Studying the effect of structured ostomy care training on quality of life and anxiety of patients with permanent ostomy

Abstract

Patients with ostomy are faced with several physical, psychological, and social challenges and need to be prepared to overcome these challenges. Studies have shown that training plays an important role in helping patients to adapt with ostomy, live with it, and improve their psychological well‐being and quality of life (QOL). Therefore, the present study aimed to determine the effect of structured ostomy care training on QOL and anxiety of the patients with permanent ostomy. In this randomised clinical trial study, 60 eligible participants were recruited from the only ostomy clinic in Kerman, Iran. They were selected using a purposive sampling method and randomly assigned to either a control group that received routine ostomy care or an intervention group that attended oral and practical training and a question and answer session by a trained ostomy nurse and received an ostomy information booklet besides their routine care. Outcome variables were anxiety and QOL in general and its physical, mental, social, and spiritual dimensions in detail. By using the anxiety subscale of Hospital Anxiety and Depression Scale (HADS) and City of Hope‐quality of life [COH‐QOL], data were collected before and 2 months after intervention in both groups. Data were analysed by SPSS version 19 using χ², analysis of variance (ANOVA), independent t, and paired t test and multiple regression analysis. The results showed that the intervention group had significantly lower mean scores in anxiety (P = .001) and a higher mean score in overall QOL (P = .009) compared with the control group. The most significant increase was observed for psychological, social, and physical aspects, and the least was in the spiritual aspect, all of which improved after intervention. After controlling the effects of confounding variables such as age, ostomy period, and number of children, the structured training programme still had a positive effect on QOL. Structured ostomy care training, including face‐to‐face education and personal practice of using ostomy equipment, along with written material provided by the ostomy nurse specialist, may lead to an increase in the overall QOL and a decrease in the perceived anxiety level in patients. This type of training is not routinely delivered to ostomy patients in our health care setting, so it is feasible to prepare surgical wards and to educate nurses to work with their patients before and after ostomy creation. Furthermore, to ease patients' religious concerns, we recommend counselling, and the support of religious leaders in the Muslim community may play a key role to adaptation regarding religious matters after ostomy surgeries and alleviate patients' concerns.

Quality of life among ostomy patients: A narrative literature review

“…Ileostomy or colostomy patients have additional anxiety symptoms, and their QOL is lower as compared to healthy, normal individuals. The structured ostomy care training was significant in lowering anxiety and also improving QOL in permanent ostomy patients (Khalilzadeh Ganjalikhani et al, 2019).…”

Nurse-led multidisciplinary cooperation for early screening and protection of fecal water dermatitis in hospitalized patients with enterostomy

“…The incidence was 45.56%, while the incidence in Chinese counterparts was only 22.80% [13]. In other countries, group interaction [14] and systematic management models [15] have been adopted for patients with fecal water dermatitis, achieving remarkable results. Early screening and prevention of fecal water dermatitis in patients with enterostomy in China are still in their infancy.…”

Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi

“…[7,11,13]. Benzer çalışmalarda cerrahi sonrası ostomi yaşam kalitesi ve ölçeğin alt grupları puanlarının orta düzeyde olduğu görülmektedir [8,17,23,26]. En fazla etkilenen yaşam alanının manevi iyilik hali olması hastaların dini uygulamalarını gerçekleştirmeleri ile ilgili sıkıntı yaşamalarına bağlı olduğu düşünülmektedir.…”