A study on the self-efficacy of permanent colostomy patients at different stages

Abstract

Objective The survey aimed to investigate the self-efficacy of permanent colostomy patients at different stages, and explore its impact factors. Methods A total of 267 cases of permanent colostomy patients at different stages (postoperative hospital stay, postoperative chemotherapy and home rehabilitation), coming from many domestic top three hospitals were investigated using the general information questionnaire, C-COH, the Stoma Self-Efficacy Scale, and Perceived Social Support Scale (PSSS). Results The total score of self-efficacy of 267 colostomy patients was (75.97±23.92), ranked in the middle level, and it showed a rising tendency at postoperative hospitalization, postoperative chemotherapy and home rehabilitation. The influencing factors of self-efficacy of the patients at postoperative hospitalization included psychological well-being, BMI and age the regression coefficients were 7.126, 1.512 and -0.281. the influencing factors of self-efficacy of the patients at postoperative chemotherapy included psychological well-being, age, the proportion of medical insurance, living state and caregiver, the regression coefficients were 5.182, -0.726, 0.238, 7.993 and 6.083; the influencing factors of self-efficacy of the patients at home rehabilitation included spiritual well-being, social support, self-care degree, gender and the monthly cost of ostomy supplies, the regression coefficients were 7.215, -7.820, -9.616 and -4.762. Conclusions The influencing factors of self-efficacy of permanent colostomy patients at different stages was different, the medical staff should assess and screen the high-risk factors of self-efficacy positively, according to the individual circumstance and stage, to formulate the individualized intervention measures, so as to enhance the patients' self-confidence to deal with and manage the disease, thereby increasing the level of self-efficacy. Key words: Colostomy; Questionnaire survey; Self-efficacy