Sense of Coherence, Psychological Distress, and Disability Acceptance in Colostomy Cancer Survivors

Abstract

This study aimed to investigate the status of sense of coherence (SOC), acceptance of disability (AD) and psychological distress (PD) of patients with permanent colostomy and evaluate the role of AD in mediating the relationship between SOC and PD. Cross-sectional data were collected from 162 patients with permanent colostomy at stoma care outpatient clinic. Structural Equation Model of the SOC, AD, and PD was established to examine the mediating effect. Results indicated that the SOC and AD of patients with permanent colostomy were both at a low level, and PD was common in patients. In addition, a partial mediating effect of AD between SOC and PD was verified. Enhancing the SOC and AD of patients with permanent colostomy could be essential for alleviating their PD.