Vol. 3 No. 2 (2026): August 2026
Articles

Self-Concept and Its Influencing Factors Among Young Filipino Adults Living with a Colostomy: A Qualitatively Driven Embedded Mixed-Methods Study

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  • Leird Dennis Robles,
  • Wireen Leila T. Dator
Leird Dennis Robles
Graduate School, Master of Science in Nursing, St. Paul University Manila, Metro Manila, Philippines
Wireen Leila T. Dator
St. Paul University Manila, Metro Manila, Philippines; Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
DOI: https://doi.org/10.70848/cnj.v3i2.111

Published 2026-08-07

Keywords

  • Colostomy,
  • Mixed Methods Research,
  • Philippines,
  • Self-Concept,
  • Social Support,
  • Young Adult
    • ...More
    Less

How to Cite

Robles, L. D., & Dator, W. L. T. (2026). Self-Concept and Its Influencing Factors Among Young Filipino Adults Living with a Colostomy: A Qualitatively Driven Embedded Mixed-Methods Study. Celebes Nursing Journal, 3(2), 344–357. https://doi.org/10.70848/cnj.v3i2.111

Abstract

Introduction: Ostomy surgery can alter body image, daily functioning, self-esteem, and self-perception, making adjustment important during young adulthood. However, evidence on self-concept among young Filipino adults with an ostomy remains limited. Objective: This study explored self-concept and its influencing factors among young Filipino adults living with a colostomy and developed a preliminary framework. Methods: A qualitatively driven embedded mixed-methods design was used. Six participants aged 18–39 years were purposively recruited. The quantitative component used an 18-item questionnaire adapted from Goñi et al. (2011) to assess self-fulfillment, autonomy, emotional self-concept, and ethical self-concept (honesty), while semi-structured interviews comprised the qualitative component. Quantitative data were summarized using weighted means, and interview data were analyzed using Braun and Clarke’s six-phase thematic analysis. Findings were integrated through a joint display. Results: Mean scores were good for self-fulfillment (M = 3.00), autonomy (M = 2.54), and emotional self-concept (M = 2.87), and very good for ethical self-concept (M = 3.50). Three themes emerged: (1) Confronting Changes in Body Perception and Daily Functioning; (2) Managing Internal and Social Burdens; and (3) Building Resilience Through Layered Support and Connections. Integration informed a preliminary framework linking self-concept with sociodemographic circumstances, physical challenges, internal and social burdens, and family, cultural, peer, and community support. Conclusion: Despite body-image, emotional, and functional challenges, participants reported favorable self-concept. Their narratives highlighted resilience, family relationships, cultural values, and peer networks as important resources during adjustment. These findings may inform culturally responsive, person-centered nursing support for young adults living with a colostomy.

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