Fang Qin, MSc, RN, School of Nursing, Southern Medical University, Guangzhou, China.
Li Zhen, MSc, ET, Department of General Surgery, Southern Medical University, Nanfang Hospital, Guangzhou, China.
J Wound Ostomy Continence Nurs. 2020 May/Jun;47(3):244-248. doi: 10.1097/WON.0000000000000645.
The purpose of this study was to explore stigma and its influencing factors in Chinese patients with a temporary ostomy.
Cross-sectional, descriptive.
Convenience sampling was used to recruit 170 patients living with a temporary ostomy for at least 2 weeks. Participants were recruited from 3 general hospitals in Guangdong province, located in southeastern China.
Respondents completed a questionnaire that included ostomy-related sociodemographic questionnaire, the Social Impact Scale, and the Stoma Self-Efficacy Scale. Multivariate linear regression was used to identify factors influencing stigma.
Of the 170 questionnaires distributed, 159 (93.5%) respondents who sufficiently completed responses were included in the final analysis. The average score of the Social Impact Scale was 61.63 (SD = 8.39), reflecting a moderate level of stigma, and 27 (17%) experienced high levels of stigma. Multivariate regression analysis revealed that stigma was associated with family relationships (B = 6.139, P = .000), age when ostomy was created (B = -4.038, P = .000), and self-efficacy (B = -0.080, P = .002).
The level of stigma in Chinese patients with temporary ostomies is moderate. Multivariate regression analysis identified family relationship, age, and self-efficacy as the main factors that influenced stigma in patients with temporary ostomy.
本研究旨在探讨中国临时造口患者的污名及其影响因素。
横断面描述性研究。
采用便利抽样法,招募了 170 名至少有 2 周临时造口的患者。参与者来自中国东南部广东省的 3 家综合医院。
受访者完成了一份问卷,其中包括与造口相关的社会人口学问卷、社会影响量表和造口自我效能感量表。采用多元线性回归分析确定影响污名的因素。
在发放的 170 份问卷中,有 159 份(93.5%)充分完成了回复的问卷被纳入最终分析。社会影响量表的平均得分为 61.63(SD=8.39),反映出中度的污名程度,有 27 名(17%)患者经历了高度的污名。多元回归分析显示,污名与家庭关系(B=6.139,P=.000)、造口时的年龄(B=-4.038,P=.000)和自我效能(B=-0.080,P=.002)有关。
中国临时造口患者的污名程度处于中等水平。多元回归分析确定家庭关系、年龄和自我效能是影响临时造口患者污名的主要因素。