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Determinants of self‐efficacy and quality of life in patients with temporary enterostomy: a cross‐sectional survey

Xi Su, Li Zhen, Mulan Zhu, Yinyi Kuang, Fang Qin, Xinmei Ye, Xuexia Yin and Huizhen Wang

Journal of Clinical Nursing, 2017, vol. 26, issue 3-4, 477-484

Abstract: Aims and objectives To identify determinants of self‐efficacy and quality of life in patients with temporary enterostomy. Background Anterior resection with temporary enterostomy is the preferred treatment for patients with rectal cancer, which may impair patients’ quality of life. So far, most studies have focused on quality of life in patients with permanent enterostomy, but few studies have looked at that in those with temporary enterostomy. Self‐efficacy may determine quality of life in these patients, but few studies have identified determinants of self‐efficacy and quality of life. Design Multicentre, cross‐sectional survey and regression analysis to identify determinants of self‐efficacy and quality of life. Methods A convenience sample of patients undergoing temporary enterostomy at five hospitals in Guangdong Province (China) were surveyed at least four weeks after stoma surgery using validated Chinese versions of internationally recognised questionnaires, including a Stoma Self‐Efficacy Scale and the City of Hope Quality of Life–Ostomy Questionnaire. Backward multiple regression analysis was performed to identify whether quality of life was determined by self‐efficacy and other clinico‐demographic characteristics. Results Of the 180 questionnaires distributed, 149 (82·8%) were returned, and 135 (75%) were used in the final analysis. Mean global quality of life was 5·40 ± 1·58, and mean global self‐efficacy was 79·59 ± 20·21. Significant determinants of self‐efficacy and quality of life were identified (β = 0·62, p

Date: 2017
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https://doi.org/10.1111/jocn.13469

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