Analysis of the influencing factors of stigma in colorectal cancer patients after enterostomy

ObjectiveTo investigate the status of stigma in colorectal cancer patients treated with enterostomy, and analyze its main influencing factors.

MethodsA total of 290 patients with colorectal cancer enterostomy from the outpatient department of stomostomy and gastrointestinal surgery department of The First Affiliated Hospital of Bengbu Medical College from October 2020 to March 2021 were selected by convenience sampling method. The baseline data(including the general demographic data, anxiety anddepression scale, social impact scale and perceived social support scale) were collected using the questionnaires. According to the score of each scale, the level of patients' stigma was evaluated, and the main influencing factors were analyzed.

ResultsThe total score of stigma in colorectal cancer patients with enterostomy was(68.16±13.51) points, which was at a moderate level, and 43.1% patients had severe stigma. The results of multiple linear regression analysis showed that the degree of self-care, stoma acceptance, presence of stoma complications, depression and anxiety, and social support were the factors of influencing the sense of stigma(P < 0.05 to P < 0.01). The social support was negatively correlated with the sense of stigma, while the level of anxiety and depression was positively correlated with the sense of stigma(P < 0.01).

ConclusionsThe main factors influencing the sense of stigma in colorectal cancer enterostomy patients include the degree of stoma self-care, acceptance, presence of complications, levels of social support, and anxiety and depression.