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

Abstract

BackgroundThe stoma can cause serious physical and psychological distress to the patient, leading to an inability to live a normal life; although it effectively improves the 5-year survival rate of patients.ObjectiveThe purpose of this study is to explore the status of stigma and disability acceptance of patients with stoma and their influences on psychosocial adaptation.DesignA multicenter cross-sectional study.MethodsA total of 259 patients with stoma in 6 hospitals from southeast China were enrolled. And this research adhered to the STROBE guideline and approved by the Ethics Committee of Fu Jian Provincial Hospital. The ostomy adjustment inventory-20、acceptance of disability scale and social impact scale were used to collect data. The hypothetical path model was tested using the SPSS version 22.0 software and AMOS version 26.0 software.ResultsStigma, disability acceptance and psychosocial adaptation was associated. The sense of stigma was severe (72.76 ± 12.73), the acceptance of disability was medium (179.24 ± 32.29) and the psychosocial adaptation was poor (38.06 ± 8.76). Also, the hypothesis model of this study fitted the data well (AGFI = 0.967>0.08; χ2/df = 1.723, p = 0.08 > 0.05), and the results showed that disability acceptance positively affected psychosocial adaptation; while stigma negatively affected psychosocial adaptation, and disability acceptance mediated between stigma and psychosocial adaptation (p < 0.01).ConclusionThe stigma and disability acceptance of patients with stoma are serious problems that are closely related to their psychosocial adaptation. Medical staff should take some interventions based on different paths to reduce stoma patients’ stigma and guide them to improve disability acceptance, thus to improve the level of psychosocial adaptation of patients with stoma.

Heterogeneity in Psychological Adaptation Patterns and Its Predictive Factors Among Patients with Inflammatory Bowel Disease: A Latent Profile Analysis

“…Research showed that more body image dissatisfaction increased higher levels of perceived stigma 60 that can lead to poor psychosocial adjustment of patients. 61 Supported by previous research, the present study demonstrate that the psychosocial adaptation profile of IBD patients is closely related to comorbidities, complications, body image distress and stigma, which need to be recognized early for timely taking effective measures. To be specific, focus on addressing body image distress and stigma for IBD patients in the Low level psychosocial adaptation profile and Medium level psychosocial adaptation-High body image distress profile could be the intervention target for improving psychosocial adaptation in these patients.…”

“…Research showed that more body image dissatisfaction increased higher levels of perceived stigma 60 that can lead to poor psychosocial adjustment of patients. 61 …”

Comparison of adjustment to a temporary or permanent ostomy using the OAI‐23

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