Relationship between self-disclosure and demoralization syndrome in patients with permanent enterostomy for colorectal cancer
10.3760/cma.j.cn115682-20230808-00420
- VernacularTitle:结直肠癌永久性肠造口患者自我表露与失志综合征的关系研究
- Author:
Meng LIU
1
;
Mengfei LI
;
Shuyun WANG
;
Fuguo YANG
;
Dexin CHEN
;
Jingzhe LIU
Author Information
1. 青岛大学护理学院，青岛 266000
- Keywords:
Colorectal neoplasms;
Permanent enterostomy;
Self-disclosure;
Social support;
Demoralization syndrome
- From:
Chinese Journal of Modern Nursing
2024;30(15):2055-2060
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of self-disclosure on demoralization syndrome in patients with permanent enterostomy for colorectal cancer, so as to provide reference for clinical nursing interventions for those patients.Methods:From January to May 2023, convenience sampling was used to select 207 patients with permanent enterostomy for colocrctal cancer of the Wound Ostomy Clinic of Laoshan Campus of the Affiliated Hospital of Qingdao University as the research subjects. A survey was conducted on patients using the General Information Questionnaire, Distress Disclosure Index, Social Support Rating Scale, and the Demoralization Scale Mandarin Version.Results:Among 207 patients with permanent enterostomy for colorectal cancer, the scores of self-disclosure, social support, and demoralization syndrome were 35.00 (26.00, 47.00) , 32.00 (26.00, 39.00) , and 35.00 (23.00, 47.00) , respectively. A total of 128 patients (61.8%) were in moderate demoralization, and 37 patients (17.9%) were in severe demoralization. Multiple linear regression analysis showed that place of residence, self-care of stoma, self-disclosure, and social support were the influencing factors for demoralization syndrome in patients with permanent enterostomy for colorectal cancer ( P<0.05) . Conclusions:Patients with permanent enterostomy for colorectal cancer have a high overall score of demoralization syndrome, and a high proportion of patients with moderate to severe demoralization. Medical and nursing staff should focus on patients in remote rural areas and those with poor self-care abilities to stomas, develop targeted intervention measures to improve patients' negative emotions, enhance their self-disclosure, and pay attention to strengthening social support to relieve their demoralization syndrome, thereby improving their quality of life.
