The correlation of psychosocial adjustment with self-efficacy and it's influencing factors in patients with stoma

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. Key words: Psychology, social; Adjustment; Self-efficacy; Stoma; Influencing factors