Wu Helen Kit-Man, Chau Janita Pak-Chun, Twinn Sheila
Department of Surgery, United Christian Hospital, Kowloon, Hong Kong.
Cancer Nurs. 2007 May-Jun;30(3):186-93. doi: 10.1097/01.NCC.0000270704.34296.86.
Stoma patients are vulnerable to poor psychosocial health outcomes owing to the loss of an important bodily function and the distortion of their self-image. We used a cross-sectional, descriptive, and correlational design to investigate the relationship between self-efficacy and quality of life of stoma patients in Hong Kong and to examine the association between self-efficacy and stoma patients' sociodemographic characteristics. Using a convenience sampling method, 96 patients (mean age, 64 years) were recruited from 2 acute hospitals. Significant correlations were found between the Chinese Stoma Self-efficacy Scale and the Chinese Short-Form Health Survey 36 subscale scores (from r = 0.21, P = .039, to r = 0.59, P < .001). Significant positive correlations were also found between the 2 Chinese Stoma Self-efficacy subscales and all 8 of the Chinese Short-Form Health Survey 36 subscales. The results indicated that the self-efficacy and quality of life of stoma patients were correlated. Based on this study's results, self-efficacy is an important factor to consider in the provision of care to stoma patients. Specific interventions to enhance self-efficacy also need to be evaluated for their impact on the quality of life of stoma patients.
造口患者由于失去重要身体功能和自我形象扭曲，容易出现不良的心理社会健康结果。我们采用横断面、描述性和相关性设计，调查香港造口患者自我效能感与生活质量之间的关系，并检验自我效能感与造口患者社会人口学特征之间的关联。采用便利抽样法，从2家急症医院招募了96名患者（平均年龄64岁）。发现中文版造口自我效能量表与中文版健康调查简表36项量表各维度得分之间存在显著相关性（r值从0.21，P = 0.039到r = 0.59，P < 0.001）。中文版造口自我效能感两个分量表与中文版健康调查简表36项量表的所有8个维度之间也存在显著正相关。结果表明，造口患者的自我效能感与生活质量相关。基于本研究结果，自我效能感是为造口患者提供护理时需要考虑的一个重要因素。还需要评估提高自我效能感的具体干预措施对造口患者生活质量的影响。
