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KMID : 0388320090160040506
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Journal of Korean Academy of Fundamental Nursing
2009 Volume.16 No. 4 p.506 ~ p.514
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Psychosocial Adaptation and Related Factors in Patients with a Permanent Colostomy
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Cha Bo-Kyoung
Baek Eun-Seon
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Abstract
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Purpose: This study was conducted to define factors influencing psychosocial adaptation of patients with a permanent colostomy. Independent variables including perceived stress, stoma care self-efficacy, self-care behavior, self-esteem and family support were used to predict psychosocial adaptation.
Method: The data was analyzed using the SPSS pc program window version 12.0 for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Ninety patients with a permanent colostomy were recruited between September 2007 and May 2008. The reliability of the instruments was tested with Cronbach’s alpha which ranged from .78 to .92.
Result: The results were as follows: The mean psychosocial adaptation score was 3.05. There were significant correlations between all the predictive variables and psychosocial adaptation (r= .63～ -.43, p<.001). Stepwise multiple regression analysis showed that self-esteem (40%), stoma care self-efficacy (7%), perceived stress (2%), and self-care behavior (2%) accounted for 51% of the variance in psychosocial adaptation.
Conclusion: These findings indicate that to improve psychosocial adaptation of patients with permanent colostomy, the major related factors identified in this study should be considered.
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KEYWORD
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Colostomy, Adaptation
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