J Korean Acad Fundam Nurs.  2009 Nov;16(4):506-514.

Psychosocial Adaptation and Related Factors in Patients with a Permanent Colostomy

Affiliations
  • 1Department of Nursing, Hanseo University, Korea. bkcha@hanseo.ac.kr
  • 2Wound Ostomy Continence Nurse, Korea University Medical Center, Ansan Hospital, Korea.

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.

Keyword

Colostomy; Adaptation

MeSH Terms

Colostomy
Humans
Self Care
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