Follick M J, Smith T W, Turk D C
Health Psychol. 1984;3(6):505-17. doi: 10.1037//0278-6133.3.6.505.
Ostomy patients have been identified as a chronic illness population frequently experiencing adjustment difficulties. The present study, based on the biopsychosocial model (Engel, 1977) of chronic illness, examined a range of post-surgical adjustment difficulties in a sample of 131 ostomy patients. The patient population reported experiencing a significant number of technical, emotional, social, marital/family, and sexual difficulties post-surgically. Technical difficulties were associated with impaired emotional, social, and marital/family functioning. Emotional difficulties were also associated with problematic social, marital/family adjustment, and impaired sexual functioning. Technical problems, emotional difficulties, and social problems were all associated with the patient's perception of having received inadequate preparatory information. Marital/family and sexual maladjustment, on the other hand, were associated with low levels of perceived social support. The results of this investigation are interpreted as supporting the biopsychosocial model of chronic illness, and the clinical implications of these findings are discussed as well as their relation to previous research on adjustment to stressful medical procedures.
造口术患者已被认定为经常面临适应困难的慢性病群体。本研究基于慢性病的生物心理社会模型（恩格尔，1977年），对131名造口术患者样本中的一系列术后适应困难进行了调查。该患者群体报告称术后在技术、情感、社交、婚姻/家庭以及性方面存在大量困难。技术困难与情感、社交以及婚姻/家庭功能受损有关。情感困难也与社交、婚姻/家庭适应问题以及性功能受损有关。技术问题、情感困难和社交问题均与患者认为所获得的术前准备信息不足有关。另一方面，婚姻/家庭和性方面的适应不良与感知到的社会支持水平较低有关。本调查结果被解释为支持慢性病的生物心理社会模型，同时讨论了这些发现的临床意义以及它们与先前关于适应压力性医疗程序研究的关系。
