Comparison of Adjustment or Adaptation to the Formation of a Temporary Versus a Permanent Ostomy

Whiteley, Ian; Randall, Sue; Stanaway, Fiona F.

doi:10.1097/won.0000000000001031

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…Adjusting to the physical changes of an ostomy can have severe psychological consequences that affect QOL, and this can differ between temporary and permanent ostomy patients [22,23]. Adjustment to the stoma, which is individualized and influenced by multiple pre-and post-operative factors, is essential for predicting patient QOL [24]. Multiple studies on adjustment after stoma have shown that permanent ostomates have better adjustment than temporary ostomates [22].…”

Section: Discussionmentioning

confidence: 99%

Ostomy Belt Use Improves Quality of Life in Patients with a Stoma

Karhu,

Hernandez,

Restrepo

et al. 2024

Surgeries

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Ostomy formation is a vital component in the treatment of advanced gastrointestinal diseases, including colorectal cancer and inflammatory bowel disease. It usually involves externalizing a part of the colon or small bowel to the skin surface. Thus, the creation of an ostomy can often have a major negative impact on quality of life. This study aimed to evaluate whether the use of an ostomy belt could improve quality of life measures in stoma patients through a prospective interventional open-label study of 17–80-year-old English- and Spanish-speaking patients with stomas who were using an ostomy belt for 8 weeks. Changes in quality of life were assessed using the Stoma Quality of Life Scale questionnaire at baseline, at 4 weeks, and at 8 weeks post ostomy belt use. A total of 45 patients enrolled (20 female, mean age 48) in the study. The ostomy belt significantly improved quality of life scores from baseline to 4 weeks regarding overall life satisfaction (F(2, 76) = 14.77, p < 0.001) and in the domains of work/social function (F(2, 72) = 30.32, p < 0.001), sexuality/body image (F(2, 68) = 3.34, p = 0.04), and stoma function (F(2, 72) = 8.72, p < 0.001). These improvements were sustained at the 8-week follow-up. No significant differences were observed in the domains of financial impact and skin irritation. This study represents the first prospective interventional study that provides evidence for the simple low-cost intervention of ostomy support belt use in improving quality of life in patients with a stoma.

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Section: Discussionmentioning

confidence: 99%

Ostomy Belt Use Improves Quality of Life in Patients with a Stoma

Karhu,

Hernandez,

Restrepo

et al. 2024

Surgeries

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Assessing the impact of educational eHealth and mHealth interventions on health outcomes in continuity of care for enterostomy patients: A meta-analysis

Qiao,

Zhao,

et al. 2024

European Journal of Oncology Nursing

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Comparison of adjustment to a temporary or permanent ostomy using the OAI‐23

Whiteley,

Randall,

Fetheny

et al. 2024

Colorectal Disease

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AimThe aim of this work was to compare adjustment between those with a new temporary or permanent ostomy in a cohort of Australian adults.MethodThis is a multicentre, longitudinal observational study. Ostomy adjustment was measured using the Ostomy Adjustment Inventory (OAI‐23) at six possible time points ending at 9 months postsurgery or at the time of ostomy closure in those with a temporary stoma. The OAI‐23 includes four domains: anger, acceptance, anxious preoccupation and social engagement.ResultsEligibility criteria were met by 1230 patients, with 849 (69%) recruited and consented. Of these, 108 were excluded as their surgery did not result in the formation of an ostomy and a further 41 were excluded due to there being no data on ostomy type (temporary or permanent). This left a study population of 700, of whom 397 had a temporary and 303 a permanent ostomy. Only small differences were observed between the temporary and permanent ostomy groups at most time points within the four OAI‐23 domains. There were no statistically significant differences found beyond 2 weeks postdischarge and the differences were of small size. While no difference was found between the groups in the domain of anxious preoccupation, both groups demonstrated an increase in anxious preoccupation over time. Neither group regained their presurgery confidence to attend social engagements.ConclusionWe found only minor differences in adjustment in those with a new temporary ostomy compared with a new permanent ostomy. Both groups demonstrated increasing anxious preoccupation and problems with social engagement. This suggests that access to education, training and support should be equitable between these two groups in clinical practice, and needs to incorporate a focus on psychological as well as physical outcomes.

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Comparison of Adjustment or Adaptation to the Formation of a Temporary Versus a Permanent Ostomy

Cited by 3 publications

References 31 publications

Ostomy Belt Use Improves Quality of Life in Patients with a Stoma

Ostomy Belt Use Improves Quality of Life in Patients with a Stoma

Assessing the impact of educational eHealth and mHealth interventions on health outcomes in continuity of care for enterostomy patients: A meta-analysis

Comparison of adjustment to a temporary or permanent ostomy using the OAI‐23

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