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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (3): 40-45.doi: 10.16460/j.issn1008-9969.2019.03.040

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Stigma of Patients with Preventive Ostomy and Its Influence Factors: A 220-case Study

YE Zi-wen1, ZHWN Li2, ZHU Mu-lan2, HU Ting1, WANG Hui-zhen1   

  1. 1. School of Nursing, Southern Medical University, Guangzhou 510515, China;
    2. Dept. of General Surgery, Nanfang Hospital, Guangzhou 510515, China
  • Received:2018-10-12 Online:2019-02-10 Published:2020-07-08

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Abstract: Objective To describe the current status of stigma in patients with preventive ostomy and analyze its influence factors. Methods By convenience sampling method, 220 colorectal cancer patients with temporary ostomy in 4 tertiary grade A hospitals participated in the study and they were surveyed by using general information questionnaire, Social Impact Scale(SIS), Perceived Social Support Scale(PSSS), Self-Concealment Scale(SCS) and Medical Coping Modes Questionnaire(MCMQ). Multiple linear regression analysis was carried out for the influence factor of stigma. Results The total score of SIS was 60.62±7.28. Multiple linear regression analysis showed that stigma was affected by self-concealment, house location, social support, coping style, influence degree of stigma on sexual life and ostomy complications（P<0.001）, which could explain 75.0% of the variation. Conclusion Stigma in patients with preventive ostomy is in a mediate level. Alleviating patients' self-concealment tendency, giving them enough social support and helping them cope with the disease correctly can reduce patients' stigma. Sexual health education should be given to patients with sexual needs. For patients living in rural areas, multiple forms of healthy education and follow-up should be provided. Practical ostomy nursing skills and dynamic monitoring of ostomy are beneficial to reducing the incidence of ostomy complications,.

Key words: preventive ostomy, stigma, self-concealment, social support, coping style

CLC Number: 

  • R473.6
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