A literature review about self‐care on ostomy patients and their caregivers

Villa, Giulia; Mannarini, Micol; Giovanna, Giulia Della; Marzo, Elisabetta; Manara, Duilio Fiorenzo; Vellone, Ercole

doi:10.1111/ijun.12182

Cited by 27 publications

(41 citation statements)

References 31 publications

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“…Ostomy type was a predictor of adjustment as well: people with urostomy showed not only lower levels of acceptance, but also lower negative feelings. A urostomy is often permanent, and it is rarely used outside of oncology; consequently, patients with a urostomy may have been influenced by these two aspects 7,16,27 …”

Section: Discussionmentioning

confidence: 99%

“…A urostomy is often permanent, and it is rarely used outside of oncology; consequently, patients with a urostomy may have been influenced by these two aspects. 7,16,27…”

Section: Discussionmentioning

confidence: 99%

“…5 Ostomy creation is a dramatic, life-changing event 3 that affects all aspects of a patient's life, especially the emotional, sexual, and social contexts. 6,7 The most common psychological issues experienced by patients with an ostomy are depression, anxiety, changes in body image, low self-esteem, sexual problems, denial, loneliness, hopelessness, and stigmatization. 4,[8][9][10] In addition, ostomy creation is associated with social problems, such as loss of interest and decreased participation in social activities, avoidance of traveling, decreased work activities, and a notable deterioration in patients' quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study

Dellafiore

Manara

Arrigoni

et al. 2022

Adv Skin Wound Care

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Objective To describe predictors of adjustment to living with an ostomy among Italian adults with an enterostomy or a colostomy. Methods A multicenter, cross-sectional design was performed, sampling 403 patients with an ostomy in three different outpatient clinics of northern Italy between April 2018 and December 2020. Data were collected by stoma therapists in ambulatory settings using the Italian version of the Ostomy Adjustment Inventory-23 and patient medical records. Results Acceptance was lower among women, patients who underwent emergency surgery, those with a urostomy, and those with a body mass index of less than or equal to 25 kg/m2. Negative feelings were associated with higher body mass index, colostomies, shorter length of time of living with an ostomy, and emergency ostomy creation. Conclusions Being young and having a high level of education are protective against psychosocial problems and help promote acceptance and social engagement. The findings of this study help identify patients who are likely to be more vulnerable and need greater support through specific educational and motivational interventions.

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Section: Discussionmentioning

confidence: 99%

“…A urostomy is often permanent, and it is rarely used outside of oncology; consequently, patients with a urostomy may have been influenced by these two aspects. 7,16,27…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study

Dellafiore

Manara

Arrigoni

et al. 2022

Adv Skin Wound Care

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“…Patients with a permanent ostomy can live with it even for several years (Krouse et al., 2016) if we consider the ostomies as the result of colorectal (Sun et al., 2013) or bladder cancer (Jensen, Kiesbye, Soendergaard, Jensen, & Kristensen, 2017), which have a 5‐year survival rate of between 40% and 65% (Liu et al., 2016; Siegel et al, 2017). Therefore, an ostomy can lead to complex and lifelong consequences for patients (Villa, Mannarini, et al, 2019; Wen et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

Describing self‐care and its associated variables in ostomy patients

Giordano

Nicolotti

Corvese

et al. 2020

Journal of Advanced Nursing

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Aims: To describe self-care in ostomy patients, to identify socio-demographic and clinical variables associated with self-care and to identify the association between self-care self-efficacy and self-care over and above the variables associated with self-care. Design: Longitudinal and multicentre study. Data were collected between February 2017-May 2018. Methods: In this study, 523 ostomy patients were enrolled at baseline (T0) and 362 were followed-up after 6 months (T1). The Ostomy Self-Care Index was used to measure self-care maintenance, monitoring, management, and self-efficacy. Correlations between self-care dimensions and patient socio-demographic and clinical characteristics were performed with Pearson's or Spearman's correlations. Three separate two-step hierarchical regression analyses were performed to identify variables associated with self-care maintenance, monitoring, and management. Results: Participants' mean age was 69 years (SD 12.4); 63.9% were male and most had enterostomies (38.8% colostomies, 29.3% ileostomies) and permanent ostomies (72.5%). Patients had adequate self-care maintenance and monitoring at T0 and T1, while they had lower self-care management and self-efficacy at baseline. Significant variables associated with better self-care maintenance and self-care monitoring were female gender, more information received during hospitalization and better autonomy in stoma management, while a better level of education was an additional variable associated with self-care monitoring. Self-care self-efficacy produced a significant increase in the explained variance of self-care maintenance and self-care monitoring. None of the selected variables were significantly associated with selfcare management. Conclusion: Middle-high levels of self-care maintenance, monitoring, management, and self-efficacy were found. The variables associated with ostomy self-care and the role of self-care self-efficacy identified in this study can help in developing tailored nursing interventions. | 2983 GIORDANO et Al.

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“…[1][2][3][4][5][6][7][8][9] Studies of several pre-and postoperative follow-up programs and education in ostomy care performed by stoma care nurses (SCNs) have shown that such follow-up and education promote the patient's self-care and adjustment process to life with an ostomy. 4,[9][10][11] Questionnaires such as The Ostomy Adjustment Inventory 23, 12 the Stoma Selfefficacy scale [13][14][15] and the Ostomy Adjustment Scale (OAS) [16][17][18][19][20] has been validated in several countries and used to measure psychosocial adjustment to ostomy.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of New Subscales of the Ostomy Adjustment Scale: A Cross-Sectional Study

Indrebø¹,

Aasprang²,

Olsen³

et al. 2021

PROM

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Background: The Ostomy Adjustment Scale (OAS), which consists of an overall sum score along with 34 single-item scores, has been frequently used to measure self-reported adjustment to life with an ostomy. However, it is unknown whether the OAS can be divided into meaningful thematic subscales that may make it easier to administer and to apply in a clinical feedback system. Purpose: The purpose of this study was to specify thematic OAS subscales and evaluate their psychometric properties. Patients and Methods: A cross-sectional study was conducted with 302 patients across Norway having colostomy, ileostomy, or urostomy. The OAS items were divided into different subscales by expert nurses and patients based on clinical and theoretical considerations. The overall structural validity of this analysis of the OAS was examined using robust confirmatory factor analysis. We evaluated the overall goodness of fit using the root mean square error of approximation (RMSEA), the comparative fit index (CFI) and the Tucker-Lewis index (TLI). Factor loadings from the confirmatory factor analysis were used to calculate composite reliability values for the new OAS scales. Results: The OAS was divided into seven subscales. The overall structure validity was acceptable with RMSEA = 0.053 (90% CI, 0.045-0.060), CFI = 0.913 and TLI = 0.904. The composite reliability values of all scales were >0.70. Conclusions: The OAS can be divided into seven clinically meaningful subscales with acceptable psychometric properties.

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A literature review about self‐care on ostomy patients and their caregivers

Cited by 27 publications

References 31 publications

Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study

Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study

Describing self‐care and its associated variables in ostomy patients

Psychometric Properties of New Subscales of the Ostomy Adjustment Scale: A Cross-Sectional Study

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