Effect of group self-affirmation training on stigma in rectal cancer patients with colostomy

Abstract

Objective To explore the intervention effects of the group self-affirmation training on the stigma in the rectal cancer patients with colostomy. Methods By convenience sampling, 89 rectal cancer patients with colostomy in Yancheng Third People's Hospital from April 2017 to April 2018 were selected and divided into the experimental group (n=45) and control group based on the random number table (n=44) .The experimental group received group self-affirmation training on the basis of the conventional nursing care while the control group received the conventional nursing care. The self-designed General Information Questionnaire, Social Impact Scale (SIS) , Self-Esteem Scale (SES) were used to evaluate the stigma and level of self-esteem before and after intervention. Results Before intervention, the two groups had no statistical difference in the scores of stigma (t=-0.323, P=0.747) and level of self-esteem (t=-0.270, P=0.788) ; after intervention the experimental group had lower scores than the control group in stigma (t=-3.008, P<0.01) and higher scores than the control group in self-esteem (t=4.033, P<0.01) with statistical significance. Conclusions Group self-affirmation training can reduce the stigma of rectal cancer patients with colostomy and improve their self-esteem. Key words: Rectal neoplasms; Colostomy; Stigma; Group self-affirmation training; Self-esteem; Social influence