Structural equation model of the relationship between sense of coherence,social support and coping style of permanent colostomy / 中国实用护理杂志

ABSTRACT

Objective To explore the levels of sense of coherence,social support and coping style of permanent colostomy,and explicit the relationships among the three variables.the structural equation model(SEM) was used to investigate the relationship of the three variables in order to provide the theory basis for patients with permanent colostomy. Methods Self designed questionnaire,Sense of coherence scale, Medical Coping Modes Questionnaire and social support Scale were used to investigate 172 permanent colostomy patients from two grade 3 class A hospitals in Harbin. Results The total score of SOC in patients with permanent colostomy was (65.09 ± 11.71) points;The total score of social support in patients with permanent colostomy was (42.60 ± 7.26) points;the three subscales of medical coping modes questionnaire in descending sequence were avoidance, confrontation and acceptance-resignation with (18.53 ± 2.82), (17.37 ± 5.48), (9.49 ± 3.25) points. The abusive social support and coping style were significantly correlated to sense of coherence (P< 0.01 for both). Moreover, sense of coherence can be predicted directly by social support,and predicted indirectly via the mediating effect of coping style. Conclusion Effective measures should be taken to improve social support and via coping style to improve sense of coherence.