Abstract
Resiliency as a moderator of adaptation in a situation of extreme stress, an analysis based on patients with stoma – a pilot study
- Zakład Pielęgniarstwa Chirurgicznego, Transplantacyjnego i Leczenia Pozaustrojowego, Warszawski Uniwersytet Medyczny
Aim of the study
Establish the relationship between resiliency related to health condition and the level of adaptation in a situation of extreme stress such as the creation of stoma.
Material and methods
The pilot study was conducted from December 2020 to February 2021; participation was voluntary and anonymous. Forty-three randomly selected people over 18 years of age with a stoma participated in the study. A 4-stage questionnaire was used to collect the material, which consisted of a sociodemographic questionnaire, the authors’ own questionnaire, a standardized CERQ questionnaire, and the Resiliency Scale (SPP-25).
Results
The level of resiliency and cognitive regulation of emotions were not significantly differentiated by sex, age, education, or place of residence. There was no significant correlation also in the case of living alone versus living with someone and changes in relationships with relatives. Among the examined variables, only the time from stoma creation was statistically significant, positively related to the intensity of resilience. These 2 variables did not appear to differentiate the occurrence of complications, and nor did the cause of the stoma.
Conclusions
The time since the stoma creation had a statistically significant influence on the level of resiliency in the study group. In the study, no statistically significant relationships were found in the case of relations with relatives, age, sex, place of residence, level of education, reasons for stoma creation, or postoperative complications and the level of resiliency of the respondents. Also, the level of cognitive regulation of emotions was not statistically significantly different in the case of socio-demographic variables.
Keywords
stoma, psychological resistance, psychological resiliency, extreme stress
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