Quality of Life in Chinese Persons Living With an Ostomy

Geng, Zhaohui; Howell, Doris; Xu, Honglian; Yuan, Changrong

doi:10.1097/won.0000000000000323

Cited by 51 publications

(64 citation statements)

References 44 publications

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“…24 The quality of life of ostomate can be improved by identifying and addressing perceptions and mental health for appropriate education for mastery of colostomy care. 7,13 Our findings of higher level of symptoms of depression during early postoperative period of stoma after radical surgery for rectal cancer affirm the need of specialized care for these patients. The possible limitations of our study could be the single center with limited sample not fully representative of all colostomy patients.…”

Section: Resultsmentioning

confidence: 52%

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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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Section: Resultsmentioning

confidence: 52%

“…6 Colostomy leads to anxiety and depression with less than optimal quality of life (QOL). 7 Zung SDS 8 is a reliable and valid tool, also used in Chinese population. [9][10][11][12] Identifying and addressing their perceptions and mental health status for appropriate education for mastery of colostomy improves the QOL.…”

Section: Introductionsmentioning

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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“…The quantitative study conducted by Genz et al, (2017) to 93 years old, consisting of both men and women. The setting was from rural hospitals settings in China.…”

Section: Chapter 2: Literature Reviewmentioning

confidence: 99%

“…The setting was from rural hospitals settings in China. The data was collected utilizing the administration of the City of Hope quality of life ostomy questionnaire in the Chinese version, stoma self-efficacy scale-Chinese version, Ostomy adjustment inventory-Chinese version, social support revalued scale and the hospital anxiety depression scale (HADS), also in the Chinese version (Genz et al, 2017). All the tools utilized were standardized tools validated in previous research studies and shown to be reliable and valid.…”

Section: Chapter 2: Literature Reviewmentioning

confidence: 99%

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Does Preoperative Ostomy Education Decrease Anxiety in the New Ostomy Patient?

Harris

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Background: There are approximately 100,000 patients with new ileostomies and colostomies created in the United States each year. These patients have specialized needs that include acceptance of altered body image, psychological stress, learning of difficult tasks, and occasionally an ominous diagnosis leading to the need for surgery. In addition to pre-surgical stoma site marking on the abdomen, ostomy nurses have identified early education to be an important factor in long-term success and management of the patient. Early education and stoma site marking may assist with a better-situated stoma leading to fewer complications related to appliance adherence and leakage. New ostomy patients that are well prepared may be able to adapt to the new body image and are more successful in management following ostomy surgery. Problem: Psychologists and sociologists have identified a link between anxiety levels and memory. Anxiety can affect learning by interfering with the attention process of the brain. This interference can hinder the ability of ostomy patients to effectively listen, learn, and perform ostomy care for themselves which places an increased demand on family, caregivers, and home health nurses. Pre-surgical education may offer reduced anxiety levels in post-operative patients, which may provide an improved environment for learning. Methods: Participants considered for study inclusion were those scheduled for ostomy surgery. Patients in Group 1 were provided with pre-surgical ostomy education and routine pre-surgical education, whereas patients in Group 2 were provided with routine pre-operative education only. The Hospital Anxiety and Depression Scoring tool (HADS) was administered during the post-operative period. The surveys were administered by a certified wound, ostomy, continence nurse practitioner. Analysis of Variance (ANOVA) was used to compare changes in anxiety scores between the two groups. Results: Of the 30 participants in the study, 22 were male (73.3%) and 8 were female (26.7%). The mean age was 65.27 ± 9.97 for Group 1 and 61.87 ± 17.56 for group 2. This difference was not statistically significant (p>0.05). Both groups had an equal number of males (n=11) and females (n=4). Group 1 consisted of 9 colostomy patients, 4 ileostomy patients, and 2 urostomy patients. Group 2 consisted of 10 colostomy patients, 4 ileostomy patients and 1 urostomy patient. Patients who had pre-surgical ostomy education had statistically significant lower post surgical anxiety scores than patients who had standard education (p<0.001). Conclusions: The findings of this study suggest that offering pre-operative ostomy education in addition to routine pre-operative education, significantly lowers anxiety when compared with patients who do not receive the pre-operative ostomy education.

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Lebensqualität von Stomapatienten

Kasparek¹

2023

coloproctology

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Quality of Life in Chinese Persons Living With an Ostomy

Abstract: Health-related quality of life among Chinese patients with fecal ostomies was less than optimal and influenced by multiple demographic and psychosocial factors. Additional research is needed to design strategies to improve HRQOL in this population.

Cited by 51 publications

References 44 publications

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

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

Does Preoperative Ostomy Education Decrease Anxiety in the New Ostomy Patient?

Lebensqualität von Stomapatienten

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