Stigma and its influencing factors among Chinese patients with stoma.

Abstract:

BACKGROUND:Although stomas are necessary for disease treatment, they unavoidably affect patients' lives from physical, psychological, social, spiritual, and familial perspectives and contribute to feelings of embarrassment and shame. This study explored the current status and factors influencing stigma among Chinese patients with stoma. METHODS:A total of 209 patients with stoma at the stoma clinic of a tertiary cancer centre in Guangzhou, China, were recruited and investigated by using the Social Impact Scale, the Coping Self-Efficacy Scale, the State Self-Esteem Scale, and a demographic questionnaire. Multivariate linear regression was used to identify the factors influencing stigma. RESULTS:The mean Social Impact Scale score was 69.65 ± 13.18, which represents a moderate effect; specifically, 44% of the patients experienced high levels of stigma. Stoma patients with the following characteristics had high levels of stigma: young, low coping self-efficacy, low stoma acceptance by one's spouse or other family members, poor perceived body image, stool leakage, and no experience of participating in activities with other stoma patients. CONCLUSIONS:Medical staff members should pay more attention to stigma in stoma patients. Coping self-efficacy, family members' acceptance of the stoma, and participation in activities with other stoma patients are influencing factors that protect these patients against stigma, whereas body image loss and stool leakage place them at higher risk for stigma. Interventions aimed at improving protective factors and decreasing risk factors should be considered to reduce the level of stigma in patients with stoma.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Yuan JM,Zhang JE,Zheng MC,Bu XQ

doi

10.1002/pon.4695

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

1565-1571

issue

6

eissn

1057-9249

issn

1099-1611

journal_volume

27

pub_type

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