Factors related to adjustment of ileostomates

Abstract

　This study investigated factors related to adjustment of ileostomates.
　Few studies have examined self-care self-efficacy in ileostomates. Semi-structured interviews were conducted with 15 ileostomates. As a result, 89 codes were identified for pooling of items and we developed a questionnaire to measure the self-efficacy of ileostomates. Next, a study was conducted to examine the reliability and validity of the questionnaire and to clarify the factors related to adjustment in ileostomates. One hundred and thirty-eight ileostomates were asked to complete anonymous self-reported questionnaires. The data about self-care self-efficacy were analyzed by factor analysis. Then, the data on adjustment and related factors were analyzed by covariance structure analysis. As a result, we identified two subscales, of self-care self-efficacy, that we called “stoma self-care self-efficacy” and “social life self-care self-efficacy”. Furthermore, we also identified the following seven factors: “adjustment”, “stoma self-care self-efficacy”, “social life self-care self-efficacy”, “trait anxiety”, “state anxiety”, “self-esteem” and “social support”. Finally, we could obtained an appropriate ileostomates adjustment model.
　According to the model, social life self-care self- efficacy is directly and positively related to adjustment, while stoma self-care self-efficacy is indirectly related to adjustment. The model can show the importance of adjustment in facilitating not only stoma self-care self-efficacy but also social life self-care self-efficacy.