Sense of Coherence, Psychological Distress, and Disability Acceptance in Colostomy Cancer Survivors

Abstract

This study aimed to investigate the status of sense of coherence (SOC), acceptance of disability (AD) and psychological distress (PD) of patients with permanent colostomy and evaluate the role of AD in mediating the relationship between SOC and PD. Cross-sectional data were collected from 162 patients with permanent colostomy at stoma care outpatient clinic. Structural Equation Model of the SOC, AD, and PD was established to examine the mediating effect. Results indicated that the SOC and AD of patients with permanent colostomy were both at a low level, and PD was common in patients. In addition, a partial mediating effect of AD between SOC and PD was verified. Enhancing the SOC and AD of patients with permanent colostomy could be essential for alleviating their PD.

The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study

“…Disability acceptance is the primary factor of psychological adjustment of disabled patients, which is closely related to patients’ healthy psychology and quality of life. Our study found that the disability acceptance of patients with stoma was medium, consistent with the results of Zhao et al (2013) , and Liu et al (2021) . Stoma changes the original appearance and excretion of patients.…”

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

“…In this retrospective study, the patients in Bundle group received the continuing care bundle for 3 months, including the information-based (WeChat, telephone, etc.) hospital-family integration continuous care [ 22 , 24 ], home visiting [ 25 ], and outpatient clinic management [ 26 ] and so on, which showed significantly improved self-care knowledge (the replacement period for stoma appliances, daily life precautions, and ostomy-related complications) as compared with those given conventional care with the enhanced ability to change stoma appliance.…”

“…(2) After hospital discharge, once-a-week telephone follow-ups (10 to 20 minutes for each call) lasted for 3 months [ 22 ], mainly focusing on the patients' responses and questions, which were recorded and resolved on time; (3) a public WeChat account, an effective and feasible strategy to promote health education [ 23 ] was constructed to deliver the effective measures of continuing care bundles, and a WeChat group was started to fully understand the patient's condition and to correct the deficiencies during home care nursing by family members twice a week [ 24 ]. (4) Home-visiting was completed once a month for 30 mins [ 25 ] to observe the problems related to stoma and the physical recovery of patients, to deliver ostomy management reinforcement education, and to provide free medical supplies, such as ostomy bags; (5) the follow-up in an outpatient clinic mainly included the determination, solution, and self-treatment of stoma-related complications, which was written in the self-management manual [ 26 ]. At discharge, the scales listed below were fulfilled by all patients, which were then sent and collected by e-mail 1 and 3 months after discharge at the same time using the same guidance.…”

“It's a part of the patient”: The experiences of patients with cancer undergoing home-based chemotherapy from patients' and nurses' perspectives

“…Similarly, patients with cancer who underwent colostomy in a previous study reported finding it difficult to come to terms with it because of factors such as fear of discrimination and changes in body image. 22 However, certain patients had a positive attitude of willingly adjusting their lives to accept the colostomy, revealed as a subtheme of "stoma self-acceptance." 23 Although the participants of this study did not have a permanent colostomy, they had to carry an infuser containing anticancer drugs; thus, both types of patients were conscious of what other people thought about it but adapted to the treatment method over time.…”