Volume 29, Issue 3
DOI: 10.24205/03276716.2020.922
Effect of Mindfulness-Based Stress Reduction on Stigma, Quality of Life and Sleep Quality of Patients with Permanent Enterostomy
Abstract
Objective: To explore the effect of mindfulness-based stress reduction on stigma, quality of life (QOL) and sleep quality of patients with permanent enterostomy.
Methods: We conducted a prospective study and collected 110 cases of permanent colostomy after rectal carcinoma surgery from May 2016 to May 2018. Among them, 60 cases were treated with routine gastrointestinal surgery care with mindfulness-based stress reduction (MBSR) as the research group (RG) and 50 cases were treated with routine gastrointestinal surgery as the control group (CG). Social Impact Scale (SIS) was applied to assess patients' stigma, QLQ-C30 was applied to assess patients' quality of life, Pittsburgh Sleep Quality Index (PSQI) was applied to assess patients' sleep, and Schedule for Affective Disorders for Schizophrenia (SADS) was applied to assess patients' anxiety and depression. The scores of SIS, QLQ-C30, PSQI, SAS and SDS were recorded and analyzed statistically. Results: There was no evident difference between RG and CG in the scores of data and questionnaires before the intervention (P> 0.05). After the intervention, the stigma, QOL and sleep quality of the patients in the RG were evidently different from those in the CG (P< 0.001).
Conclusion: MBSR can improve stigma, quality of life and sleep quality of patients with permanent enterostomy, which is helpful for patients' mental health and is worthy of promotion in clinical practice.
Keywords
Mindfulness based stress reduction; enterostomy; stigma; quality of life; sleep quality.