The correlation of psychosocial adjustment with self-efficacy and it's influencing factors in patients with stoma
10.3760/cma.j.issn.1674-2907.2018.09.007
- VernacularTitle:造口患者社会心理适应水平与自我效能的关系及影响因素研究
- Author:
Qingqing WANG
1
;
Xiaorong HUO
;
Ling WU
;
Lifang YANG
;
Juyun LI
;
Jing ZHAO
;
Jie WANG
Author Information
1. 211166,南京医科大学护理学院
- Keywords:
Psychology;
social;
Adjustment;
Self-efficacy;
Stoma;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2018;24(9):1017-1021
- CountryChina
- Language:Chinese
-
Abstract:
Objective To 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. Methods Totally 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. Results The 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). Conclusions The 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.
