Effects Of ADOPT Mode On The Self-efficacy And Adaptation Level Of Colostomy Patients

Objectives:To investigate the current situation of self-efficacy and adaptation level ofcolostomy patients, and to analyze its influential factors. To study the interventioneffect of ADOPT mode on the self-efficacy and adaptation level of colostomypatients.Methods:This study was a quasi-experimental research. According to the convenientsample, a total of80colostomy patients, who were from2grade3A hospitals inHengyang city of Hunan province, were randomly evenly divided into2groups suchas the control group(n=40) and the experimental group(n=40). The patients in thecontrol group were implemented using the traditional care for4months. Basis on thetraditional care, the patients in the experimental group were intervened for4monthsusing ADOPT mode by2responsible nurses who were also Charge nurses. ADOPTmode involved the individual guidance, group intervention, self-care handbook issuedstoma, follow-up clinics and follow-up telephone and visiting family. Stoma-relatedSelf-efficacy Questionnaire and Stoma Adjustment Scale (OAS) were respectivelyused to evaluate the patients’ self-efficacy and adaptation level in the first day after thepatient was operated, the day when the patient was discharged, and the day after thepatient was discharged for4months. SPSSl7.0was used to analyze statistically thedata. The statistical methods included the Statistical description, t-test, One-wayANOVA, Rank sum test, Repeated measures ANOVA and so on.Results:1.There were30colostomy patients who finished the study in each group. There wasnot statistically significant difference for their demographic data between in the control group and in the experimental group (P>0.05).2.Before the intervention, the total scores of the self-efficacy of the patients in thecontrol group and in the experimental group were (67.80±23.97) and (67.97±26.63),respectively. There was not statistically significant difference for the scores of theself-efficacy or its dimensions or items between2groups (P>0.05). Gender, age,education level, marital status and family relationships were related to the total scoresof the self-efficacy (P<0.05).3.Before the intervention, the total scores of the adaptation level of the patients in thecontrol group and in the experimental group were (104.77±13.50) and (104.10±13.17),respectively. There was not statistically significant difference for the scores of theadaptation level or its dimensions between2groups (P>0.05). Age, familyrelationships, family monthly income, work status, the place of residence were relatedto the total scores of the adaptation level (P<0.05).4.The total scores of the self-efficacy either in the control group or in the experimentalgroup （102.83±11.91）or（80.30±10.63）were obviously higher in the day after thepatients were discharged for4months than that before the intervention and in the daywhen the patients were discharged（67.97±26.63）、（67.80±23.97）or（63.33±18.67）、（62.90±16.13）(P<0.05). The total scores of the self-efficacy in the experimentalgroup were significantly higher than that in the control group either in the day whenthe patients were discharged or in the day after the patients were discharged for4months(P<0.001).4.Either in the day when the patients were discharged or in the day after the patientswere discharged for4months, the total scores of the adaptation level in the controlgroup or in the experimental group (116.03±10.62) and (133.30±10.09);(111.10±13.22) and (117.60±11.17) were obviously higher than that before theintervention(P<0.05). The total scores of the adaptation level in the experimentalgroup were significantly higher than that in the control group (P<0.001).5.In the day after the patients was discharged for4months, The rate of stomacomplications in the experimental group was obviously lower than that in the controlgroup (P<0.05). Meanwhile, stoma self-care abilities of patients in the experimental group were also significantly better than that in the control group(P<0.001).Conclusions:1.The self-efficacy of the colostomy patients were in the moderate level, the maininfluential factors involved gender, age, education level, marital status and familyrelationships.2.The adaptation level of the colostomy patients was lower, its major influentialfactors involved age, family relationships, family monthly income, work status, theplace of residence and etc.3.ADOPT mode could enhance the self-efficacy and the adaptation level of thecolostomy patients.4.ADOPT mode could reduce the rate of stoma complications and improve the stomaself-care abilities of the colostomy patients.