title: Determinants of self-efficacy and quality of life in patients with temporary enterostomy: a cross-sectional survey.
abstract: OBJECTIVE
  To identify determinants of self-efficacy and quality of life in patients with temporary enterostomy.
  
  
  BACKGROUND
  Anterior resection with temporary enterostomy is the preferred treatment for patients with rectal cancer, which may impair patients' quality of life. So far, most studies have focused on quality of life in patients with permanent enterostomy, but few studies have looked at that in those with temporary enterostomy. Self-efficacy may determine quality of life in these patients, but few studies have identified determinants of self-efficacy and quality of life.
  
  
  METHODS
  Multicentre, cross-sectional survey and regression analysis to identify determinants of self-efficacy and quality of life.
  
  
  METHODS
  A convenience sample of patients undergoing temporary enterostomy at five hospitals in Guangdong Province (China) were surveyed at least four weeks after stoma surgery using validated Chinese versions of internationally recognised questionnaires, including a Stoma Self-Efficacy Scale and the City of Hope Quality of Life-Ostomy Questionnaire. Backward multiple regression analysis was performed to identify whether quality of life was determined by self-efficacy and other clinico-demographic characteristics.
  
  
  RESULTS
  Of the 180 questionnaires distributed, 149 (82·8%) were returned, and 135 (75%) were used in the final analysis. Mean global quality of life was 5·40 ± 1·58, and mean global self-efficacy was 79·59 ± 20·21. Significant determinants of self-efficacy and quality of life were identified (β = 0·62, p < 0·01). Quality of life was determined by type of enterostomy (β = 0·18, p = 0·01) and payment method (β = 0·14, p = 0·03).
  
  
  CONCLUSIONS
  Quality of life may be determined by self-efficacy, type of enterostomy and payment method, after temporary enterostomy.
  
  
  CONCLUSIONS
  Promoting stoma-related self-efficacy in patients with temporary enterostomy may improve their quality of life. Healthcare providers should focus on quality of life in those either with temporary loop ileostomy or entirely self-funded for medicine.
authors.affiliation: Guangzhou Medical University, Guangzhou, China.
authors.forename: Xi
authors.initials: X
authors.lastname: Su
authors.affiliation: Nanfang Hospital, Southern Medical University, Guangzhou, China.
authors.forename: Li
authors.initials: L
authors.lastname: Zhen
authors.affiliation: Nanfang Hospital, Southern Medical University, Guangzhou, China.
authors.forename: Mulan
authors.initials: M
authors.lastname: Zhu
authors.affiliation: The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
authors.forename: Yinyi
authors.initials: Y
authors.lastname: Kuang
authors.affiliation: Southern Medical University, Guangzhou, China.
authors.forename: Fang
authors.initials: F
authors.lastname: Qin
authors.affiliation: The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
authors.forename: Xinmei
authors.initials: X
authors.lastname: Ye
authors.affiliation: The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
authors.forename: Xuexia
authors.initials: X
authors.lastname: Yin
authors.affiliation: School of Nursing, Southern Medical University, Guangzhou, China.
authors.forename: Huizhen
authors.identifier: http://orcid.org/0000-0002-6747-2032
authors.initials: H
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D002681:China; D003125:Colostomy / Q000523:psychology; D003430:Cross-Sectional Studies; D004766:Enterostomy / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012004:Rectal Neoplasms / Q000601:surgery; D020377:Self Efficacy; D054047:Surgical Stomas; D011795:Surveys and Questionnaires
keywords: cancer; colostomy; quality of life; self-efficacy; stoma