Systematic review and meta-analysis of the influencing factors of stigma in patients with stoma
10.3760/cma.j.cn115682-20220809-03864
- VernacularTitle:造口患者病耻感影响因素的系统评价及Meta分析
- Author:
Xihua WANG
1
;
Yue CHENG
;
Min LI
;
Shuli GUO
;
Yi XIAO
Author Information
1. 中国医学科学院北京协和医院基本外科，北京 100730
- Keywords:
Stomy;
Stigma;
Influencing factors;
Systematic review
- From:
Chinese Journal of Modern Nursing
2023;29(11):1461-1467
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically analyze the influencing factors of stigma in patients with stoma, so as to provide evidence-based basis for clinical formulation of effective interventions.Methods:We systematically searched Chinese and English databases such as China National Knowledge Infrastructure (CNKI), Chinese Citation Database, WanFang Data, VIP, SinoMed, PubMed, Web of Science, Cochrane Library, Embase, and carried out manual search. The retrieval time limit was from the establishment of the database to June 1, 2022. RevMan5.3 software was used to conduct meta-analysis of data.Results:A total of 17 articles including 2 900 patients were included. Meta-analysis showed that age [ OR=0.51, 95% CI (0.28, 0.92) ], residence [ OR=3.08, 95% CI (1.87, 5.06) ], stoma leakage frequency [ OR=5.81, 95% CI (3.53, 9.55) ], self-care [ OR=0.60, 95% CI (0.41, 0.90) ], stoma acceptance [ OR=0.12, 95% CI (0.07, 0.22) ], communication with medical and nursing staff [ OR=0.33, 95% CI (0.20, 0.55) ], participation in stoma activities [ OR=0.25, 95% CI (0.10, 0.63) ], stoma type [ OR=4.04, 95% CI (2.33, 7.02) ], spouse's acceptance of stoma [ OR=0.19, 95% CI (0.06, 0.58) ], nursing privacy [ OR=0.13, 95% CI (0.05, 0.32) ], family relationship [ OR=0.09, 95% CI (0.04, 0.19) ], faecal leakage [ OR=8.20, 95% CI (4.60, 14.63) ], self-concealment [ OR=0.81, 95% CI (0.76, 0.85) ], yield [ OR=0.57, 95% CI (0.27, 0.77) ], dependence on professionals and relatives [ OR=0.26, 95% CI (0.14, 0.39) ], depression [ OR=0.65, 95% CI (0.52, 0.75) ], self-esteem [ OR=0.44, 95% CI (0.37, 0.51) ], social support [ OR=-0.63, 95% CI (-0.67, -0.59) ], confrontation [ OR=-0.46, 95% CI (-0.66, -0.22) ], self-efficacy [ OR=-0.57, 95% CI (-0.71, -0.39) ]were the influencing factors of stigma in patients with stoma ( P<0.05). In contrast, gender, education, average monthly household income, stoma complications, degree of impact on sexual life, whether body image has changed, acceptance of stoma by family members other than spouse, and avoidance had no effect on the level of stigma of stoma patients, and the differences were not statistically significant ( P>0.05) . Conclusions:There are many factors influencing the stigma of patients with stoma. Medical and nursing staff should identify high-risk groups as early as possible according to the influencing factors, and formulate targeted interventions to reduce the stigma of patients with stoma.
