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Determinants of self‐efficacy and quality of life in patients with temporary enterostomy: a cross‐sectional survey
Author(s) -
Su Xi,
Zhen Li,
Zhu Mulan,
Kuang Yinyi,
Qin Fang,
Ye Xinmei,
Yin Xuexia,
Wang Huizhen
Publication year - 2017
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.13469
Subject(s) - enterostomy , quality of life (healthcare) , medicine , stoma (medicine) , cross sectional study , self efficacy , surgery , nursing , psychology , pathology , psychotherapist
Aims and objectives To identify determinants of self‐efficacy and quality of life in patients with temporary enterostomy. Background Anterior resection with temporary enterostomy is the preferred treatment for patients with rectal cancer, which may impair patients’ quality of life. So far, most studies have focused on quality of life in patients with permanent enterostomy, but few studies have looked at that in those with temporary enterostomy. Self‐efficacy may determine quality of life in these patients, but few studies have identified determinants of self‐efficacy and quality of life. Design Multicentre, cross‐sectional survey and regression analysis to identify determinants of self‐efficacy and quality of life. Methods A convenience sample of patients undergoing temporary enterostomy at five hospitals in Guangdong Province (China) were surveyed at least four weeks after stoma surgery using validated Chinese versions of internationally recognised questionnaires, including a Stoma Self‐Efficacy Scale and the City of Hope Quality of Life–Ostomy Questionnaire. Backward multiple regression analysis was performed to identify whether quality of life was determined by self‐efficacy and other clinico‐demographic characteristics. Results Of the 180 questionnaires distributed, 149 (82·8%) were returned, and 135 (75%) were used in the final analysis. Mean global quality of life was 5·40 ± 1·58, and mean global self‐efficacy was 79·59 ± 20·21. Significant determinants of self‐efficacy and quality of life were identified (β = 0·62, p < 0·01). Quality of life was determined by type of enterostomy (β = 0·18, p = 0·01) and payment method (β = 0·14, p = 0·03). Conclusions Quality of life may be determined by self‐efficacy, type of enterostomy and payment method, after temporary enterostomy. Relevance to clinical practice Promoting stoma‐related self‐efficacy in patients with temporary enterostomy may improve their quality of life. Healthcare providers should focus on quality of life in those either with temporary loop ileostomy or entirely self‐funded for medicine.