Background and aims: Patients with chronic conditions often develop psychiatric disorders, most commonly depression, stress and anxiety, which may worsen the disease. This study examines the prevalence of depression, stress and anxiety among ostomy patients. Methods: A descriptive cross-sectional study was carried out, with participants selected using convenience sampling from all those who presented for follow up for routine stoma care in a wound clinic in Isfahan, Iran. Data were collected using a demographic variables checklist and the Depression, Anxiety, Stress Scale 21 (DASS-21). Results: Of the 70 participants, 51% were women and the rest were men. The mean age was 62.6 ± 14.1 years (range: 32–91 years). The mean scores for depression, anxiety and stress were 10.9 ± 5.4, 13.1±4.8 and 10.6 ± 5.8 respectively. In total, some level of depression, anxiety and stress was reported by 87%, 92.1% and 71% of patients respectively. Factors such as patients' sex, age, type of stoma and duration of living with stoma appeared to affect patients' levels of depression, anxiety and stress. Conclusion: The rate of psychological problems among ostomy patients is high. Health-care providers should be aware of this and plan for prevention. Further study in this regard is strongly recommended.
Aim: Although there has been considerable recent research from around the world on the effect of spiritual wellbeing in a variety of chronic conditions, little research has been conducted specifically on the spiritual wellbeing of patients with a stoma. Therefore, this study aimed to quantify spiritual wellbeing in ostomates and determine whether this had any impact on their quality of life (QoL). Method: This study was conducted in Iran in 2016, and 70 ostomates were enrolled through convenience sampling. The data collection instrument was based on Palutzian and Ellison's Spiritual Wellbeing Scale and the City of Hope Quality of Life-Ostomy Questionnaire. Results: Among the 70 participants, 38 were women (54%). The mean of the total QoL scores was 4.4 (SD=0.7). When separated into physical, psychological, social and spiritual dimensions, the mean QoL scores were 5.7 (SD=0.8), 4.2 (SD=0.7), 3.4 (SD=0.7) and 4.7 (SD=1.1), respectively. The mean score for spiritual wellbeing was 75.1 (SD=7.7). Physical, psychological, social and spiritual dimensions of QoL and total QoL had direct and significant correlations. Conclusion: These results demonstrated that there is a relationship between QoL and spiritual wellbeing levels in ostomates, and this can be used by health-care planners and caregivers to improve the QoL of their patients.
Aim: The aim of this study was to investigate the relationship between psychological problems and spiritual wellbeing in Iranian stoma patients. Methods: This descriptive-analytic study was conducted on 70 stoma patients who were enrolled through a convenience sampling method. Depression, anxiety and stress among patients were analysed using Depression, Anxiety and Stress Scale (DASS-21) questionnaire and their spiritual wellbeing was analysed using the Spiritual Wellbeing Scale (SWS). Pearson's correlation test was used to determine the relationship between depression, stress and anxiety with the total spiritual wellbeing and its dimensions. Results: The results of Pearson's correlation test showed that there was an inverse and significant correlation between stress (RR -0.728; P<0.001), anxiety (RR -0.721; P<0.001) and depression (RR -0.740; P<0.001) with the total score for spiritual wellbeing. Conclusion: These results demonstrated that there is a relationship between psychological problems and spiritual wellbeing in ostomates. That is, patients with higher spiritual wellbeing reported lower levels of psychological problems. The results of the present study can be used for holistic nursing care in these patients.
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