The relationship between psychosocial behavior reaction,psychosocial needs,anxiety and depression among colostomy patients prior to discharge

Abstract

Objective To study the psychosocial behavior reaction, psychosocial needs, anxiety and depression among colostomy patients prior to discharge and to explore the relationship between them. Methods Totally 67 colostomy patients from 2 hospitals in Guangzhou were recruited and investigated by demographic questionnaire, Ostomy Psychosocial Behavior Reaction Questionnaire, Ostomy Psychosocial Needs Questionnaire, Hospital Anxiety and Depression Scale 1-2 days prior to discharge. Results The psychosocial behavior reaction among colostomy patients was in the moderate level with the mean score 2.15±0.27. The psychosocial needs were in medium to high level with the mean score 2.09±0.41. About 37.3% of colostomy patients showed anxiety, while 20.9% patients showed depression. Significant positive correlation was shown between psychosocial behavior reaction and psychosocial needs(r=0.565, P<0.01), while significant positive correlation was also shown between psychosocial behavior reaction and anxiety-depression(r=-0.472, -0.319, P<0.01). Psychosocial needs and anxiety could predict psychosocial behavior reaction positively(β=0.486, -0.375, P<0.01). Conclusion The positive acknowledgement and reconstruction are the main psychosocial behavior reactions prior to discharge in colostomy patients. Patients with more psychosocial needs, severe anxiety show more psychosocial behavior reaction. Key words: Colostomy; Psychosocial behavior reaction; Psychosocial needs; Anxiety; Depression