Aker Fatma Zehra, Karazeybek Ebru
Kepez State Hospital, Antalya, Turkey.
Faculty of Nursing, Akdeniz University, Antalya, Turkey.
J Eval Clin Pract. 2025 Feb;31(1):e14117. doi: 10.1111/jep.14117. Epub 2024 Aug 4.
In the context of adjusting to life with a permanent colostomy, this study explored how perceived social support from family, friends and others influences patients' self-efficacy in managing their stoma and engaging with their social lives.
The study employed a descriptive, correlational design to investigate the relationship between social support and self-efficacy in 94 colostomy patients between April 2021 and August 2022. Participants completed the Descriptive Characteristics Form, Multidimensional Scale of Perceived Social Support (MSPSS), and stoma self-efficacy scale (SSES). Descriptive statistics were used to summarise the data, and one-way ANOVA with Tukey HSD post-hoc test examined group differences. Pearson correlation assessed the relationship between age, social support and self-efficacy, while multiple linear regression identified factors independently associated with self-efficacy level.
The participants had a mean age of 56.9 ± 14.34 years, and 37.2% had been suffering from stoma complications for a duration ranging from 13 months to 5 years. The mean total score on the MSPSS was 64.3 ± 13.5, whereas the mean total score on the SSES stood at 71.22 ± 20.21. A moderate positive correlation (r = 0.419, p < 0.001) was observed between the total scores from the MSPSS and SSES. The increase in the total score on the MSPSS was a significant predictor (β = 0.293, p = 0.001) of the level of stoma self-efficacy, explaining 48.9% of the variance.
Stronger perceived social support was linked to higher stoma self-efficacy in permanent colostomy patients.
在适应永久性结肠造口生活的背景下,本研究探讨了来自家人、朋友和他人的感知社会支持如何影响患者管理造口及参与社交生活的自我效能感。
本研究采用描述性、相关性设计,于2021年4月至2022年8月期间调查94例结肠造口患者的社会支持与自我效能感之间的关系。参与者完成了描述性特征表、多维感知社会支持量表(MSPSS)和造口自我效能量表(SSES)。描述性统计用于汇总数据,单因素方差分析及Tukey HSD事后检验用于检验组间差异。Pearson相关性分析评估年龄、社会支持与自我效能感之间的关系,多元线性回归确定与自我效能水平独立相关的因素。
参与者的平均年龄为56.9±14.34岁,37.2%的人患有造口并发症,病程为13个月至5年。MSPSS的平均总分是64.3±13.5,而SSES的平均总分是71.22±20.21。MSPSS和SSES的总分之间存在中度正相关(r = 0.419,p < 0.001)。MSPSS总分的增加是造口自我效能水平的显著预测因素(β = 0.293,p = 0.001),解释了48.9%的方差。
在永久性结肠造口患者中,更强的感知社会支持与更高的造口自我效能感相关。