Impact of Social Determinants of Health on Postoperative Health-Related Quality of Life Among Patients Undergoing Colorectal Cancer Surgery
Objective: This study aimed to investigate the predictive effects of social determinants of health—specifically financial status, neighborhood environment, body mass index, anxiety, and family support—on the health-related quality of life (HRQoL) among patients undergoing colorectal cancer (CRC) su...
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Faculty of Medicine Siriraj Hospital
2025-05-01
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| Series: | Siriraj Medical Journal |
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| Online Access: | https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/272984 |
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| author | Tanaporn Thongdeebut Suporn Danaidutsadeekul Warunee Phligbua Varut Lohsiriwat |
| author_facet | Tanaporn Thongdeebut Suporn Danaidutsadeekul Warunee Phligbua Varut Lohsiriwat |
| author_sort | Tanaporn Thongdeebut |
| collection | DOAJ |
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Objective: This study aimed to investigate the predictive effects of social determinants of health—specifically financial status, neighborhood environment, body mass index, anxiety, and family support—on the health-related quality of life (HRQoL) among patients undergoing colorectal cancer (CRC) surgery.
Materials and Methods: A cross-sectional study was conducted with patients who underwent elective colorectal surgery and were in the postoperative period of one month in a super-tertiary hospital in Thailand. Data were collected using questionnaires and analyzed with descriptive statistics, one-way ANOVA, Pearson correlation, and multiple regression analysis.
Results: A total of 130 patients were enrolled, with 71 patients (54.6%) having fewer complications. Patients who have undergone CRC surgery had an average HRQoL score of 111.9 ± 11.9. Notably, the HRQoL after surgery was higher than before, reflecting an increase of 78.5%. The significant predictive factors of HRQoL were financial status (β = 0.56, p < 0.001), followed by anxiety (β = –0.172, p = 0.011), body mass index (β = 0.171, p = 0.008), and family support (β = 0.15, p = 0.022).
Conclusion: Nurses should develop practice guidelines to promote HRQoL in postoperative CRC patients after discharge by screening financial status, body mass index, anxiety, and family support. These guidelines should serve as a framework for planning ongoing care for patients and their families once they return home, ensuring that their physical, emotional, and social needs are effectively addressed during their recovery process.
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| format | Article |
| id | doaj-art-b1cb30a236ec4e7096cf9c45f2647f11 |
| institution | Kabale University |
| issn | 2228-8082 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Faculty of Medicine Siriraj Hospital |
| record_format | Article |
| series | Siriraj Medical Journal |
| spelling | doaj-art-b1cb30a236ec4e7096cf9c45f2647f112025-08-20T03:28:53ZengFaculty of Medicine Siriraj HospitalSiriraj Medical Journal2228-80822025-05-01775Impact of Social Determinants of Health on Postoperative Health-Related Quality of Life Among Patients Undergoing Colorectal Cancer SurgeryTanaporn Thongdeebut0Suporn Danaidutsadeekul1Warunee Phligbua2Varut Lohsiriwat3Faculty of Nursing, Mahidol University, Bangkok 10700, ThailandDepartment of Surgical Nursing, Faculty of Nursing, Mahidol University, Bangkok 10700, ThailandDepartment of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok 10700, ThailandDepartment of Surgical, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand Objective: This study aimed to investigate the predictive effects of social determinants of health—specifically financial status, neighborhood environment, body mass index, anxiety, and family support—on the health-related quality of life (HRQoL) among patients undergoing colorectal cancer (CRC) surgery. Materials and Methods: A cross-sectional study was conducted with patients who underwent elective colorectal surgery and were in the postoperative period of one month in a super-tertiary hospital in Thailand. Data were collected using questionnaires and analyzed with descriptive statistics, one-way ANOVA, Pearson correlation, and multiple regression analysis. Results: A total of 130 patients were enrolled, with 71 patients (54.6%) having fewer complications. Patients who have undergone CRC surgery had an average HRQoL score of 111.9 ± 11.9. Notably, the HRQoL after surgery was higher than before, reflecting an increase of 78.5%. The significant predictive factors of HRQoL were financial status (β = 0.56, p < 0.001), followed by anxiety (β = –0.172, p = 0.011), body mass index (β = 0.171, p = 0.008), and family support (β = 0.15, p = 0.022). Conclusion: Nurses should develop practice guidelines to promote HRQoL in postoperative CRC patients after discharge by screening financial status, body mass index, anxiety, and family support. These guidelines should serve as a framework for planning ongoing care for patients and their families once they return home, ensuring that their physical, emotional, and social needs are effectively addressed during their recovery process. https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/272984Quality of lifesocial determinants of healthfinancial statusbody mass indexanxietyfamily support |
| spellingShingle | Tanaporn Thongdeebut Suporn Danaidutsadeekul Warunee Phligbua Varut Lohsiriwat Impact of Social Determinants of Health on Postoperative Health-Related Quality of Life Among Patients Undergoing Colorectal Cancer Surgery Siriraj Medical Journal Quality of life social determinants of health financial status body mass index anxiety family support |
| title | Impact of Social Determinants of Health on Postoperative Health-Related Quality of Life Among Patients Undergoing Colorectal Cancer Surgery |
| title_full | Impact of Social Determinants of Health on Postoperative Health-Related Quality of Life Among Patients Undergoing Colorectal Cancer Surgery |
| title_fullStr | Impact of Social Determinants of Health on Postoperative Health-Related Quality of Life Among Patients Undergoing Colorectal Cancer Surgery |
| title_full_unstemmed | Impact of Social Determinants of Health on Postoperative Health-Related Quality of Life Among Patients Undergoing Colorectal Cancer Surgery |
| title_short | Impact of Social Determinants of Health on Postoperative Health-Related Quality of Life Among Patients Undergoing Colorectal Cancer Surgery |
| title_sort | impact of social determinants of health on postoperative health related quality of life among patients undergoing colorectal cancer surgery |
| topic | Quality of life social determinants of health financial status body mass index anxiety family support |
| url | https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/272984 |
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