Psychosocial Adaptation and Related Factors in Patients with a Permanent Colostomy.
- Author:
Bo Kyoung CHA
1
;
Eun Seon BAEK
Author Information
1. Department of Nursing, Hanseo University, Korea. bkcha@hanseo.ac.kr
- Publication Type:Original Article
- Keywords:
Colostomy;
Adaptation
- MeSH:
Colostomy;
Humans;
Self Care
- From:Journal of Korean Academy of Fundamental Nursing
2009;16(4):506-514
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was conducted to define factors influencing psychosocial adaptation of patients with a permanent colostomy. Independent variables including perceived stress, stoma care self-efficacy, self-care behavior, self-esteem and family support were used to predict psychosocial adaptation. METHOD: The data was analyzed using the SPSS pc program window version 12.0 for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Ninety patients with a permanent colostomy were recruited between September 2007 and May 2008. The reliability of the instruments was tested with Cronbach's alpha which ranged from .78 to .92. RESULT: The results were as follows: The mean psychosocial adaptation score was 3.05. There were significant correlations between all the predictive variables and psychosocial adaptation (r= .63~ -.43, p<.001). Stepwise multiple regression analysis showed that self-esteem (40%), stoma care self-efficacy (7%), perceived stress (2%), and self-care behavior (2%) accounted for 51% of the variance in psychosocial adaptation. CONCLUSION: These findings indicate that to improve psychosocial adaptation of patients with permanent colostomy, the major related factors identified in this study should be considered.
