CRC）幸存者永久性造口可能面临更高的社会隔离风险，污名可以在社会孤立的发展中发挥重要作用。然而,潜在的心理机制研究不足。当前的研究检查了气孔接受和有价值的行动如何介导具有永久性气孔的CRC幸存者的污名和社会隔离之间的关系。
方法：对303例有永久性气孔的CRC幸存者进行横断面调查。链调解模型是使用SPSS的PROCESS宏进行的，以探索污名与CRC幸存者社会隔离相关的途径。由气孔接受和有价值的行动介导。
结果：结果表明，较高的柱头与较低的造口接受度有关，较少制定个人价值观，和更高的社会隔离，以及具有永久性气孔的CRC幸存者的客观社会联系和主观社会归属感较低。此外,中介分析显示，气孔接受和有价值的行动共同介导了污名和社会孤立之间的关系。
结论：在调整造口和病耻感的过程中，CRC幸存者之间的社会隔离可以通过量身定制的干预措施来减轻，这些干预措施可以提高造口的接受度和有价值的行动。
结论：气孔接受和有价值的行动的链条中介作用突出表明，量身定制的干预措施，如接受和承诺疗法，可以针对这些人群，考虑到这个群体的独特需求。
方法：对303例有永久性气孔的CRC幸存者进行横断面调查。链调解模型是使用SPSS的PROCESS宏进行的，以探索污名与CRC幸存者社会隔离相关的途径。由气孔接受和有价值的行动介导。
结果：结果表明，较高的柱头与较低的造口接受度有关，较少制定个人价值观，和更高的社会隔离，以及具有永久性气孔的CRC幸存者的客观社会联系和主观社会归属感较低。此外,中介分析显示，气孔接受和有价值的行动共同介导了污名和社会孤立之间的关系。
结论：在调整造口和病耻感的过程中，CRC幸存者之间的社会隔离可以通过量身定制的干预措施来减轻，这些干预措施可以提高造口的接受度和有价值的行动。
结论：气孔接受和有价值的行动的链条中介作用突出表明，量身定制的干预措施，如接受和承诺疗法，可以针对这些人群，考虑到这个群体的独特需求。
