Impact psychologique de la stomie sur la qualité de vie des patients atteints d’un cancer colorectal : rôle de l’image du corps, l’estime de soi et l’anxiété

Diant, Laury Beaubrun en Famille; Sordes, Florence; Chaubard, T.

doi:10.1016/j.bulcan.2018.03.005

Cited by 30 publications

(18 citation statements)

References 19 publications

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“…If we consider patients with colorectal cancer, then by the stage of radiation therapy their psycho emo tional state was already quite disturbed, because they underwent surgical treatment for the formation of intestinal stoma. Many studies indicate that stoma sur gery in patients is a severe stressful event for the patient and is accompanied by a high level of mental distress [17][18][19][20]. The formation of the stoma is reflected at all levels of the patient's functioning -physical, mental, social.…”

Section: Resultsmentioning

confidence: 99%

Assessment of Distress Dynamics and Quality of Life of Cancer Patients at the Stage of Radiation Therapy and Possibilities of Their Correction

Krasnoselskyi¹,

Kyrylova²,

Rublova³

et al. 2022

Probl Radiac Med Radiobiol

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Radiation therapy (RT) is the main type of antitumor treatment in inoperable patients. Low awareness and fear of the development of radiation reactions contributes to the destabilization of psycho-emotional state of patients, which can result in withdrawal from treatment and deterioration of their quality of life (QOL). Despite a steady increase in cancer rates in Ukraine, there are currently no studies to develop measures to improve psychological condition of patients undergoing treatment in radiation therapy departments. Objective: to assess the dynamics of psycho-emotional status and QOL of cancer patients at the stage of radiation therapy. Materials and methods. The study involved psychodiagnostic examination of 66 cancer patients who underwent radiation treatment in the clinic of the State Organization «Grigoriev Institute for Medical Radiology and Oncology of the NAMS of Ukraine», of whom Group 1 included 44 patients with head and neck cancer, Group 2 comprised 22 patients with colorectal cancer. Comparison group comprised 30 conditionally «healthy» respondents without cancer. All patients had stage III–IV cancer. The study implied the employment of «Distress Thermometer», Hospital Anxiety and Depression Scale (HADS), and the SF-36 Questionnaire (Short Form). The examination was performed before and following the course of radiation therapy. Group 1 patients underwent only psychodiagnostic examination, Group 2 patients apart from psychodiagnostic were accompanied by a psychologist before undergoing radiation procedures. In the comparison group, the survey was conducted once. Results and discussion. Assessment of the data showed that before the start of RT most subjects (72.73 % in Group 1 and 77.3 % in Group 2) had a high level of distress, they were worried and nervous before the first radiation procedure, had fears about the consequences and side effects. The level of anxiety in Group 1 at the pathological and subclinical level was recorded in 54.55 % of patients, the rate of depression at the subclinical level was diagnosed in 18.20 %, and in 9.10 % of patients at the clinical one. In Group 2, the level of anxiety that exceeded the norm was recorded significantly less often (27.25 % vs. 54.55 %, pt ≤ 0.05), and the rate of depression at the subclinical level was diagnosed significantly more often than in Group 1 (54.50 % vs. 18.20 %, pt ≤ 0.05), and in 18.2 % of patients at the clinical level. After radiation, 81.81 % of Group 1 patients showed an increase in distress and anxiety, and depressive symptoms tended to worsen. The level of distress in Group 2 after consulting a psychologist in preparation for RT and undergoing radiation procedures decreased almost twice, the level of anxiety decreased to normal, the indicators of depressive symptoms remained unchanged. According to QOL assessments on the scales of physical and role functioning (PF and RP), general health (GH) and mental health (MH), patients in both groups had significantly lower scores before the RT than in the comparison groups. After the procedures, there was a significant deterioration in the RP scale in Group 1 (18.75 vs. 40.00, pt ≤ 0.05), and an improvement of almost 2 times in Group 2 (35.73 vs. 68.33, pt ≤ 0.06). The indicator of general health (GH) at the end of RT in Group 1 did not change, and in Group 2 it tended to improve (20.93 vs. 47.26, pt ≤ 0.06). Life expectancy (LE) in Group 1 tended to decrease further after treatment, having increased 1.7 times in Group 2.0 Conclusions. The study showed that cancer patients before the onset of RT experienced a rather strong distress and level of anxiety. Psychological correction of the emotional state at the beginning of treatment allowed for a significant improvement in the QOL of patients on the scales of role physical functioning (RF) and vitality (VT). An important area of work of a clinical psychologist at this stage of treatment involved correction of cognitive sphere, support of role functioning and formation of behavior aimed at further treatment. Key words: oncology, radiation therapy, quality of life, psychological stress, distress, patients with colorectal cancer, patients with head and neck cancer.

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Section: Resultsmentioning

confidence: 99%

Assessment of Distress Dynamics and Quality of Life of Cancer Patients at the Stage of Radiation Therapy and Possibilities of Their Correction

Krasnoselskyi¹,

Kyrylova²,

Rublova³

et al. 2022

Probl Radiac Med Radiobiol

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“…16,[20][21][22][23][24][25][26] In contrast, 5 studies reported statistically significant differences between those with a TO and PO; all reported better QOL in those with a PO. [27][28][29][30][31] Four studies 27,28,30,31 found differences in all aspects of QOL assessed. The final study only reported a significant difference in the psychological component of QOL.…”

Section: Health-related Quality Of Lifementioning

confidence: 99%

Comparison of Adjustment or Adaptation to the Formation of a Temporary Versus a Permanent Ostomy

Whiteley,

Randall,

Stanaway

2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The aim of this systematic review was to review evidence on adjustment or adaptation to an ostomy in persons with a temporary versus permanent ostomy. METHOD: Systematic review. SEARCH STRATEGY: We comprehensively searched the following bibliographic databases: MEDLINE (Ovid SP), EMBASE (Ovid SP), PsycINFO, CINAHL, Joanna Briggs, Scopus, and EThOS and ProQuest dissertations from inception to July 21, 2021. We located 570 studies. Data were extracted into Covidence, and the risk of bias was assessed using the Newcastle-Ottawa Scale and the Joanna Briggs tool. FINDINGS: Thirty-one studies met inclusion criteria and were included; only 2 assessed adjustment using a validated adjustment tool (Ostomy Adjustment Inventory, OAI-23). One found better adjustment in those with a permanent ostomy at 6 months; the second did not formally test for statistically significant differences between groups. Other included studies assessed aspects of adjustment such as health-related quality of life and psychological symptoms. Findings differed between studies; the majority of studies were deemed at a high risk of bias. CONCLUSIONS: The quality of evidence among studies evaluating adjustment to an ostomy in permanent versus temporary stomas was poor; the majority did not measure adjustment using a validated adjustment instrument. Therefore, differences in the ways those with a temporary ostomy or permanent ostomy adjust or adapt remain largely unknown. IMPLICATIONS: Further high-quality studies are needed that compare adjustment to a temporary or permanent ostomy using a validated instrument. An understanding of differences in adjustment in those with a temporary and permanent ostomy is important for planning how health care services can be better tailored to meet the needs of ostomy patients beyond the initial postoperative period of recovery.

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“…Patient risk factors include high body mass index (BMI) [ 8 , 16 , 17 ], waist circumference [ 18 ] and low levels of physical activity [ 19 , 20 ]. PSH is associated with poor body image (a psychological construct that captures the perceptions, emotions, and attitudes a person holds towards his/her own body [ 21 ]), and both PSH and poor body image are associated with poor general QoL [ 20 , 22 – 26 ] and poor physical functioning [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia

Hubbard

Beeken

Taylor

et al. 2020

Pilot Feasibility Stud

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Background Parastomal hernia (PSH) can be repaired surgically, but results to date have been disappointing, with reported recurrence rates of 30 to 76%. Other types of intervention are therefore needed to improve the quality of life of people with PSH. One potential intervention is physical activity. We hypothesise that the intervention will increase core activation and control across the abdominal wall at a site of potential weakness and thus reduce the risk of PSH progression. Increases in physical activity will improve body image and quality of life (QoL). Methods Subjects and sample There were approximately 20 adults with a bowel stoma and PSH. People with previous PSH repair will be excluded as well as people who already do core training. Study design This is a feasibility study of a randomised controlled trial with 2 months follow-up, in 2 sites using mixed methods. Stage 1 involves intervention development and in stage 2, intervention and trial parameters will be assessed. Intervention A theoretically informed physical activity intervention was done, targeting people with PSH. Main outcome of feasibility study The main outcome is the decision by an independent Study Steering Committee whether to proceed to a full randomised controlled trial of the intervention. Other outcomes We will evaluate 4 intervention parameters—fidelity, adherence, acceptability and safety and 3 trial parameters (eligible patients’ consent rate, acceptability of study design and data availability rates for following endpoints): Diagnosis and classification of PSH Muscle activation Body composition (BMI, waist circumference) Patient reported outcomes: QoL, body image and physical functioning Physical activity; Psychological determinants of physical activity Other data Included are other data such as interviews with all participants about the intervention and trial procedures. Data analysis and statistical power As this is a feasibility study, the quantitative data will be analysed using descriptive statistics. Audio-recorded qualitative data from interviews will be transcribed verbatim and analysed thematically. Discussion The feasibility and acceptability of key intervention and trial parameters will be used to decide whether to proceed to a full trial of the intervention, which aims to improve body image, quality of life and PSH progression. Trial registration ISRCTN15207595

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Impact psychologique de la stomie sur la qualité de vie des patients atteints d’un cancer colorectal : rôle de l’image du corps, l’estime de soi et l’anxiété

Cited by 30 publications

References 19 publications

Assessment of Distress Dynamics and Quality of Life of Cancer Patients at the Stage of Radiation Therapy and Possibilities of Their Correction

Assessment of Distress Dynamics and Quality of Life of Cancer Patients at the Stage of Radiation Therapy and Possibilities of Their Correction

Comparison of Adjustment or Adaptation to the Formation of a Temporary Versus a Permanent Ostomy

HALT (Hernia Active Living Trial): protocol for a feasibility study of a randomised controlled trial of a physical activity intervention to improve quality of life in people with bowel stoma with a bulge/parastomal hernia

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