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

Yu Zhang, Hongtao Xian, Yang Yang, Xiaoxue Zhang and Xinran Wang

Journal of Clinical Nursing, 2019, vol. 28, issue 15-16, 2880-2888

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

Date: 2019
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https://doi.org/10.1111/jocn.14876

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