The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study
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 acceptan...
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.937374/full |
| _version_ | 1828172075870715904 |
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| author | Zhang Xi Chen M. Rong Lin J. Ling Zeng P. Hua Gao Rui Huang G. Fang Wang Long Zhuo H. Zhen Li Hong |
| author_facet | Zhang Xi Chen M. Rong Lin J. Ling Zeng P. Hua Gao Rui Huang G. Fang Wang Long Zhuo H. Zhen Li Hong |
| author_sort | Zhang Xi |
| collection | DOAJ |
| description | 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. |
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| language | English |
| last_indexed | 2024-04-12T03:34:18Z |
| publishDate | 2022-12-01 |
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| series | Frontiers in Psychology |
| spelling | doaj.art-393edd1572b849e9b5178aed99bae7ef2022-12-22T03:49:28ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-12-011310.3389/fpsyg.2022.937374937374The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional studyZhang Xi0Chen M. Rong1Lin J. Ling2Zeng P. Hua3Gao Rui4Huang G. Fang5Wang Long6Zhuo H. Zhen7Li Hong8Department of Gastroenterology, Fujian Provincial Hospital, Sheng li Clinical Medical College of Fujian Medical University, Fuzhou, ChinaSheng li Clinical Medical College of Fujian Medical University, The School of Nursing, Fujian Medical University, Department of Nursing, Fujian Provincial Hospital, Fuzhou, ChinaGraduate School, Fujian Medical University, Nursing School of Fujian Medical University, Fuzhou, ChinaDepartment of Plastic and burn, Fujian Provincial Hospital, Sheng li Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Pathology, Fujian Provincial Hospital, Sheng li Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Gastroenterology, Fujian Provincial Hospital, Sheng li Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Gastroenterology, Fujian Provincial Hospital, Sheng li Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Gastroenterology, Fujian Provincial Hospital, Sheng li Clinical Medical College of Fujian Medical University, Fuzhou, ChinaSheng li Clinical Medical College of Fujian Medical University, The School of Nursing, Fujian Medical University, Department of Nursing, Fujian Provincial Hospital, Fuzhou, ChinaBackgroundThe 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.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.937374/fullstomastigmadisability acceptancepsychosocial adaptationstructural equation model |
| spellingShingle | Zhang Xi Chen M. Rong Lin J. Ling Zeng P. Hua Gao Rui Huang G. Fang Wang Long Zhuo H. Zhen Li Hong The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study Frontiers in Psychology stoma stigma disability acceptance psychosocial adaptation structural equation model |
| title | The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study |
| title_full | The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study |
| title_fullStr | The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study |
| title_full_unstemmed | The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study |
| title_short | The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study |
| title_sort | influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma a multicenter cross sectional study |
| topic | stoma stigma disability acceptance psychosocial adaptation structural equation model |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.937374/full |
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