Ongoing ostomy self-care challenges of long-term rectal cancer survivors

Bulkley, Joanna E.; McMullen, Carmit K.; Grant, Marcia; Wendel, Christopher; Hornbrook, Mark C.; Krouse, Robert S.

doi:10.1007/s00520-018-4268-0

Cited by 55 publications

(72 citation statements)

References 36 publications

(31 reference statements)

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“…Regarding studies focussed on self‐care maintenance behaviours, investigators have studied compliance with the ostomy and pouching system (Bulkley et al., 2018; Ran et al., 2016; Sun et al., 2013) and dietary adjustment (Sun et al., 2013). Studies attributable to self‐care monitoring behaviours have been focussed on monitoring ostomy aspects, such as leakage (Bulkley et al., 2018) and dietary intake (de Oliveira, Boroni Moreira, Pereira Netto, & Gonçalves Leite, 2018). Regarding self‐care management, investigators have studied how ostomy patients deal with ostomy complications (Cheng, Meng, Yang, & Zhang, 2013; Vonk‐Klaassen et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

“…However, the results of those studies are inconsistent. For example, one study (Goldblatt et al., 2018) found that younger age is associated with better self‐care in terms of attaining independent stoma management, but another study (Bulkley et al., 2018) found that younger age was associated with more challenges in ostomy self‐care. Regarding gender, males have been found to perform better ostomy self‐care in terms of more independence in stoma care at discharge after surgery (Goldblatt et al., 2018), but another study found no statistically significant relationship between self‐care and gender (Bulkley et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Studies conducted on self‐care in other chronic conditions have found that being employed (Ausili et al., 2018) or unemployed (Cocchieri et al., 2015), education level (Ausili et al., 2018), caregiver support (Cocchieri et al., 2015) and living alone (Lee, Lennie, Yoon, Wu, & Moser, 2017) can influence self‐care, but these variables have never been investigated in ostomy self‐care. Regarding income, no significant relationship has been found between ostomy self‐care and income (Bulkley et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the influence of clinical variables on ostomy self‐care, a higher body mass index (BMI) has been found to be consistently related to ostomy self‐care challenges (Bulkley et al., 2018). No studies have analysed the relationship between self‐care and time since stoma creation or the duration of an ostomy (e.g., temporary or permanent), but it has been observed that individuals with permanent ostomy had a better understanding of care‐related information and practices (Karabulut, Dinç, & Karadag, 2014).…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Describing self‐care and its associated variables in ostomy patients

Giordano

Nicolotti

Corvese

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

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“…Perioperatively for patients about to have a olostomy, doctors, nurses, and others' words are not as convincing as those of an Ostomy visitor. Only when patients see with there own eyes that people with an ostomy can lead happy lives after the same surgey can they believe that the ostomy surgey is not so very horrible [5]. Communication is a founding principle of nursing and is essential in order to give patient centered care which is safe and effective.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Enterostomal Therapist (ET) Nurses Intervention on Ostomy Visits

Yan¹,

Xiao²,

Xiao³

2019

AJNS

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Objective: The aim of this study was to explore the effectiveness of interventions provided by Enterostomal Therapist (ET) Nurses to visitors of ostomates. Methods: ET Nurses carried out intervention methods of selection, training, organization of visiting group during enterostomy visiting works, this study summarized and analyzed the influence of various intervention methods on the growth of enterostomy visitor numbers and the work of ostomate visits. Results: The intervention program of ostomate visitors adopted by our hospital could effectively promote the growth of ostomate visitor numbers, facilitate the smooth progress of enterostomy visits, lighten the psychological burden of patients and their families in clinical application. Conclusion: The ostomate visits' intervention program constructed by ET nurses in our hospital was scientific and feasible. Through strict screening, scientific training, reasonable scheduling, continuous exchange and learning and hospital support, we have created an excellent team which provides high-quality visiting service for patients with enterostomy during perioperative period.

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Factors associated with leakage in patients with an ostomy: A cross‐sectional study

et al. 2023

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Aims To explore the associations between sociodemographic and clinical data, the patient's knowledge and skills, and relationship to healthcare professionals with leakage from an ostomy. Design Cross‐sectional. Methods This study included 160 patients with a colostomy, ileostomy, or urostomy. Leakage was the dependent variable and was assessed by self‐report. Sociodemographic and clinical data and the Ostomy Adjustment Scale subscores, ‘knowledge and skills’ and ‘health care professionals’ were independent variables. Spearman's rho and multivariate partial least squares regression analysis were used to estimate possible factors associated with leakage. Results Of the participants, 13.8% had leakage weekly or more often, 16.3% more often than once a month and 37, 5% had leakage more seldom than once a month. The most important risk factors for leakage were (1) having an ostomy placement that does not meet international guidelines, (2) not having an optimal relationship with health professionals, (3) having a diagnosis other than cancer, (4) not having proper knowledge and skills in ostomy care, (5) not having a colostomy, (6) having a convex baseplate, (7) having an oval ostomy, and (8) being dependent on others for ostomy care. The independent variables in the PLS‐ model explained 31% of the variance in leakage. Patient or Public Contribution We thank the patients in the user panel for their help during the study.

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Ongoing ostomy self-care challenges of long-term rectal cancer survivors

Cited by 55 publications

References 36 publications

Describing self‐care and its associated variables in ostomy patients

Describing self‐care and its associated variables in ostomy patients

Evaluation of Enterostomal Therapist (ET) Nurses Intervention on Ostomy Visits

Factors associated with leakage in patients with an ostomy: A cross‐sectional study

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