Ostomy‐related problems and their impact on quality of life of Saudi ostomate patients: A mixed‐methods study

Abstract

Aim and objective The aim of this study is to explore the health‐related quality of life outcomes and ostomy‐related obstacles among patients with ostomy in Saudi Arabia. Background Negative effects on quality of life for patients following ostomy creation are a globally important health concern. Paucity of understanding factors that influenced quality of care after ostomy surgery hinders the ability of healthcare providers to offer appropriate care to improve patient's quality of care. Methods This mixed‐methods study was undertaken through survey (COHQOL‐Q Arabic version) for collecting the quantitative data (n = 421) and semi‐structured interview for collecting qualitative data (n = 12). This study employed STROBE and GRAMMS checklists. Results Multiple health‐related quality of life challenges was indicated by Saudi patients with intestinal stomas. Ostomy surgery interferes with religious practice in Muslim people, particularly obtaining Hajj worship and fasting for Ramadan. The overall QOL mean score was moderate level (M = 7.57) for ostomy patients in Saudi Arabia. The highest domain mean score was the social well‐being (M = 7.84) and the lowest in the physical well‐being (M = 7.18). Reshaping of religious practices, apprehension and adaptation to living with a stoma were the most common themes that participants discussed related to ostomy issues they experienced following ostomy surgery. Conclusion The study findings reported a greater understanding of challenges that patients with stoma experience in Saudi Arabia. The process of the adaptation and the change of their lifestyle also affects patient's quality of life. The healthcare providers can use the study results to create a supportive intervention strategy that needed for maximise QOL for people with stoma. Relevance to clinical practice This study identifies issues associated with stoma creation among Saudi people and can help in planning and providing the required nursing care which may support in the reduction of predictable problems. Recommendations for future studies related to nursing professional practice are indicated.

A Qualitative Study on How Younger Women Experience Living with an Ostomy

“…The study also showed that several patients experienced psychological and physical challenges regarding the stoma and needed assistance from health personnel, especially stoma nurses, for improved training and guidance [15]. This is in accordance with the findings of Alenezi et al (2022), who showed that counselling and guidance from competent nurses before and after the surgical stoma surgery are of crucial importance for better quality of life [16].…”

Review of the Literature on Ramadan Fasting and Health in 2022

“…Three studies involving general surgical conditions during Ramadan included stoma care, superior mesenteric artery (SMA) syndrome, and sigmoid volvulus (SV). [41][42][43] The healthrelated quality-of-life outcomes and ostomy-related obstacles among patients with an ostomy in Saudi Arabia was examined in a mixed-methods study by collecting quantitative data (n ¼ 421) and semistructured interview for collecting qualitative data (n ¼ 12). 41 Patients with intestinal stomas demonstrated multiple health-related qualityof-life challenges, including interfering with religious practice, mainly RF and Hajj.…”

“…[41][42][43] The healthrelated quality-of-life outcomes and ostomy-related obstacles among patients with an ostomy in Saudi Arabia was examined in a mixed-methods study by collecting quantitative data (n ¼ 421) and semistructured interview for collecting qualitative data (n ¼ 12). 41 Patients with intestinal stomas demonstrated multiple health-related qualityof-life challenges, including interfering with religious practice, mainly RF and Hajj. Another study examined the clinical records of 416 consecutive cases of SV patients reviewed prospectively from January 1986 to July 2020.…”

Factors Affecting Psychosocial Adjustment in Persons With a Recent Ostomy

“…6 The potential for ostomy surgery is a primary concern among many individuals with bowel disease; this worry has been reported to surpass concerns related to progress of the underlying disease itself. 7,8 Depression, social isolation, anxiety, 9,10 suicidal ideations, loneliness, sexual issues, 11 and loss of autonomy, dignity, and confidence 12 are associated with having an ostomy.…”