Spiritual Well-being and Psychosocial Adjustment among Patients with Colostomy

• Main Authors: Chia-Chun Li, 李佳純
• Other Authors: 黃秀梨
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/86515473585217960531

碩士 === 國立臺灣大學 === 護理學研究所 === 94 === This research is a descriptive cross-sectional study, which discusses spiritual well being and psychosocial adjustment among colostomy patients. Sampling was performed in a medical center’s Department of Surgical Gastroenterology outpatient unit in Taipei City. A structured questionnaire, including “personal characteristics of the patient”, “the spiritual well-being scale” and “the Psychosocial Adjustment to Illness Scale for colostomy patients”, was used. The study objects were 41 colostomy patients , and the collected data was analyzed using a statistical package for the social sciences, SPSS for Windows 12.0. The results may be categorized into the following: 1. The spiritual well being of colostomy patients is at the “intermediate level”, for both religious well being and existential well-being. In the aspect of religious well being, colostomy patients believe that God will take care of them, they are not affected by personal emotions, and they are not interested in daily conditions. In the aspect of existential well-being, colostomy patients feel fullness and satisfaction about their own lives, but are still concerned about their future. 2. Among the colostomy patients, 43.8% of them had functional impairment in their psychosocial adjustment. The psychosocial adjustment works the best with extended family relationships, then, with the health care orientation and the worst with sexual relationships. 3. Looking at the effect factors of spiritual well-being for colostomy patients , 7-12 months post surgery, 13-24 months post surgery and psychosocial adjustment are the three factors that have significant predictability. The variance (R2) is 62%, which includes the worst spiritual well-being for patients of colostomy 7-12 months post surgery, and the best spiritual well-being 13-24 months post surgery. Colostomy Patients with better psychosocial adjustment will have better spiritual well-being. 4. Looking at the factors of psychosocial adjustment for colostomy patients, spiritual well-being, increased expenditure after felling ill, and the income changes after felling ill are the three factors with significant predictability. The variance (R2) is 65%, which shows that those with better spiritual well-being will have a better psychosocial adjustment. The more the expenditure after falling ill, the worse the psychosocial adjustment. Patients with income changes had worse levels of psychosocial adjustment than patients without income changes. 5. The relationship between the spiritual well-being and psychosocial adjustment for colostomy patients shows that negative correlations can be found in spiritual well-being, the overall psychosocial adjustment, working life adjustment, family life adjustment, and social environment adjustment. In other words, after having the surgery, better spiritual well-being is accompanied by better psychosocial adjustment, working life adjustment, family life adjustment, and social environment adjustment. In view of the fact that the spiritual evaluation of clinical hospitalization is limited to the type of religion, this research shows that spiritual well-being significantly affects post-surgical psychosocial adjustment, and the sexual relationship provides the worst psychosocial adjustment for colostomy patients. As people in Taiwan are more conservative, it is rare for people to talk about sexual problems, which have been neglected. In the future, when patients are being hospitalized, the spiritual well-being evaluation is essential to provide appropriate spiritual care strategies and take the initiative on sexual life consultancy services. As a result, the patients will have better spiritual well-being and post-surgical psychosocial adjustment.