Relationship between resilience and health-related quality of life among patients with a permanent colostomy

Abstract

Background: The assessment of health-related quality of life (HRQoL) and resilience are important aspects of colorectal cancer care, as well as an indicator of patients' health status. This study was conducted to investigate the relationship between resilience and HRQoL among patients with a permanent colostomy. Method: A cross-sectional descriptive correlational design employing the City of Hope Quality of Life Ostomy Questionnaire and the Resilience Scale was adopted. A purposive sample population was recruited. Results: The study enrolled 158 colostomy patients. Half the participants (50.6%) were female and the mean age was 58.20 years [standard deviation (SD)=8.70]. Colostomy patients had a mean HRQoL score of 129.61 (SD)=98 (interquartile range: 109–148), with a spiritual domain that was lower than any other HRQoL domain. The Resilience Scale mean score was 106 (interquartile range: 82–126). Conclusion: This study observed a general low score on the HRQoL Questionnaire and this was reflected in the Resilience Scale score of this group of patients with a colostomy.

Resilience in adults with colorectal cancer: Refining a conceptual model using a descriptive qualitative approach

“…For nurses as the health professionals who have the most contact with patients (Jiang et al, 2017), understanding these features of resilience in adults with colorectal cancer could enable them to identify potential problems in patients' adaptation to their illness and thereby provide individualised support and facilitate patients' recovery. The need for nurses to evaluate and promote resilience in patients with colorectal cancer has also been highlighted in previous studies (Chou et al, 2022;El-Rahman Mohamed et al, 2022).…”

The Effect of Psychological Resilience on Adaptation to Ostomy in Individuals With Ostomy

“…Patients with high psychological resilience may be more flexible and adaptable during the ostomy process. According to the results of a study, there is a positive relationship between the quality of life and the level of psychological resilience of patients with Year: 2023 Vol:6 Issue: 13 permanent colostomy, indicating that as the level of psychological resilience increases, the quality of life also improves (22). In a study from the literature, elderly patients with ostomies for less than three years and having social support were found to have higher levels of psychological resilience (48).…”

“…They found a positive correlation between social support and psychological resilience, highlighting the significant role of social support in enhancing psychological resilience (21). In a study by Mohamed et al, involving patients with permanent colostomies, it was observed that patients with lower levels of psychological resilience also had lower quality of life (22). A study by Dong et al reported that patients with higher levels of psychological Year: 2023 Vol:6 Issue: 13 resilience had higher levels of post-traumatic growth/maturity and better social adjustment (23).…”