Mediating Effect of Psychological Resilience on the Association Between Self-care Capability and Ostomy Adjustment in Bladder Cancer Patients Undergoing Urinary Diversion Abdominal Wall Stoma
Objective To explore the mediating effects of psychological resilience on self-care capability and ostomy ad-justment in patients with bladder cancer,who undergo urinary diversion abdominal wall stoma.Methods Convenient sam-pling method was used to select 172 bladder cancer patients who undergo urinary diversion abdominal wall stoma as the study objects,who visited the wound and stoma clinic in a hospital from May 2021 to August 2022.The general informa-tion questionnaire,Connor-Davidson resilience scale(CD-RISC),Lorensen's Self-Care Capability Scale(LSCS)and Osto-my Adjustment Inventory-20(OAI-20)were used for investigation.Results The total scores of psychological resilience,self-care capability and ostomy adjustment were(50.69±10.52),(78.71±16.89)and(40.05±10.60)for patients with blad-der cancer undergoing urinary redirection abdominal wall stoma.According to Pearson correlation analysis,the total score of psychological resilience and scores of each dimension were positively correlated with the total score of self-care ability and scores of each dimension(all P＜0.05).The total score of psychological resilience and the scores of all dimensions were positively correlated with the total score of ostomy adjustment and the scores of all dimensions(all P＜0.05).The total score of self-care capability and scores of each dimension were positively correlated with the total score of ostomy adjust-ment and scores of each dimension(all P＜0.05).Meanwhile,psychological resilience had a mediating effect between self-care capability and ostomy adjustment(0.333),accounting for 36.30%of the total effect.Conclusions The strength of self-care capability directly affects the quality of life of patients with bladder cancer undergoing urinary redirection abdominal wall stoma,and also influences the level of ostomy adjustment through the mediating role of psychological resilience.
NETL
NSTL
万方数据
维普
