Study Of Correlation Between Self-concept And Coping Style In Patients With Permanent Colostomy

ObjectiveTo study the status of self-concept and coping style in the cancer in patients with permanent colostomy, and to analyze the correlation between these two variables, thus to help patients establish a good self-concept, to improve the coping methods of the patients.MethodsThe cancer patients with permanent colostomy were randomly selected from five tertiary hospitals in Changsha. Research tools include: (1) General survey; (2)Tennessee Self-concept Scale; (3) Coping Style Questionnaire. SPSS18.0 package was used to perform descriptive data analysis, variance analysis, the line×list of x2 test, Pearson correlation analysis.Results1. Three hundred and ninety-two patients with permanent colostomy were investigated. The average score of self-concept was 202.02±36.06 with a range of 126-282. At a high level of self-concept, there were 80 patients, accounting for 20.4%; in the group of medium level of self-concept, there were 235, accounting for 60.0%; in the group of low level of self-concept, there were 77, accounting for 19.6%. Among the dimension of Tennessee Self Concept Scale dimension, self-identity had the highest scores (68.44±14.32), followed by psychological self-factor (40.55±7.69), while score of physical self was the lowest (36.98±5.27)2. The factors that whether the patient is aware of the disease before surgery(P=0.039), whether to participate the Association of Colostomy Patients (P=0.000), whether patients (P=0.007)and spouses (P=0.017) can accept the colostomy, the sense of aversion about colostomy(P=0.001), whether other family members have disgusting feeling about colostomy(P=0.000), may affect colostomy patients in the level of self-concept (P<0.05).3. The highest score among various ways to cope with the factors is the factor to solve the problem (10.62±2.87), followed by the help factors (7.97±5.59) and, the self-blame factor scores (5.99±4.10) is the lowest.4. Patients with different levels of self-concept score tend to use different coping styles. Patients with high score group are more likely to use problem-solving (12.80±4.47) and help dimension (9.30±13.76) than the other two groups with moderate and low score, while self-blame dimension (2.60±2.84), fantasy dimension (5.10±2.69), avoidance dimension (4.80±2.66), rationalization dimension scores (5.00±3.02) were significantly lower in the high score group than other groups.5. The choice of coping style influences the levels of self-concept. Among these factors, whether other family members have disgusting feeling about colostomy has the greatest impact (P=0.000) on self-concept, followed by whether the patients accept the colostomy (P=0.002), and the rationalization dimension (P=0.034) has the lowest impact.Conclusion1 The level of self-concept in patients with permanent colostomy was moderate and lower than the level of normal people.2 The factors that whether the patient is aware of the disease before surgery, whether to participate the Association of colostomy patients, whether patients and spouses can accept the colostomy, the sense of aversion about colostomy, whether other family members have disgusting feeling about colostomy may affect colostomy patients in the level of self-concept3 The highest level of self-concept score in patients with permanent colostomy are more likely to use "solve problem-help", the positive coping style, and less to use self-blame, fantasies, avoidance coping, and rationalization, the negative ones.4 Using more positive coping style is beneficial to foster high level of self-concept, thus improve psychological health status in patients with permanent colostomy.