Knowledge and Psychosocial Adjustment in Patients With a Permanent Colostomy

Knowles, Sandra R.; Wilson, Jarrad; Wilkinson, Annette; Connell, William; Salzberg, Michael; Castle, David; Desmond, Paul; Kamm, Michael A.

doi:10.1097/won.0b013e3182a9a75b

Cited by 34 publications

(33 citation statements)

References 4 publications

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“…The results showed that the mean ±SD score in psychosocial adjustment scale was 41.49±13.57, showing moderate impairment in the psychosocial adjustment among ostomates. A similar finding was noted in a previous study, 4 wherein patients with ostomy had a mean ± SD adjustment score of 49.84±12.48, indicating a moderate level of psychosocial adjustment. By contrast, other studies 5,6 reported good overall adjustment on social, occupational, and family concerns.…”

Section: Discussionsupporting

confidence: 90%

“…This finding is in agreement with a study conducted in the People's Republic of China 4 which reported a significant difference in psychosocial adjustment scores between the subjects who did and those who did not independently care for their own stoma (P=0.005). Given the volume of evidence 2,4,7,13 confirming the predictive effect of self-care ability on adjustment, it should be a major focus of the treatment in ostomates.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, >50% had a reduction in social activities. Similarly, another study 4 included 54 Chinese patients with colostomy from an outpatient clinic and used Ostomates Adjustment Inventory to assess the level of psychosocial adjustment. The results showed a mean ±SD adjustment score of 49.84±12.486, indicating a moderate level of psychosocial adjustment.…”

mentioning

confidence: 99%

“…Likewise, patients reported strong adjustment to extended family relationship, but poor adjustment to sexual relationship in another study. self-care ability, 2,4,5,7,13 and distress about obtaining supplies. 6 A large number of research studies have been conducted worldwide; however, only one study 14 in Nepal has focused on psychosocial problems of ostomates.…”

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confidence: 99%

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Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Gautam¹,

Koirala²,

Poudel³

et al. 2016

NRR

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Background: Ostomy changes the overall lifestyle of a person, and ostomates have been identified as a chronic illness population frequently experiencing adjustment problems. Purpose: The aim of this study was to determine the psychosocial adjustment and its predictors among patients with ostomy in Nepal. Patients and methods:A descriptive cross-sectional study was conducted in two stoma clinics of Nepal. Patients who had a colostomy, ileostomy, or urostomy, visited the selected stoma clinics during the data collection period, and who had ostomy for at least 6 months before data collection were included in the study. A total of 130 patients were included in this study. Data on sociodemographic and clinical variables were collected. Psychosocial adjustment score was measured using Ostomy Adjustment Inventory-23. Results: A total of 130 patients (80 males and 50 females) were included in the study. The mean age of the patients was 51 years, ranging from 23 to 78 years. The study findings revealed that mean ±SD adjustment score was 41.49±13.57, indicating moderate impairment in the psychosocial adjustment among ostomates, and the mean ±SD scores of acceptance, anxious preoccupation, social engagement, and anger were 22. Perceived lack of family support (b=−0.367, P<0.001), total dependence on others to care for ostomy (b=−0.357, P<0.001), and unemployment (b=−0.144, P=0.032) significantly predicted lower psychosocial adjustment scores. However, increased time since ostomy surgery (b=0.361, P<0.001) significantly predicted higher psychosocial adjustment scores. Conclusion:Ostomy often affects all aspects of a patient's life; however, emotional, sexual, and social lives are the most affected areas. Importantly, the focus of treatment for ostomates should expand beyond the physical boundaries and should consider psychosocial concerns as well.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Gautam¹,

Koirala²,

Poudel³

et al. 2016

NRR

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“…These include disease activity,3,16–25 surgery and stoma,26,27 psychological stress28,29 and health quality of life 16,17,23,26,29. To have a better understanding of the inner relationship between these factors and psychological health is important, so that clinical interventions can be made to improve patient’s psychological status.…”

Section: Introductionmentioning

confidence: 99%

Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn’s disease

Zhang¹,

Hong²,

Zhang³

et al. 2016

PPA

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BackgroundDisease severity, illness perceptions, coping strategies, stress, psychological well-being, and quality of life were reported to have close relationships. According to the Common Sense Model, illness perceptions and coping strategies could mediate the relationship between illness stimuli and illness outcomes such as psychological health and quality of life. Stress was also associated with the individual’s disease severity, anxiety, depression, and quality of life.ObjectivesThe study aimed to explore the influencing factors of illness outcomes, and to what extent illness perceptions, coping strategies, and stress mediate the relationship between disease severity and anxiety, and depression and quality of life.MethodsOur study included 159 patients with Crohn’s disease who were attending a tertiary hospital outpatient clinic or who were hospitalized. Disease severity was measured with the Crohn’s Disease Activity Index. Illness perceptions were measured with the Brief Illness Perceptions Questionnaire. Coping strategies were measured with the Carver Brief Coping Questionnaire. Stress was measured with the Perceived Stress Questionnaire. Anxiety and depression were measured with the Hospital Anxiety and Depression Scale. Quality of life was measured with the Inflammatory Bowel Disease Questionnaire.ResultsDisease severity, illness perceptions, maladaptive coping, stress, anxiety, depression and quality of life were significantly correlated with each other among patients with Crohn’s disease. Using structural equation modeling to describe the inner relationship of the aforementioned variables, an excellent-fitted model was drawn. (χ2[10]=13.83, P=0.18, χ2/N=1.38, standardized root mean square residual [SRMR] <0.05, root mean square error of approximation [RMSEA] <0.05, goodness of fit index [GFI] >0.97, comparative fit index [CFI] >0.99). Disease severity had a direct influence on illness perceptions. Illness perceptions had a direct influence on stress. Both illness perceptions and stress had direct influences on anxiety, depression, and quality of life, while maladaptive coping did not directly influence anxiety, depression, or quality of life. Stress had a direct influence on maladaptive coping. Quality of life was also directly influenced by disease severity and anxiety.ConclusionInterrelationships between disease stimuli, disease perceptions and management and disease outcomes could be found in patients with Crohn’s disease. Illness perceptions and stress mediated an individual’s disease severity and anxiety, depression and quality of life, while coping strategy was not an applicable mediator.

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The correlation between emotional intelligence and self‐esteem in patients with intestinal stoma: A descriptive‐correlational study

2021

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Aim Patients with intestinal stoma would experience some periods of psychological disorders such as self‐esteem disturbances. Self‐esteem is one of the most important factors affecting the patient's mental health. It is suggested that factors such as emotional intelligence could be related to self‐esteem. This study seeks to determine the correlation between emotional intelligence and self‐esteem in patients with an ostomy. Design This was a descriptive‐correlational study. Methods This study was conducted on 155 patients with intestinal stoma referring to the selected hospitals affiliated to Iran University of Medical Sciences and Iranian Ostomy Association in 2018. The patients were selected using convenience sampling method. The study tools included demographic characteristics form, Rosenberg self‐esteem scale and Schutte emotional intelligence questionnaire. Data analysis was performed in SPSS v.16 using descriptive and inferential statistics, including variance analysis and independent t test. Results Participants included 79 women and 76 men with the most frequency of age between 50–70 years old. 52.26% of the cases had cancer and 45.81% of the cases had inflammatory bowel disease and other related diseases. Pearson correlation coefficient results showed a positive and significant correlation between total emotional intelligence and self‐esteem (r = .56) (p = <.001).

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Knowledge and Psychosocial Adjustment in Patients With a Permanent Colostomy

Cited by 34 publications

References 4 publications

Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn’s disease

The correlation between emotional intelligence and self‐esteem in patients with intestinal stoma: A descriptive‐correlational study

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Knowledge and Psychosocial Adjustment in Patients With a Permanent Colostomy

Cited by 34 publications

References 4 publications

Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal

Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn&rsquo;s disease

The correlation between emotional intelligence and self‐esteem in patients with intestinal stoma: A descriptive‐correlational study

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Illness perceptions and stress: mediators between disease severity and psychological well-being and quality of life among patients with Crohn’s disease