Predictors of Psychological Distress among Patients with Colorectal Cancer-Related Enterostomy: A Cross-sectional Study

Abstract

OBJECTIVE:To identify variables that may predict psychological distress in patients with an enterostomy. METHODS:Investigators recruited 77 patients with a stoma from a stoma clinic according to the inclusion criteria. Patients' psychological distress was assessed with the Distress Thermometer (DT) tool, and their personality type was determined by the Eysenck Personality Questionnaire. Researchers also collected demographic and disease-related data. Predictive values were estimated using multiple regression analyses. RESULTS:The mean DT score of all patients was 5.94 (SD, 1.81), and approximately 85.7% consistently suffered from psychological distress. Being unmarried and having peristomal complications were associated with higher psychological distress, whereas having a monthly income 5,000 ¥ or more was associated with lower levels of distress. Moreover, patients with a melancholic personality type tended to have higher DT scores, which could act as a strong independent predictor for psychological distress. CONCLUSIONS:The majority of patients with a stoma endured moderate to severe psychological distress during follow-up care. Exploring the related factors that predict the levels of psychological distress could enable clinicians to identify at-risk patients as early as possible and thus provide optimal care for improving patients' quality of life.

Analysis on effect of psychological nursing combined with extended care for improving negative emotions and self-care ability in patients with colorectal cancer and enterostomy: A retrospective study

“…However, as a general patient, it is difficult to accept the fact that he or she will be suffered with a defecation disorder in a short period of time, and the mastery of measures such as the use of artificial stoma and its daily care is not ideal. A considerable proportion of patients have greater psychological stress due to the fact that they cannot accept the artificial stoma, [15] which directly causes the emergence of negative emotions, such as anxiety, nervousness, fear, restlessness, depression, etc, and poor mood state will directly affect the patient’s sleep. [16] Sleep is an important physiological process in human beings, if the quality of sleep cannot be guaranteed, not only the quality of life will be affected, but also the function of multiple systems such as the immune system will be weaken, which in turn will seriously affect the recovery of patients had enterostomy.…”