{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:52:27Z","timestamp":1786121547020,"version":"build-2736575974"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"\n Introduction<\/jats:title>\n The early postoperative period after intestinal stoma surgery involves psychosocial adaptation for older adults. Self-efficacy is related to stoma care, social participation, and daily self-management. Social support includes objective support, subjective support, and support utilization. The cross-sectional association between these dimensions and self-efficacy remains insufficiently described in older adults early after intestinal stoma surgery.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This single-center cross-sectional study recruited 162 consecutively sampled older patients (\u226560\u202fyears) at 1\u20133\u202fmonths after their first intestinal stoma surgery. The Social Support Rating Scale (SSRS) assessed total social support, objective support, subjective support, and support utilization. The Stoma Self-Efficacy Scale (SSES) assessed total self-efficacy, stoma care self-efficacy, and social self-efficacy. Pearson correlation analyses were corrected using the Benjamini-Hochberg false discovery rate (FDR) procedure across 36 tests. Multiple linear regression models used available covariates. Residual diagnostics, HC3 robust standard errors, and formal interaction tests were performed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Total social support was not correlated with total self-efficacy after FDR correction (\n r<\/jats:italic>\n \u202f=\u202f0.095,\n p<\/jats:italic>\n \u202f=\u202f0.227,\n q<\/jats:italic>\n \u202f=\u202f0.584). Subjective support was positively correlated with total self-efficacy (\n r<\/jats:italic>\n \u202f=\u202f0.316,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001,\n q<\/jats:italic>\n \u202f=\u202f0.002) and social self-efficacy (\n r<\/jats:italic>\n \u202f=\u202f0.255,\n p<\/jats:italic>\n \u202f=\u202f0.001,\n q<\/jats:italic>\n \u202f=\u202f0.019). In available-covariate regression models, subjective support was associated with SSES-based total self-efficacy (\n B<\/jats:italic>\n \u202f=\u202f1.790,\n \u03b2<\/jats:italic>\n \u202f=\u202f0.438,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001), stoma care self-efficacy (\n B<\/jats:italic>\n \u202f=\u202f0.819,\n \u03b2<\/jats:italic>\n \u202f=\u202f0.281,\n p<\/jats:italic>\n \u202f=\u202f0.001), and social self-efficacy (\n B<\/jats:italic>\n \u202f=\u202f0.658,\n \u03b2<\/jats:italic>\n \u202f=\u202f0.329,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). The corresponding\n R<\/jats:italic>\n 2<\/jats:sup>\n values were 0.159, 0.069, and 0.095; these SSES-based results were interpreted as exploratory because of the scale\u2019s limited internal consistency in this cohort.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Subjective support was associated with SSES-based self-efficacy scores in older adults early after intestinal stoma surgery. Given the limited internal consistency of the SSES in this cohort, these findings should be interpreted cautiously as exploratory associations rather than definitive evidence.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1850651","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T05:28:43Z","timestamp":1786080523000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived subjective support is associated with self-efficacy in older adults early after intestinal stoma surgery: a cross-sectional study with FDR correction"],"prefix":"10.3389","volume":"17","author":[{"given":"Lijiao","family":"Wei","sequence":"first","affiliation":[{"name":"Department of Surgery, The First Affiliated Hospital of Guangxi Medical University","place":["Nanning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery, The First Affiliated Hospital of Guangxi Medical University","place":["Nanning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Surgery, The First Affiliated Hospital of Guangxi Medical University","place":["Nanning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Surgery, The First Affiliated Hospital of Guangxi Medical University","place":["Nanning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xijie","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Surgery, The First Affiliated Hospital of Guangxi Medical University","place":["Nanning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruili","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Surgery, The First Affiliated Hospital of Guangxi Medical University","place":["Nanning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunhong","family":"Lu","sequence":"additional","affiliation":[{"name":"School of Nursing, Guangxi Medical University","place":["Nanning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e14117","DOI":"10.1111\/jep.14117","article-title":"Relationship between perceived social support and stoma self-efficacy in permanent colostomy patients: a correlational study","volume":"31","author":"Aker","year":"2025","journal-title":"J. Eval. Clin. Pract."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1097\/00006842-199603000-00013","article-title":"Prospective evaluation of psychosocial adaptation to stoma surgery: the role of self-efficacy","volume":"58","author":"Bekkers","year":"1996","journal-title":"Psychosom. Med."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.jtv.2024.04.006","article-title":"Nursing interventions for the self-efficacy of ostomy patients: a systematic review","volume":"33","author":"Bozkul","year":"2024","journal-title":"J. Tissue Viability"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J. Clin."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1097\/ASW.0000000000000150","article-title":"Lived experiences of patients after colorectal Cancer and permanent colostomy: a parallel-design mixed-methods study","volume":"37","author":"Duluklu","year":"2024","journal-title":"Adv. Skin Wound Care"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e70264","DOI":"10.1111\/codi.70264","article-title":"'And don't say everything will be normal!': an international cross-sectional survey on the patients' unmet sexual wellbeing needs after ostomy formation","volume":"27","author":"Fourie","year":"2025","journal-title":"Color. Dis."},{"key":"ref7","first-page":"3084","article-title":"The effect of online training-based continuous nursing care for rectal cancer-patients undergoing permanent colostomy","volume":"13","author":"Huang","year":"2021","journal-title":"Am. J. Transl. Res."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e12840","DOI":"10.1111\/ijn.12840","article-title":"The validity and reliability of the stoma self-efficacy scale: a methodological study","volume":"26","author":"Karacay","year":"2020","journal-title":"Int. J. Nurs. Pract."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"4244","DOI":"10.1111\/iwj.14326","article-title":"A randomized control study: the effectiveness of multimedia education on self-care and quality of life in patients with enterostomy","volume":"20","author":"Ko","year":"2023","journal-title":"Int. Wound J."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"375","DOI":"10.3390\/ijerph22030375","article-title":"Quality of life and its determinants in older adults with intestinal stomas: a cross-sectional study","volume":"22","author":"Leite Junior","year":"2025","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1686","DOI":"10.1111\/jocn.70168","article-title":"Validity and reliability of the stoma self-efficacy scale in patients with intestinal stoma: a descriptive, cross-sectional and validation study","volume":"35","author":"Machalkova","year":"2025","journal-title":"J. Clin. Nurs."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e14456","DOI":"10.1111\/iwj.14456","article-title":"Changes in the quality of life of adults with an ostomy during the first year after surgery as part of the best practice spotlight organisation programme","volume":"21","author":"Martin-Gil","year":"2024","journal-title":"Int. Wound J."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1136\/gutjnl-2022-327736","article-title":"Global burden of colorectal cancer in 2020 and 2040: incidence and mortality estimates from GLOBOCAN","volume":"72","author":"Morgan","year":"2023","journal-title":"Gut"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1007\/s00520-023-07702-w","article-title":"The effect of self-efficacy levels of patients with intestinal stoma on stoma adaptation","volume":"31","author":"Ozden","year":"2023","journal-title":"Support Care Cancer"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1097\/ASW.0000000000000098","article-title":"The effect of education via videoconferencing at home on individuals' self-efficacy and adaptation to life with a stoma: a randomized controlled study","volume":"37","author":"Ozkaya","year":"2024","journal-title":"Adv. Skin Wound Care"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e70249","DOI":"10.1002\/pon.70249","article-title":"The impact of an ostomy on body image and sexual function of patients with colorectal Cancer: a systematic review and Meta-analysis","volume":"34","author":"Redeker","year":"2025","journal-title":"Psychooncology"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"e087959","DOI":"10.1136\/bmjopen-2024-087959","article-title":"Living with a permanent ostomy: a descriptive phenomenological study on postsurgical experiences in patients with colorectal cancer","volume":"14","author":"Tan","year":"2024","journal-title":"BMJ Open"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"2893","DOI":"10.3748\/wjg.v30.i22.2893","article-title":"Qualitative exploration of home life experiences and care needs among elderly patients with temporary intestinal stomas","volume":"30","author":"Wang","year":"2024","journal-title":"World J. Gastroenterol."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1630719","DOI":"10.3389\/fpubh.2025.1630719","article-title":"Social support and its associated factors among older adult patients with intestinal stomas: a cross-sectional study in Guangxi, China","volume":"13","author":"Wei","year":"2025","journal-title":"Front. Public Health"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1007\/s00520-024-08883-8","article-title":"Effect of self-efficacy on self-management ability for colorectal cancer patients with stoma: a path analysis","volume":"32","author":"Xu","year":"2024","journal-title":"Support Care Cancer"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"2477","DOI":"10.3969\/j.issn.1006-2238.2024.12.035","article-title":"Reliability and validity analysis of the social support rating scale","volume":"59","author":"Zhang","year":"2024","journal-title":"Jiangxi Med. 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