Determinants of self‐efficacy and quality of life in patients with temporary enterostomy: a cross‐sectional survey

Su, Xi; Li, Zhen; Mulan, Zhu; Kuang, Yinyi; Fang, Qin; Ye, Xinmei; Yin, Xuexia; Wang, Huizhen

doi:10.1111/jocn.13469

Cited by 22 publications

(34 citation statements)

References 29 publications

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“…This is consistent with study from Iran and China where 83.33% patients reported changing or leaving their jobs after enterostomies. 8,9 Effect of stoma creation on marital status was negligible. There were no incidences of divorce or separation post stoma creation.…”

Section: Discussionmentioning

confidence: 96%

“…8 A similar study in 2011 by Iranian Ostomy Society, mean age was 53.5 years. 9 This difference in age distribution can be explained by the attributes of sample, as most of these studies focused mainly on purely permanent stoma or sometimes on purely temporary stomas. But our study included both permanent and temporary stomas.…”

Section: Discussionmentioning

confidence: 99%

“…Sex distribution in our study was similar to most of the studies including study by Iranian Ostomy Society. 9 Most common indication for stoma creation in our study was perforative peritonitis as we had chosen "complete enumeration" as sampling technique and our study site is a busy tertiary care medical college catering to a large population and provides emergency surgical services. It is interesting to note that it correlates well with other studies from Indian subcontinent where commonest indication is typhoid ileal perforation.…”

Section: Discussionmentioning

confidence: 99%

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A cross sectional study of quality of life in patients with enterostomy

et al. 2019

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Background: Enterostomy is one of the commonest surgeries performed in general surgical practise. It leads to considerable alteration in life style of patients after surgery in the form of physical, mental, social, spiritual, economic, educational, vocational, marital, sexual problems. We designed study to assess the extent of these affections on quality of life (QOL) and suggest measure to improve it.Methods: We conducted a cross sectional survey using validated City of Hope-quality of life-Ostomy questionnaire questionnaire which was administered to patients following up for routine stoma care in stoma clinic of our hospital. We included patients who have undergone stoma creation between 2 months to 1 year prior to taking the QOL questionnaire. Demographic data and data collected about four main domains of QOL namely, physical, psychological, social and spiritual was statistically analysed for significance, dependence and correlation.Results: Commonest stoma type in our study was temporary ileostomy done for perforative peritonitis. Presence of ostomy makes significant impact on patients clothing style, occupation and sexual activity and suffered depression. Majority of patients (82.5%) fell in fair to average when their scores of QOL were compared. All four domains of life correlated positively to each other.Conclusions: As all domains of life are related to each other intervention to improve any one of them will cause resultant improvement of all domains of QOL. We suggest holistic approach by pre and postoperative counselling, training by trained enterostomal therapists, psychiatrist, treating surgeons and economic and sexual rehabilitation.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A cross sectional study of quality of life in patients with enterostomy

et al. 2019

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“…Self‐efficacy has been considered in the literature to be a factor associated with positive health outcomes after an ostomy (Su et al., 2016, 2017). However, few studies have identified the association between self‐care self‐efficacy and ostomy self‐care.…”

Section: Introductionmentioning

confidence: 99%

Describing self‐care and its associated variables in ostomy patients

Giordano

Nicolotti

Corvese

et al. 2020

Journal of Advanced Nursing

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Aims: To describe self-care in ostomy patients, to identify socio-demographic and clinical variables associated with self-care and to identify the association between self-care self-efficacy and self-care over and above the variables associated with self-care. Design: Longitudinal and multicentre study. Data were collected between February 2017-May 2018. Methods: In this study, 523 ostomy patients were enrolled at baseline (T0) and 362 were followed-up after 6 months (T1). The Ostomy Self-Care Index was used to measure self-care maintenance, monitoring, management, and self-efficacy. Correlations between self-care dimensions and patient socio-demographic and clinical characteristics were performed with Pearson's or Spearman's correlations. Three separate two-step hierarchical regression analyses were performed to identify variables associated with self-care maintenance, monitoring, and management. Results: Participants' mean age was 69 years (SD 12.4); 63.9% were male and most had enterostomies (38.8% colostomies, 29.3% ileostomies) and permanent ostomies (72.5%). Patients had adequate self-care maintenance and monitoring at T0 and T1, while they had lower self-care management and self-efficacy at baseline. Significant variables associated with better self-care maintenance and self-care monitoring were female gender, more information received during hospitalization and better autonomy in stoma management, while a better level of education was an additional variable associated with self-care monitoring. Self-care self-efficacy produced a significant increase in the explained variance of self-care maintenance and self-care monitoring. None of the selected variables were significantly associated with selfcare management. Conclusion: Middle-high levels of self-care maintenance, monitoring, management, and self-efficacy were found. The variables associated with ostomy self-care and the role of self-care self-efficacy identified in this study can help in developing tailored nursing interventions. | 2983 GIORDANO et Al.

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“…Similar findings are reported in a recent study of ostomy supplies and payment method as significant factor for the QOL study on temporary enterostomy patients in five hospitals in Guangdong Province, China and the Veterans Affairs Ostomy Health-Related QOL Study in USA. 20,21 Development of stoma care in China has been mainly confined to hospital based inpatients and outpatients services which need to expand in to the community. Integration of standardized multidisciplinary team including specialized stoma nurses, clinicians, and psychotherapists from the early period of diagnosis and treatment plan is important to improve the quality of colorectal cancer treatment.…”

Section: Resultsmentioning

confidence: 99%

Self-rating depression during early postoperative period after colostomy following radical surgery for rectal cancer

Hao

Liying²,

Zhong³

et al. 2018

J Patan Acad Health Sci

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Introductions: Colorectal cancer (CRC) is 3rd most common cancer. Half of which requires colostomy. It leads to anxiety and depression with less than optimal quality of life. Zung Self-rating Depression Scale is a reliable tool used in Chinese population for identifying and addressing mental health status for appropriate education. The aim of this study is to investigate the depression state in rectal cancer patients after colostomy, then analyze its influence factors. Methods: A cross sectional study in rectal cancer patients who had colostomy after radical surgery for rectal cancer were investigated for depression during early postoperative period within one week using Zung’s self-rating depression scale (SDS). Multiple logistic regression analysis was done to identify the risk factor. Results: There were 55 colostomies patients (male 30 and female 25 patients, age 50.11+/-13.17 years) after rectal cancer surgery during the study period. The SDS score of was higher than national norm (P<0.01). The risk factors for depression were female gender, younger age, lower economic status, and lesser degree of understanding of the disease. Conclusions: The depression level of rectal cancer patients after colostomy was higher than normal population, especially in female, young age, with poor understanding of disease and lower economy status. The effective measures should be targeted to strengthen the health psychosocial health of these patients.

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Determinants of self‐efficacy and quality of life in patients with temporary enterostomy: a cross‐sectional survey

Abstract: Promoting stoma-related self-efficacy in patients with temporary enterostomy may improve their quality of life. Healthcare providers should focus on quality of life in those either with temporary loop ileostomy or entirely self-funded for medicine.

Cited by 22 publications

References 29 publications

A cross sectional study of quality of life in patients with enterostomy

A cross sectional study of quality of life in patients with enterostomy

Describing self‐care and its associated variables in ostomy patients

Self-rating depression during early postoperative period after colostomy following radical surgery for rectal cancer

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