Psychosocial issues: Pelvic exenterative surgery

Turns, Danielle M.

doi:10.1002/jso.1036

Cited by 42 publications

(15 citation statements)

References 43 publications

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“…This is attributable to the fact that the majority of those who were under treatment (95.8%) had cancer, and 83.3% of them had ostomy for <1 year, where they have had to overcome the side effects of chemotherapy and radiation therapy. Considering the detrimental effects of cancer and its treatment, 23,24 this is an expected finding. As anticipated, those having difficulty in obtaining supplies had significantly lower adjustment scores than those who had no difficulty.…”

Section: Discussionmentioning

confidence: 84%

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: 84%

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

Gautam¹,

Koirala²,

Poudel³

et al. 2016

NRR

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“…In addition to the detrimental effect of cancer itself, most of the colorectal survivors have to deal with ostomy as a part of their treatment (3). Ostomy refers to a surgical procedure that results in an artificial opening in the abdominal wall (stoma) through which bodily waste are excreted (4).…”

Section: Introductionmentioning

confidence: 99%

Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy

Gautam

Poudel

2016

J. Gastrointest. Oncol.

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Background: Stoma can pose extensive challenges for colorectal cancer survivors. Identifying the psychological and social adjustment among them and how it differs by gender will aid in identifying those particularly at risk of having poor adjustment and in planning programs to improve their adjustment. The purpose of this study was to determine the effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy. Methods: A descriptive cross sectional study was carried out in the stoma clinic of B.P. Koirala Memorial Cancer Hospital, Bharatpur, Nepal. A purposive sample of 122 patients with ostomy was taken from the above mentioned setting. Selection criteria included colorectal cancer survivors having ostomy for at least 6 months. Data on socio-demographic and clinical variables were collected. Psychosocial adjustment was measured using Ostomy Adjustment Inventory-23 (OAI-23).Results: A total of 122 patients were included in the study. Mean time since ostomy surgery was 2.53 and 1.98 years for men and women respectively. Both men and women had significant impairment in the psychosocial adjustment, however, men had significantly lower psychosocial adjustment score (37.68±12.96 vs.43.45±12.81, t=−2.47, P=0.015) at 95% CI as compared to women and they reported more negative emotions. Furthermore, men significantly predicted low acceptance {β=−3.078, P=0.023, ΔR 2 =0.036, F [4,117] =7.90, P<0.001} and social engagement score {β=−2.501, P<0.001, ΔR 2 =0.098, F [4,117] =6.03, P<0.001}. Conclusions:Colorectal cancer survivors with ostomy should be monitored for psychosocial concerns in regular basis and health care providers should tailor care based on their need. Approaches of survivorship care and psychosocial interventions in colorectal cancer survivors with ostomy should take into account gender specific concerns and requirements to aid adjustment. J Gastrointest Oncol 2016;7(6):938-945 jgo.amegroups.com (QoL) scores in patients with ostomy (6,7). Furthermore, qualitative analysis has explored that low score in QoL is mainly attributable to the psychosocial issues (8)(9)(10)(11)). Yet, clinical outcome measures are mostly confined to laboratory results, complication rates and death, which often overlook those aspects of functioning and fall short to provide complete picture of how patient's life has been affected by the disease and its sequelae. Hence, detail analysis of psychosocial adjustment to measure actual outcome in these population is very essential, where psychosocial adjustment is the integration of illness or disability into the individual's life, identity, self concept, and body image (12).Deep rooted differences in men and women in societies can shape people's lives and their adjustment. It is essential to recognize and reflect upon gender roles given the need to provide therapeutic guidance and develop programs and public policies for each health specialty (13). Gender norms, roles and relations can influence health outcomes and affect the attainment of mental, physical and ...

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“…Many women who have undergone these procedures complain of lowered libido, decreased sexual interest, and dissatisfaction with sexual activity [18]. Surgery to the vaginal vault may cause narrowing or vaginal stenosis, decreased or absent lubrication, and significant discomfort because of fibrosis and scarring [19].…”

Section: Etiologymentioning

confidence: 99%

Sexual Oncology: Sexual Health Issues in Women with Cancer

Krychman¹,

Pereira

Carter³

et al. 2006

Oncology

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Sexual problems are widespread among female cancer patients and survivors. Dysfunction may result from various oncologic therapies such as surgery, radiation therapy, chemotherapy, hormonal manipulation, and cytostatic medication. Additionally, psychologic distress that the patient or her partner experiences during diagnosis and treatment of malignancy can impair a healthy female sexual response cycle. A sexual rehabilitation program in an oncology setting is necessary to provide comprehensive care to the cancer patient and her partner. A multidisciplinary treatment approach to sexual dysfunction includes psychological and psychiatric intervention, medical intervention, cognitive behavioral therapy, and recommended lifestyle adjustments. A holistic approach to assessing and treating sexual concerns should be individually tailored to the female patient in light of her disease stage and prognosis, age, marital status, fertility concerns, and social and professional environment.

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Psychosocial issues: Pelvic exenterative surgery

Cited by 42 publications

References 43 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

Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy

Sexual Oncology: Sexual Health Issues in Women with Cancer

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