Investigation of the Relationship Between Personality Traits, Perception of Social Support and Self-Disgust and Taking Responsibility for Self-Care in Patients with Intestinal Stoma

Yıl 2025, Cilt: 35 Sayı: 6, 1153 - 1164

Seçil Taylan , İlknur Özkan , Seda Cansu Yeniğün Akbulut , Yasemin Akıl , Fatma Eti Aslan

https://doi.org/10.54005/geneltip.1684729

Öz

Aim: The study aimed to reveal the relationships between personality traits, perception of social support, self-disgust, and taking responsibility for self-care in patients with intestinal stoma.
Method: This cross-sectional study was conducted with 106 patients who were members of the Ostomy Association. Data were collected using the Descriptive Information Form, Self-Disgust Scale, Perceived Social Support Scale, and Ten-Item Personality Scale.
Results: It was determined that 61.1% of the patients did not perform their stoma care. It was determined that patients who took responsibility for their stoma care had lower levels of self-disgust, higher perceptions of social support, and higher scores in the emotionally unstable/emotionally balanced and traditional/open to experience sub-dimensions of the ten-item personality scale (p<0.05). According to logistic regression analysis, it was determined that a one-unit increase in the standard deviation of the special human support sub-dimension of the multidimensional perceived social support scale increased the behavior of taking care of their stoma by 1.207 times (p<0.05) and a one-unit increase in the standard deviation of the emotional stability sub-dimension of the ten-item personality scale increased by 3.036 times (p<0.05). A one-unit increase in the standard deviation of the physical self- disgust sub-dimension decreased stoma care 1.826 times (p<0.05) (Nagelkerke R2: 0.887, Model: x2 =13.248, p=0.00, Model R2: 0.654).
Conclusions: This study showed that personality traits, social support perception, and self-disgust levels significantly impact patients with intestinal stomas in taking responsibility for self-care. Considering these findings, it is recommended that care plans for stoma patients should be individualized by considering personality traits, perception of social support, and self-disgust levels.

Anahtar Kelimeler

Intestinal stoma , personality traits , perception of social support , self-disgust stoma care , surgical nursing.

Bağırsak Stoması Olan Hastalarda Kişilik Özellikleri, Sosyal Destek Algısı, Kendinden İğrenme ve Öz Bakım Sorumluluğunu Üstlenme Arasındaki İlişkinin İncelenmesi

Öz

Özet
Amaç: Bu çalışma, bağırsak stoması olan hastalarda kişilik özellikleri, sosyal destek algısı, kendinden iğrenme düzeyi ve öz bakım sorumluluğunu üstlenme davranışı arasındaki ilişkileri ortaya koymayı amaçlamıştır.
Yöntem: Kesitsel tipteki bu araştırma, Ostomi Derneği'ne üye 106 hasta ile gerçekleştirilmiştir. Veriler Tanıtıcı Bilgi Formu, Kendinden İğrenme Ölçeği, Algılanan Sosyal Destek Ölçeği ve On Maddelik Kişilik Ölçeği kullanılarak toplanmıştır.
Bulgular: Hastaların %61,1’inin stoma bakımını kendisinin yapmadığı belirlenmiştir. Stoma bakım sorumluluğunu üstlenen hastaların kendinden iğrenme düzeylerinin daha düşük, sosyal destek algılarının daha yüksek ve On Maddelik Kişilik Ölçeği’nin duygusal istikrarsız/duygusal dengeli ile geleneksel/yeni deneyimlere açık alt boyutlarında puanlarının daha yüksek olduğu saptanmıştır (p<0.05). Lojistik regresyon analizine göre, Çok Boyutlu Algılanan Sosyal Destek Ölçeği’nin özel bireylerden algılanan destek alt boyutunda standart sapmada bir birim artışın stoma bakımını üstlenme davranışını 1,207 kat artırdığı (p<0.05); On Maddelik Kişilik Ölçeği’nin duygusal istikrar alt boyutunda standart sapmada bir birim artışın ise bu davranışı 3,036 kat artırdığı (p<0.05) belirlenmiştir. Buna karşılık, Fiziksel Kendinden İğrenme alt boyutunda standart sapmada bir birim artışın stoma bakımını 1,826 kat azalttığı bulunmuştur (p<0.05) (Nagelkerke R²: 0.887, Model: χ² =13.248, p=0.00, Model R²: 0.654).
Sonuç: Bu çalışma, bağırsak stoması olan hastalarda kişilik özelliklerinin, sosyal destek algısının ve kendinden iğrenme düzeylerinin, öz bakım sorumluluğunu üstlenme üzerinde anlamlı bir etkisi olduğunu göstermiştir. Bu bulgular doğrultusunda, stoma hastalarına yönelik bakım planlarının kişilik özellikleri, sosyal destek algısı ve kendinden iğrenme düzeyleri göz önünde bulundurularak bireyselleştirilmesi önerilmektedir.

Anahtar Kelimeler

Bağırsak stoması , kişilik özellikleri , sosyal destek algısı , kendinden iğrenme , stoma bakımı , cerrahi hemşireliği.

Kaynakça

• 1. Alenezi A, McGrath I, Kimpton A, Livesay K. Quality of life among ostomy patients: A narrative literature review. J Clin Nurs. 2021;30(21–22):3111–23.
• 2. Faury S, Rullier E, Denost Q, Quintard B. Quality of life and fatigue among colorectal cancer survivors according to stoma status – the national VICAN survey. J Psychosoc Oncol. 2020;38(1):89–102.
• 3. Zewude WC, Derese T, Suga Y, Teklewold B. Quality of life in patients living with stoma. Ethiop J Health Sci. 2021;31(5):993–1000.
• 4. Clarke A, Simpson J, Varese F. A systematic review of the clinical utility of the concept of self-disgust. Clin Psychol Psychother. 2019;26(1):110–34.
• 5. Overton PG, Markland FE, Taggart HS, Bagshaw GL, Simpson J. Self-disgust mediates the relationship between dysfunctional cognitions and depressive symptomatology. Emotion. 2008;8(3):379–85.
• 6. Thorpe G, Arthur A, McArthur M. Adjusting to bodily change following stoma formation: a phenomenological study. Disabil Rehabil. 2016;38(18):1791–802.
• 7. Turner MC, O’Brien JD, Kahn RM, Mantyh CR, Migaly J, Ariely D. Impact of disgust on intentions to undergo colorectal surgery. Dis Colon Rectum. 2018;61(12):1386–92.
• 8. Jin Y. Self-disgust in Chinese patients with colostomy: an exploratory study [dissertation on the Internet]. Barcelona: Universitat Rovira i Virgili; 2020 Nov 10.
• 9. Jin Y, Ma H, Jiménez-Herrera M. Self-disgust and stigma both mediate the relationship between stoma acceptance and stoma care self-efficacy. J Adv Nurs. 2020;76(10):2547–58.
• 10. Özden ZM, Kılıç M. The effect of self-efficacy levels of patients with intestinal stoma on stoma adaptation. Support Care Cancer. 2023;31(5).
• 11. Sengul T, Oflaz F, Odulozkaya B, Altunsoy M. Disgust and its effect on quality of life and adjustment to stoma in individuals with ileostomy and colostomy. Florence Nightingale J Nurs. 2021;29(3):303–11.
• 12. Leyk M, Ksiazek J, Habel A, Dobosz M, Kruk A, Terech S. The influence of social support from the family on health-related quality of life in persons with a colostomy. J Wound Ostomy Continence Nurs. 2014;41(6):581–8.
• 13. Nam KH, Kim HY, Kim JH, Kang K, Na SY, Han BH. Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients. Int Wound J. 2019;16(S1):13–20.
• 14. Zhang TL, Hu AL, Xu HL, Zheng MC, Liang MJ. Patients after colostomy: relationship between quality of life and acceptance of disability and social support. Chin Med J (Engl). 2013;126(21):4124–31.
• 15. Xiangting Y, Meichun Z, Huiying Q. Supportive care needs and related factors among colorectal cancer patients with stoma in the postoperative rehabilitation period from a bio-psycho-social perspective: a cross-sectional study. Support Care Cancer. 2023;31(10).
• 16. Afshar H, Roohafza HR, Keshteli AH, Mazaheri M, Feizi A, Adibi P. The association of personality traits and coping styles according to stress level. J Res Med Sci. 2015;20(4):353.
• 17. Meléndez JC, Satorres E, Delhom I. Personality and coping: what traits predict adaptive strategies? An Psicol. 2020;36(1):39–45.
• 18. Black P, Notter J. Psychological issues affecting patients living with a stoma. Br J Nurs. 2021;30(6):S20–32.
• 19. Petersén C, Carlsson E. Life with a stoma – coping with daily life: experiences from focus group interviews. J Clin Nurs. 2021;30(15–16):2309–19.
• 20. Stavropoulou A, Vlamakis D, Kaba E, Kalemikerakis I, Polikandrioti M, Fasoi G, et al. Living with a stoma: exploring the lived experience of patients with permanent colostomy. Int J Environ Res Public Health. 2021;18(16):8512.
• 21. Bahtiyar B, Yildirim A. Self-Disgust Scale-Revised: Turkish adaptation, validity and reliability. Klinik Psikiyatri Derg. 2019;22(3):304–15.
• 22. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. J Pers Assess. 1988;52(1):30–41.
• 23. Eker D, Arkar H, Yaldiz H. Çok Boyutlu Algılanan Sosyal Destek Ölçeği’nin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Turk Psikiyatri Derg. 2001;12(1):17–25.
• 24. Gosling SD, Rentfrow PJ, Swann WB. A very brief measure of the Big-Five personality domains. J Res Pers. 2003;37(6):504–28.
• 25. Atak H. The Turkish adaptation of the Ten-Item Personality Inventory. Noro Psikiyatr Ars. 2013;50(4):312.
• 26. Villa G, Mannarini M, Della Giovanna G, Marzo E, Manara DF, Vellone E. A literature review about self-care on ostomy patients and their caregivers. Int J Urol Nurs. 2019;13(2):75–80.
• 27. Millard R, Cooper D, Boyle MJ. Improving self-care outcomes in ostomy patients via education and standardized discharge criteria. Home Healthc Now. 2020;38(1):16–23.
• 28. Senol Celik S, Tuna Z, Yildirim M. The experience of urostomists who do not have access to pre-operative and post-operative stoma care nursing intervention. Int J Urol Nurs. 2015;9(2):101–7.
• 29. Ang SGM, Chen HC, Siah RJC, He HG, Klainin-Yobas P. Stressors relating to patient psychological health following stoma surgery: an integrated literature review. Oncol Nurs Forum. 2013;40(6):587–94.
• 30. Li S, Zhong L, Zhou D, Zhang X, Liu Y, Zheng B. Predictors of psychological distress among patients with colorectal cancer-related enterostomy: a cross-sectional study. Adv Skin Wound Care. 2023;36(2):85–92.
• 31. Temprado MD, Agut S, Collado E. The mediating role of resilience in the relationship between personality and adjustment to disease in patients with a drainage enterostomy. J Health Psychol. 2019;24(8):1110–24.