Psychological and spiritual well-being aspects of the quality of life in colostomy patients

Abstract

Background/Aim. Colorectal cancer and its treatment can have a negative impact on the quality of life which has become an important outcome measure for cancer patients. The aim of this work was assessment of psychological and spiritual dimension of the quality of life in colostomy patients, regarding the gender and age. Methods. This is a cross-sectional study conducted at the Abdominal Surgery Polyclinic in the Clinical Canter of Vojvodina among colostomy patients operated between January 2010 and June 2011. The instrument used in this study was Quality of Life Questionnaire for a Patient with an Ostomy (QOL-O). Results. Majority of respondents were male (M:F = 50.7% : 49.3%). The age ranged between 36-86 years. Respondents did not report difficulties in adjustment to stoma, but their great difficulty was to look at it and the sense of depression and anxiety. The care of stoma was worse perceived by younger respondents (p = 0.014). Respondents were mostly satisfied with their memorizing ability and having the sense of control. The lowest score was found in sensing satisfaction or enjoyment in life. The age had a significant impact on positive aspects of psychological well-being (p < 0.05). Higher scores were found among younger age groups. The mean score of spiritual well-being (6.47 ± 3.01) was lower than the mean score of psychological well-being (7.76 ± 2.35). There were no statistically significant differences regarding gender (t =-0.738, df = 65, p = 0.463) or age (F = 1.307, p = 0.280). Conclusion. Psychological and spiritual well-being in colostomy patients appeared to be at satisfactory level, but it is necessary to provide tailor made support in order to prevent and resolve negative responses to stoma.

Gender Differences in Psychosocial Outcomes and Coping Strategies of Patients with Colorectal Cancer: A Systematic Review

“…Of the 37 studies, 1 targeted patients aged 60 or above [ 36 ], 1 targeted patients whose age was 80 or over [ 33 ], and the remaining 35 targeted patients aged from 19 to 88. Furthermore, 7 studies focused on patients with ostomy [ 27 , 30 , 34 , 40 , 44 , 45 , 46 ], and the remaining 30 focused on patients with or without ostomy, or they did not mention whether the patients had an ostomy. The topics examined with a statistical analysis in terms of gender differences were divided into three aspects: psychological outcomes, social outcomes, and coping strategies.…”

“…Dunn et al speculated that male patients were less likely to seek health services and that young, poor males needed specific support [ 31 ], while Mols et al did not discuss this point [ 11 ]. In addition, there were also 19 studies stating that no gender difference existed in anxiety, depression, body image distress, distress, emotional functioning/well-being, psychological health, or spiritual well-being [ 12 , 20 , 21 , 22 , 24 , 25 , 29 , 37 , 38 , 39 , 40 , 41 , 42 , 45 , 46 , 49 , 50 , 51 , 52 ]. Specifically, of the 19 studies, 14 utilized QOL-related tools to measure patients’ psychological outcomes.…”

Respostas adaptativas de colostomizados antes e após o uso do oclusor

“…Ainda assim, é necessário fornecer suporte sob medida, a fim de prevenir e minimizar respostas negativas. (23) Apesar disso, o medo de eventos constrangedores limita a dimensão social e comunitária da prática religiosa como a participação em momentos litúrgicos e a inserção em trabalhos pastorais passando a desenvolver a dimensão individual religiosa.…”

Gratitude training to improve quality of life for schizophrenic family caregivers

“…It is believed to be helpful for individuals to overcome difficulties in life, provide life experiences, and contribute to their well being. The study conducted by Repic et al (2018) revealed the importance of the spiritual aspect of quality of life among patients with colostomy. Dimensions related to religious rituals were found to be important for participants.…”