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Relationship between psychosocial adaptation and health‐related quality of life of patients with stoma: A descriptive, cross‐sectional study

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  • Yu Zhang
  • Hongtao Xian
  • Yang Yang
  • Xiaoxue Zhang
  • Xinran Wang

Abstract

Objective To investigate the relationship between psychosocial adaptation and quality of life of patients with ostomies and to provide reference data for clinical care practice. Background Surgical enterostomy impacts the life of patient. Most patients are transferred to home or community hospital after discharge and require long‐term nursing care. These patients typically face problems with physical, psychological and social adaptation. Design Descriptive, cross‐sectional study. Methods Between March 2017–June 2017, the following questionnaires were electronically administered to 1,053 patients with enterostomy residing in 22 provinces, 4 autonomous regions for ethnic minorities and 4 direct‐controlled municipalities in China: Social Support Revalued Scale, validated Chinese version of Ostomy Adjustment Inventory and Stoma‐Quality of life‐Chinese. Univariate analysis, correlation analysis and hierarchical regression analysis were used to assess the relationship between adaptation level and quality of life of patients with enterostomy, in order to provide reference data for clinical care practice and further improve the quality of life of these patients. The STROBE checklist was used in reporting this study. Results The mean score for psychosocial adaptation was 43.13 ± 13.09, which corresponded to a medium level; the mean score for quality of life was 56.54 ± 16.87. The level of psychosocial adaptation and each dimension showed a positive correlation with the quality of life of patient and each dimension (r = 0.349–0.890, p

Suggested Citation

  • Yu Zhang & Hongtao Xian & Yang Yang & Xiaoxue Zhang & Xinran Wang, 2019. "Relationship between psychosocial adaptation and health‐related quality of life of patients with stoma: A descriptive, cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2880-2888, August.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:15-16:p:2880-2888
    DOI: 10.1111/jocn.14876
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    1. Hunt, Sonja M. & McKenna, Stephen P., 1992. "The QLDS: A scale for the measurement of quality of life in depression," Health Policy, Elsevier, vol. 22(3), pages 307-319, October.
    2. Schroevers, Maya & Ranchor, Adelita V. & Sanderman, Robbert, 2006. "Adjustment to cancer in the 8 years following diagnosis: A longitudinal study comparing cancer survivors with healthy individuals," Social Science & Medicine, Elsevier, vol. 63(3), pages 598-610, August.
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    1. Jie Yin & Youcheng Chen & Yingchao Ji, 2021. "Effect of the event strength of the coronavirus disease (COVID‐19) on potential online organic agricultural product consumption and rural health tourism opportunities," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 42(5), pages 1156-1171, July.
    2. Xi Zhang & Rui Gao & Jin Ling Lin & Ning Chen & Qin Lin & Gui Fang Huang & Long Wang & Xiao Huan Chen & Fang Qin Xue & Hong Li, 2020. "Effects of hospital‐family holistic care model on the health outcome of patients with permanent enterostomy based on the theory of ‘Timing It Right’," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2196-2208, July.
    3. Andrea Emilie Mørkhagen & Line Nortvedt, 2023. "A Qualitative Study on How Younger Women Experience Living with an Ostomy," IJERPH, MDPI, vol. 20(9), pages 1-13, April.

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