Development and Psychometric Evaluation of the Ostomy Adjustment Inventory-23

Simmons, Kingsley L.; Smith, Jane A.; Maekawa, Atsuko

doi:10.1097/won.0b013e3181919b7d

Cited by 67 publications

(75 citation statements)

References 17 publications

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“…This could affect their anxiety level, social interactions, anger, acceptance, and how one adjusts to the changes brought by ostomy in their day-to-day life. A survey conducted in the UK 15 also reported that time since surgery is a significant factor influencing adjustment (P<0.001) among many other established factors. As the time since surgery increased, the level of psychosocial adjustment increased.…”

Section: Discussionmentioning

confidence: 99%

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Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Gautam¹,

Koirala²,

Poudel³

et al. 2016

NRR

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Background: Ostomy changes the overall lifestyle of a person, and ostomates have been identified as a chronic illness population frequently experiencing adjustment problems. Purpose: The aim of this study was to determine the psychosocial adjustment and its predictors among patients with ostomy in Nepal. Patients and methods:A descriptive cross-sectional study was conducted in two stoma clinics of Nepal. Patients who had a colostomy, ileostomy, or urostomy, visited the selected stoma clinics during the data collection period, and who had ostomy for at least 6 months before data collection were included in the study. A total of 130 patients were included in this study. Data on sociodemographic and clinical variables were collected. Psychosocial adjustment score was measured using Ostomy Adjustment Inventory-23. Results: A total of 130 patients (80 males and 50 females) were included in the study. The mean age of the patients was 51 years, ranging from 23 to 78 years. The study findings revealed that mean ±SD adjustment score was 41.49±13.57, indicating moderate impairment in the psychosocial adjustment among ostomates, and the mean ±SD scores of acceptance, anxious preoccupation, social engagement, and anger were 22. Perceived lack of family support (b=−0.367, P<0.001), total dependence on others to care for ostomy (b=−0.357, P<0.001), and unemployment (b=−0.144, P=0.032) significantly predicted lower psychosocial adjustment scores. However, increased time since ostomy surgery (b=0.361, P<0.001) significantly predicted higher psychosocial adjustment scores. Conclusion:Ostomy often affects all aspects of a patient's life; however, emotional, sexual, and social lives are the most affected areas. Importantly, the focus of treatment for ostomates should expand beyond the physical boundaries and should consider psychosocial concerns as well.

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Section: Discussionmentioning

confidence: 99%

“…• Ostomy Adjustment Inventory-23 developed by Simmons et al 15 was used to assess psychosocial adjustment, which is a Likert-type scale containing 20 items with four subscales: acceptance, anxious preoccupation, social engagement, and anger.…”

Section: Tools For Data Collectionmentioning

confidence: 99%

Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Gautam¹,

Koirala²,

Poudel³

et al. 2016

NRR

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“…18 OAI-23 is a 23-item, multidimensional, self-report instrument that consists of four subscales: acceptance, self-esteem, social engagement, and anger. 19 Evidence of validity was established in a large sample of 570 British participants with an ostomy. Cronbach alpha was 0.93 for the overall inventory.…”

Section: Methodsmentioning

confidence: 99%

Psychometric Evaluation of the Ostomy Complication Severity Index

Pittman

Bakas

Ellett

et al. 2014

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…Ancak, ülkemizde mesleğin problem çözme yaklaşımı ile hasta gereksinimlerine yönelik bireysel bir bakım vermek yerine, tıbbi bakıma yönelik işlemlerle yapıldığı gözlenmektedir. Literatürde, fizyolojik sorunlar ön plana çıkmış gibi görünse de stomalı hastaların psikolojik ve sosyal birçok sorunla karşılaştıkları bildirilmektedir (Aronovitch, Sharp, & Harduar-Morano, 2010;Clark, 2005aClark, , 2005bKaradağ, Menteş, Ayaz, İrkörücü, & Alabaz, 2003;Ito, Tanaka, & Kazuma, 2005;Persson & Hellstrom, 2002;Simmons, Smith, & Maekawa, 2009 ). Stoması olan bireylere bakım özelinde ise, hemşirelerin hastaların yaşadıkları güçlüklerin ve duyguların farkında olmaları profesyonel bakımın kalitesi açısından oldukça önemlidir.…”

Section: öZetunclassified

Nurses’ awareness as a result of short term stoma bag life experience<p>Stoma torbası deneyiminin hemşirelerin farkındalıkları üzerine etkisi

et al. 2017

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This is an experimental study conducted for raising awareness about being a patient with stoma in nurses working in surgical services where intestinal stoma is opened in Balcalı Hospital, Çukurova University.The stoma bag was inserted after applying “Introduction and Evaluation Form” which involved 11 questions was developed by the researcher via face-to-face interview technique with the nurses participating in the study and administering “Pre-Application Data Form” consisting after studying with stoma bag, whose 1/3 was filled with water, for 6 hours; “Post-Application Data Form” was administered.In nurses’ evaluation of first three feelings that the patients were experiencing before and after the life experience of using stoma bag for a short time; the difference between the exclusion feeling scores was found to be highly significant (z=-3.411; p=0.001). In the evaluation of the nurses for the question “will you share the information that you have stoma with your friend if you were a person with a stoma” before and after the stoma bag life experiment, the difference was determined to be statistically significant (z=-2.000; p=0.001). The difference between the evaluation scores for the patients to cope with their stomas before and after the application was observed to be highly significant (z=-4.724; p=0.000).Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAraştırma, Çukurova Üniversitesi Balcalı Hastanesi’nde bağırsak stoması açılan cerrahi servislerde çalışan hemşirelerde stomalı hastalarla ilgili farkındalık yaratmak amacıyla yarıdeneysel tipte yapılmıştır.Veriler araştırmacılar tarafından literatür taraması yapılarak hazırlanmış kişisel bilgi formu ve öntest/sontest veri formları ile yüz yüze görüşme tekniği ile toplanmış, sonrasında katılımcı hemşirelere stoma torbası takılmıştır. 1/3’üne kadar su ile doldurulan stoma torbası ile 6 saat çalıştıktan sonra tekrar anket formu uygulanmıştır.Hemşirelerin stoma torbası deneyimi öncesi ve sonrası hastaların en sık yaşadığı ilk üç duyguyu değerlendirmeleri incelendiğinde, dışlanma duygusu puan ortalamalarını diğer ortalamalara göre yüksek olduğu ve aradaki farkın istatistiksel olarak ileri derece anlamlı olduğu saptandı (z=-3.411; p=0.001). Hemşirelerin stoma torbası deneyimi öncesi ve sonrası “stomalı bir birey olsaydınız stomanız olduğunu iş arkadaşlarınız ile paylaşır mıydınız?” sorusunu değerlendirmelerinde farkın istatistiksel olarak anlamlı olduğu belirlendi (z=-2.000; p=0.001).Uygulama öncesi ve sonrası hastaların stomaları ile baş etmelerini değerlendirme puanortalamaları arasındaki farkın ileri derecece anlamlı olduğu görüldü (z=-4.724; p=0.000).

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Development and Psychometric Evaluation of the Ostomy Adjustment Inventory-23

Abstract: The OAI-23 is a valid and reliable measure of psychosocial adjustment that will be of interest to both researchers investigating life after stoma surgery and clinicians making objective assessments of their patients' progress.

Cited by 67 publications

References 17 publications

Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Psychometric Evaluation of the Ostomy Complication Severity Index

Nurses’ awareness as a result of short term stoma bag life experience<p>Stoma torbası deneyiminin hemşirelerin farkındalıkları üzerine etkisi

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