Ailing Hu1, Yunfeng Pan, Meifen Zhang, June Zhang, Meichun Zheng, Manrong Huang, Xinmei Ye, Xianrong Wu. 1. Ailing Hu, MSc, ET, Professor of Nursing, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. Yunfeng Pan, PhD, Professor, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. Meifen Zhang, MSc, Professor, School of Nursing, Sun Yat-sen University, Guangzhou, People's Republic of China. June Zhang, PhD, Vice Professor, School of Nursing, Sun Yat-sen University, Guangzhou, People's Republic of China. Meichun Zheng, ET, Professor of Nursing, The Tumor Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. Manrong Huang, ET, Vice Professor of Nursing, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. Xinmei Ye, ET, Vice Professor of Nursing, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. Xianrong Wu, ET, Vice Professor of Nursing, The Second Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Abstract
PURPOSE: We evaluated persons living with a colostomy in order to characterize and describe relationships among adjustment, self-care ability, and social support. SUBJECTS AND SETTING: One hundred twenty-nine colostomy patients from 5 hospitals in Guangzhou, capital city of the Guangdong province, were recruited by convenience sampling. INSTRUMENTS: Cross-sectional data were collected from a survey that included demographic and pertinent clinical data related to their ostomy. The survey also incorporated Chinese language versions of the Ostomy Adjustment Scale, Exercise of Self-Care Agency Scale, and Perceived Social Support Scale. These scales were used to measure the levels and degrees of adjustment, self-care ability, and social support of colostomy patients. METHODS: Respondents completed the survey during outpatient clinics visit after creation of a colostomy. RESULTS: Scores from the Ostomy Adjustment Scale revealed that 96.9% of colostomy patients reported low to moderate adjustment (128.6 ± 19.38) to their stoma. Self-care ability and social support of patients were positively correlated with the adjustment level (R = 0.33, R = 0.21). Several factors, including being a housewife, paying medical expense by oneself, inability to manage the ostomy without assistance, and not participating in an ostomy support group, were associated with a lower level of adjustment (P < .05). Worries about odor and antipathy toward the ostomy significantly contributed to lower levels of adjustment to the stoma (P < .01). CONCLUSION: Overall adjustment to a colostomy was moderate. Self-care ability and social support associated with having a colostomy positively influenced adjustment. Adjustment was also influenced by occupation, health insurance provider, and ability to care for the stoma without requiring assistance.
PURPOSE: We evaluated persons living with a colostomy in order to characterize and describe relationships among adjustment, self-care ability, and social support. SUBJECTS AND SETTING: One hundred twenty-nine colostomy patients from 5 hospitals in Guangzhou, capital city of the Guangdong province, were recruited by convenience sampling. INSTRUMENTS: Cross-sectional data were collected from a survey that included demographic and pertinent clinical data related to their ostomy. The survey also incorporated Chinese language versions of the Ostomy Adjustment Scale, Exercise of Self-Care Agency Scale, and Perceived Social Support Scale. These scales were used to measure the levels and degrees of adjustment, self-care ability, and social support of colostomy patients. METHODS: Respondents completed the survey during outpatient clinics visit after creation of a colostomy. RESULTS: Scores from the Ostomy Adjustment Scale revealed that 96.9% of colostomy patients reported low to moderate adjustment (128.6 ± 19.38) to their stoma. Self-care ability and social support of patients were positively correlated with the adjustment level (R = 0.33, R = 0.21). Several factors, including being a housewife, paying medical expense by oneself, inability to manage the ostomy without assistance, and not participating in an ostomy support group, were associated with a lower level of adjustment (P < .05). Worries about odor and antipathy toward the ostomy significantly contributed to lower levels of adjustment to the stoma (P < .01). CONCLUSION: Overall adjustment to a colostomy was moderate. Self-care ability and social support associated with having a colostomy positively influenced adjustment. Adjustment was also influenced by occupation, health insurance provider, and ability to care for the stoma without requiring assistance.
Authors: Rami A Elshatarat; Inas A Ebeid; Khadega A Elhenawy; Zyad T Saleh; Ahmad H Abu Raddaha; Mohammed S Aljohani Journal: J Res Nurs Date: 2020-09-23
Authors: Natália Michelato Silva; Manoel Antônio Dos Santos; Sara Rodrigues Rosado; Cristina Maria Galvão; Helena Megumi Sonobe Journal: Rev Lat Am Enfermagem Date: 2017-12-11