Effect of narrative nursing on improving stigma, stoma adaptation and quality of life in patients with permanent enterostomy
10.3760/cma.j.cn115682-20240105-00106
- VernacularTitle:叙事护理改善永久性肠造口患者病耻感、造口适应及生活质量的效果
- Author:
Jie LI
1
;
Xiaoshuang WANG
;
Qiuju LI
;
Yajuan LI
;
Qingwei WANG
;
Jun GUO
;
Ruiying MA
Author Information
1. 北京市房山区良乡医院普外科，北京 102488
- Publication Type:Journal Article
- Keywords:
Narrative therapy;
Permanent enterostomy;
Stigma;
Stoma adaptation;
Quality of life
- From:
Chinese Journal of Modern Nursing
2024;30(35):4889-4895
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of narrative nursing on stigma, stoma adaptation and quality of life in patients with permanent enterostomy.Methods:Using convenience sampling, 56 patients with permanent enterostomy admitted to Liangxiang Hospital of Fangshan District, Beijing, from January to June 2021 were selected and randomly divided into an observation group ( n=28) and a control group ( n=28). The control group received routine nursing care, while the observation group was provided with narrative nursing based on routine care. Before and after the four-week intervention, the two groups were compared using the Social Impact Scale, Ostomy Adjustment Inventory-20, Stoma Quality of Life to evaluate stigma, stoma adaptation, and quality of life. Results:After the intervention, the stigma scores of both groups decreased compared to before, with the observation group scoring lower than the control group, a difference that was statistically significant ( t=2.260, P<0.05). Additionally, the scores for stoma adaptation and quality of life increased in both groups after the intervention, with the observation group scoring significantly higher than the control group ( t=-2.138, -2.358, all P<0.05) . Conclusions:Narrative nursing can reduce stigma, improve stoma adaptation, and enhance the quality of life in patients with permanent enterostomy, making it a valuable model for enterostomy care.
