Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients

Nam, Keum Hee; Kim, Heui Yeoung; Kim, Jung Ho; Kang, Ki-noh; Na, Soo Yang; Han, Bok Hee

doi:10.1111/iwj.13038

Cited by 30 publications

(41 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Specifically, wives took more responsibility for taking care of patients in terms of their diet, appliance, and stoma than husbands; this fact has not been reported previously. The influence of collectivism and Confucianism, which emphasize family ties and the role of the household in South Korea, might explain this finding [ 38 ]. If patients’ families could not provide adequate care for male patients, they might be blamed by society.…”

Section: Discussionmentioning

confidence: 99%

Coping Processes of Patients with Ostomies in South Korea: A Focus Group Study

Son

Kang

2020

Healthcare

View full text Add to dashboard Cite

Despite the adverse effects of negative coping after receiving a stoma, there is a lack of information on how patients cope with ostomies and on their families’ experiences throughout the coping process. We aimed to explore the coping experiences of individuals with ostomies throughout their illness, applying the Corbin and Strauss Chronic Illness Trajectory Framework, using exploratory qualitative methods involving focus group interviews. Purposive sampling was utilized to recruit 19 participants (split across three groups) through an ostomy association in South Korea. Two focus group interviews were separately conducted from March through to May 2017 until data saturation was achieved. Using qualitative content analysis, we analyzed the transcribed interviews and identified words and themes to interpret the results. The coping experiences of patients with ostomies were expressed through three interrelated themes: struggling and suffering, learning how to live with ostomy, and living with ostomy. We found gender differences in spousal support and a struggle among older patients regarding social coping. The themes identified suggest that gender should be considered when designing interventions to help patients cope with ostomies.

show abstract

Section: Discussionmentioning

confidence: 99%

Coping Processes of Patients with Ostomies in South Korea: A Focus Group Study

Son

Kang

2020

Healthcare

View full text Add to dashboard Cite

show abstract

“…Self‐efficacy is also an important factor in the self‐care behaviours of colostomy patients. Indeed, self‐efficacy was found to increase when patients could independently perform self‐care (Nam et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

Describing self‐care and its associated variables in ostomy patients

Giordano

Nicolotti

Corvese

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims: To describe self-care in ostomy patients, to identify socio-demographic and clinical variables associated with self-care and to identify the association between self-care self-efficacy and self-care over and above the variables associated with self-care. Design: Longitudinal and multicentre study. Data were collected between February 2017-May 2018. Methods: In this study, 523 ostomy patients were enrolled at baseline (T0) and 362 were followed-up after 6 months (T1). The Ostomy Self-Care Index was used to measure self-care maintenance, monitoring, management, and self-efficacy. Correlations between self-care dimensions and patient socio-demographic and clinical characteristics were performed with Pearson's or Spearman's correlations. Three separate two-step hierarchical regression analyses were performed to identify variables associated with self-care maintenance, monitoring, and management. Results: Participants' mean age was 69 years (SD 12.4); 63.9% were male and most had enterostomies (38.8% colostomies, 29.3% ileostomies) and permanent ostomies (72.5%). Patients had adequate self-care maintenance and monitoring at T0 and T1, while they had lower self-care management and self-efficacy at baseline. Significant variables associated with better self-care maintenance and self-care monitoring were female gender, more information received during hospitalization and better autonomy in stoma management, while a better level of education was an additional variable associated with self-care monitoring. Self-care self-efficacy produced a significant increase in the explained variance of self-care maintenance and self-care monitoring. None of the selected variables were significantly associated with selfcare management. Conclusion: Middle-high levels of self-care maintenance, monitoring, management, and self-efficacy were found. The variables associated with ostomy self-care and the role of self-care self-efficacy identified in this study can help in developing tailored nursing interventions. | 2983 GIORDANO et Al.

show abstract

“… 10 , 13 , 14 Social support has been identified as a critical factor for enhancing psychological adjustment, relieving the burden of living with an ostomy, and enhancing one’s sense of self-efficacy for ostomy management. 14 Indeed, CRC patients with poor social support experience increased difficulty adapting and adjusting to life with an ostomy and poor quality of life. 10 , 13 Similar to existing research on multiple types of cancer, 35 , 36 our study also found a strong association between social support and quality of life, especially in psychological and social well-being, in CRC patients with ostomies.…”

Section: Discussionmentioning

confidence: 99%

“… 23 , 24 Given this theoretical framework and existing empirical evidence, the current study examined the moderating role of PTG in the relationship between social support and quality of life of CRC patients with ostomies. Considering that social support is an essential predictor of quality of life in this population, 14 the main research question focused on the potential moderating role of PTG in the relationship between social support and quality of life (Figure 1 ).…”

Section: Conceptual Modelmentioning

confidence: 99%

Moderating Effect of Posttraumatic Growth on the Relationship Between Social Support and Quality of Life in Colorectal Cancer Patients With Ostomies

Kim

Son

2020

Cancer Nurs

View full text Add to dashboard Cite

Background Little research has examined the moderating influence of posttraumatic growth (PTG) on the relationship between social support and quality of life. Objectives This study examined the relationship between social support and quality of life by the level of PTG in colorectal cancer patients with ostomies. Methods Using a cross-sectional design, colorectal cancer patients with ostomies (n = 140) were recruited using convenience sampling. The City of Hope Quality of Life–Ostomy, the Multidimensional Scale of Social Support, and the Posttraumatic Growth Inventory measured quality of life, social support, and PTG, respectively. Results Social support and PTG were positively related to psychological and social well-being. Higher social support was associated with better psychological and social well-being. Posttraumatic growth moderated the relationship between psychological and social well-being. At a low and moderate level of PTG, social support was more strongly associated with psychological and social well-being, whereas at high levels, this association was not significant. Conclusions Findings highlight the significance of social support to improve the quality of life for colorectal cancer patients with an ostomy, particularly those with low levels of PTG. Implications for Practice Screening for patients’ positive cognitive adaptations while living with an ostomy could identify those who might need further social support to improve their quality of life. Further, intensive social support programs might promote the quality of life for colorectal patients with an ostomy, which was found to be effective for those with low levels of PTG.

show abstract

Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients

Cited by 30 publications

References 25 publications

Coping Processes of Patients with Ostomies in South Korea: A Focus Group Study

Coping Processes of Patients with Ostomies in South Korea: A Focus Group Study

Describing self‐care and its associated variables in ostomy patients

Moderating Effect of Posttraumatic Growth on the Relationship Between Social Support and Quality of Life in Colorectal Cancer Patients With Ostomies

Contact Info

Product

Resources

About