Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Psychosocial Adaptation and Related Factors in Patients with a Permanent Colostomy

영구적 결장루 보유자의 심리사회적 적응과 관련 요인에 관한 연구

  • Cha, Bo-Kyoung (Department of Nursing, Hanseo University) ;
  • Baek, Eun-Seon (Wound Ostomy Continence Nurse, Korea University Medical Center, Ansan Hospital)
  • 차보경 (한서대학교 간호학과) ;
  • 백은석 (고려대학교 안산병원 상처장루)
  • Received : 2009.10.05
  • Accepted : 2009.11.03
  • Published : 2009.11.30
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Abstract

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.

Keywords

References

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