Original Article
The correlation of psychosocial adjustment with self-efficacy and it's influencing factors in patients with stoma
Qingqing Wang, Xiaorong Huo, Ling Wu, Lifang Yang, Juyun Li, Jing Zhao, Jie Wang
Published 2018-03-26
Cite as Chin J Mod Nurs, 2018, 24(9): 1017-1021. DOI: 10.3760/cma.j.issn.1674-2907.2018.09.007
Abstract
ObjectiveTo investigate the status quo of social-psychological adjustment and self-efficacy in patients after ostomy and to analyze the correlation between them as well as the influencing factors of social-psychological adjustment.
MethodsTotally 148 patients who received ostomy from 5 Class Ⅲ Grade A hospitals in Nanjing between March and July 2016 were selected by convenient sampling. The Chinese version of Ostomates' Adjustment Inventory, Self-Efficacy Questionnaire for Stoma and the Self-Designed General Information Questionnaire were used to investigate the patients. The Pearson correlation analysis was used to analyze the relationship between the level of social-psychological adjustment and self-efficacy, single factor analysis and the multivariate stepwise regression analysis were used to analyze the factors influencing the level of social-psychological adjustment.
ResultsThe level of social-psychological adjustment in patients with stoma was (44.86±9.69) , with only 6.8% of the patients being highly adaptive. The self-efficacy was (66.36±17.29) and only 1.4% of the patients showed high efficacy. There was a positive correlation between them (r=0.797, P<0.01) . The multivariate stepwise linear regression analysis showed that self-efficacy, stoma complications, sex and stoma types were the influencing factors of social-psychological adjustment (β'=0.740, -0.177, 0.100, -0.128; P<0.05) .
ConclusionsThe patients after ostomy need to improve their social-psychological adjustment. Women and patients with stoma complications should gain more attention. Their self-efficacy may be improved with targeted intervention and follow-up instruction which can help them get adapted to stoma and return to theiry home and community as soon as possible.
Key words:
Psychology, social; Adjustment; Self-efficacy; Stoma; Influencing factors
Contributor Information
Qingqing Wang
School of Nursing, Nanjing Medical University, Nanjing 211166, China
Xiaorong Huo
Jiangsu Provincial Nursing Association, Nanjing 210008, China
Ling Wu
Wound Care Center, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
Lifang Yang
Stoma Clinic, Jiangsu Provincial Tumor Hospital, Nanjing 210000, China
Juyun Li
Department of Gastroenterology and Surgical Oncology, Jiangsu Province Hospital of TCM, Nanjing 210029, China
Jing Zhao
Outpatient Treatment Room, Jiangsu Province Hospital, Nanjing 210029, China
Jie Wang
School of Nursing, Nanjing Medical University, Nanjing 211166, China
