title: [Adaptation of self-image level and defense mechanisms in elderly patients with complicated stoma].
abstract: OBJECTIVE
  Ostomy patients face a number of problems that impact negatively on their personal welfare. The aim of this research is determine the nature and intensity of the relationship between the level of self-concept adaptive mode and the consistent use of coping strategies of older adults with a stoma.
  
  
  METHODS
  Quantitative, correlational and transversal. VIVEROS 03 and CAPS surveys were applied in 3 hospitals in the City of Durango, México. The study included 90 older adults with an intestinal elimination stoma with complications. Kendall's Tau-b coefficient was the non-parametric test used to measure this association.
  
  
  RESULTS
  Most older adults analyzed (61.3 < % < 79.9) are not completely adapted to the condition of living with an intestinal stoma. There is also a moderate positive correlation (0,569) between the level of adaptation of the older adults with a stoma and the conscious use of coping strategies.
  
  
  CONCLUSIONS
  The presence of an intestinal stoma represents a physical and psychological health problem that is reflected in the level of adaptation of the self-image. Elderly people with a stoma use only a small part of defense mechanisms as part of coping process. This limits their ability to face the adversities related to their condition, potentially causing major health complications.
authors.affiliation: Programa de maestría en Ciencias de Enfermería de la División de Ciencias de la Salud e Ingenierías, Universidad de Guanajuato, Campus Celaya, Salvatierra, México. Electronic address: miry028@hotmail.com.
authors.forename: Miriam Karina
authors.initials: MK
authors.lastname: Ortiz-Rivas
authors.affiliation: Departamento de Enfermería Clínica de la División de Ciencias de la Salud e Ingenierías, Universidad de Guanajuato, Campus Celaya, Salvatierra, México.
authors.forename: Norma Elvira
authors.initials: NE
authors.lastname: Moreno-Pérez
authors.affiliation: Departamento de Estudios Culturales, Demográficos y Políticos de la División de Ciencias Sociales y Administrativas, Universidad de Guanajuato, Campus Celaya, Salvatierra, México.
authors.forename: Héctor Daniel
authors.initials: HD
authors.lastname: Vega-Macías
authors.affiliation: Departamento de Enfermería Clínica de la División de Ciencias de la Salud e Ingenierías, Universidad de Guanajuato, Campus Celaya, Salvatierra, México.
authors.forename: María de Jesús
authors.initials: Mde J
authors.lastname: Jiménez-González
authors.affiliation: Departamento de Enfermería Clínica de la División de Ciencias de la Salud e Ingenierías, Universidad de Guanajuato, Campus Celaya, Salvatierra, México.
authors.forename: María de Guadalupe
authors.initials: Mde G
authors.lastname: Navarro-Elías
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D003430:Cross-Sectional Studies; D003674:Defense Mechanisms; D004766:Enterostomy / Q000009:adverse effects / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D012649:Self Concept
keywords: Afrontamiento; Aging; Aspectos emocionales; Coping Behavior; Emotional aspects; Envejecimiento; Ostomy; Ostomía