1
|
David JG, Dotson J, Mackner L. Is it "all in the bag?" Multidisciplinary perspectives on ostomy surgery in pediatric IBD across the ImproveCareNow network. JPGN REPORTS 2024; 5:101-109. [PMID: 38756109 PMCID: PMC11093923 DOI: 10.1002/jpr3.12044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 12/15/2023] [Accepted: 01/15/2024] [Indexed: 05/18/2024]
Abstract
Objectives Pediatric inflammatory bowel disease (IBD) is a chronic illness with various treatments, including ostomy surgery. Ostomy-related medical decision-making (MDM) is complex for multidisciplinary healthcare professionals (HCPs). This study sought to understand national multidisciplinary HCPs' perceptions about pediatric IBD ostomy surgery in the United States. Methods This cross-sectional REDCap survey recruited HCPs in pediatric IBD HCP roles from the ImproveCareNow (ICN) Learning Health System. The survey gathered data on, (1) demographics, (2) participants' perspectives on patients/families' ostomy perceptions, (3) participants' own perspectives on ostomies, and (4) participants' perspectives on multidisciplinary collaboration in ostomy surgery. Results Participants (n = 69, across n = 30 American ICN sites) were 84% White, 62% female, and 54% gastroenterologists. In reflecting on patients/families' perceptions, participants endorsed most (86%) view ostomies as a "failure," various psychosocial concerns (e.g., 97% endorsed body image concerns), and most (81%) have moderate to significant stigma about ostomies. In reflecting on their own perceptions, nearly half (44%) endorsed some to moderate stigma about ostomies and felt ostomy discussions were difficult when families had negative perceptions (88%). Over half (54%) endorsed currently having multidisciplinary care for pediatric IBD surgery. Most (70%) endorsed variability in the amount and/or quality of multidisciplinary collaboration. Conclusion MDM related to pediatric IBD ostomy surgery presents nuanced clinical complexities for HCPs. This work underscores interest in multidisciplinary care, notable ostomy-related psychosocial needs, and ostomy-related stigma. Future work should develop systematic approaches to multidisciplinary pediatric IBD ostomy care, bolster psychosocial support, and evaluate how systematic care may impact psychosocial, and healthcare utilization outcomes.
Collapse
Affiliation(s)
- Jennie G. David
- Department of PediatricsThe Ohio State Wexner Medical CenterColumbusOhioUSA
- Nationwide Children's HospitalColumbusOhioUSA
| | - Jennifer Dotson
- Department of PediatricsThe Ohio State Wexner Medical CenterColumbusOhioUSA
- Nationwide Children's HospitalColumbusOhioUSA
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nationwide Children's HospitalColumbusOhioUSA
- Center for Child Health Equity and Outcomes Research, Abigail Wexner Research Institute at Nationwide Children's HospitalColumbusOhioUSA
| | - Laura Mackner
- Department of PediatricsThe Ohio State Wexner Medical CenterColumbusOhioUSA
- Nationwide Children's HospitalColumbusOhioUSA
- Center for Biobehavioral Health, Nationwide Children's HospitalColumbusOhioUSA
| | | |
Collapse
|
2
|
Lazenby BS, Guidry A, Donovan EE, Dailey R, Ivatury SJ. 'That gave me a lot of comfort, that he would ask my opinion about how we wanted to talk about this': A qualitative analysis of clinical communication experiences of ostomy patients. BMJ Open 2024; 14:e079362. [PMID: 38326256 PMCID: PMC10859983 DOI: 10.1136/bmjopen-2023-079362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 01/26/2024] [Indexed: 02/09/2024] Open
Abstract
OBJECTIVES The purpose of this study was to investigate the communication challenges and successes that people with ostomies experienced during their healthcare encounters. DESIGN We conducted semistructured interviews of people with ostomies. Interviews focused on important social situations and health communication strategies for managing these situations. We transcribed interviews and coded them to create themes. PARTICIPANTS Participants were eligible to participate if they were above the age of 18 and have had an ostomy for at least a year. 27 people participated in the study. SETTING The study was conducted in a university setting. RESULTS Interviews with ostomates surfaced several themes related to ostomate needs. Participants benefited from communication that was open, thorough and had a positive outlook on ostomies. Participants found patient-clinician communication to be challenging when there was a lack of knowledge surrounding ostomy care, communication was unclear or inadequate, and when clinicians had a negative outlook on ostomies. CONCLUSIONS Findings from this project are intended to amplify existing patient and clinician education materials and to inform the creation of a communication guide specifically for the ostomy context.
Collapse
Affiliation(s)
- Braidyn S Lazenby
- Department of Communication Studies, The University of Texas at Austin, Austin, Texas, USA
| | - Ashley Guidry
- Department of Communication Studies, The University of Texas at Austin, Austin, Texas, USA
| | - Erin E Donovan
- Department of Communication Studies, The University of Texas at Austin, Austin, Texas, USA
| | - René Dailey
- Department of Communication Studies, The University of Texas at Austin, Austin, Texas, USA
| | - Srinivas Joga Ivatury
- Department of Surgery and Perioperative Care, The University of Texas at Austin, Austin, Texas, USA
| |
Collapse
|
3
|
Özkaya E, Harputlu D. The Effect of Education Via Videoconferencing at Home on Individuals' Self-efficacy and Adaptation to Life with a Stoma: A Randomized Controlled Study. Adv Skin Wound Care 2024; 37:86-94. [PMID: 38241451 DOI: 10.1097/asw.0000000000000098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2024]
Abstract
OBJECTIVE To determine the effect of education via videoconferencing at home on individuals' self-efficacy and adaptation to life with a stoma. METHODS A randomized controlled experimental study was conducted between November 2021 and July 2022 in an education and research hospital (face-to-face) and at the homes of individuals with a stoma (online). The study sample consisted of 60 individuals with a stoma: 30 in the experimental group and 30 in the control group. Study data were collected using the Individuals with Stoma Identification Form, Stoma Self-efficacy Scale (SSES), and Ostomy Adjustment Inventory-23 (OAI-23). After discharge, participants in the experimental group received educational booklets and education on stoma care in four video conference sessions. The authors analyzed the data using frequency and percentage distributions, χ2 analyses, independent-sample t tests, Wilcoxon tests, and Mann-Whitney U tests. RESULTS There was a significant difference between the median pretest SSES and OAI-23 scores and the median posttest SSES and OAI-23 scores in the experimental group. At the end of the study, more individuals in the experimental group cared for their own stoma. CONCLUSIONS The education provided to individuals with a stoma significantly increased their self-efficacy and stoma adaptation scores. Hence, providing structured, continuous education on stoma care by nurses and using videoconferencing as an education method are recommended.
Collapse
Affiliation(s)
- Edanur Özkaya
- Edanur Özkaya, MSc, RN, is Research Assistant, Department of Public Health Nursing, Department of Nursing, Faculty of Health Science, Pamukkale University, Denizli, Turkey. Deniz Harputlu, PhD, RN, is Assistant Professor, Faculty of Nursing, University of Akureyri, Faculty of Nursing, Iceland
| | | |
Collapse
|
4
|
Whiteley I, Randall S, Stanaway FF. Comparison of Adjustment or Adaptation to the Formation of a Temporary Versus a Permanent Ostomy: A Systematic Review. J Wound Ostomy Continence Nurs 2024; 51:39-45. [PMID: 37966042 DOI: 10.1097/won.0000000000001031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Abstract
PURPOSE The aim of this systematic review was to review evidence on adjustment or adaptation to an ostomy in persons with a temporary versus permanent ostomy. METHOD Systematic review. SEARCH STRATEGY We comprehensively searched the following bibliographic databases: MEDLINE (Ovid SP), EMBASE (Ovid SP), PsycINFO, CINAHL, Joanna Briggs, Scopus, and EThOS and ProQuest dissertations from inception to July 21, 2021. We located 570 studies. Data were extracted into Covidence, and the risk of bias was assessed using the Newcastle-Ottawa Scale and the Joanna Briggs tool. FINDINGS Thirty-one studies met inclusion criteria and were included; only 2 assessed adjustment using a validated adjustment tool (Ostomy Adjustment Inventory, OAI-23). One found better adjustment in those with a permanent ostomy at 6 months; the second did not formally test for statistically significant differences between groups. Other included studies assessed aspects of adjustment such as health-related quality of life and psychological symptoms. Findings differed between studies; the majority of studies were deemed at a high risk of bias. CONCLUSIONS The quality of evidence among studies evaluating adjustment to an ostomy in permanent versus temporary stomas was poor; the majority did not measure adjustment using a validated adjustment instrument. Therefore, differences in the ways those with a temporary ostomy or permanent ostomy adjust or adapt remain largely unknown. IMPLICATIONS Further high-quality studies are needed that compare adjustment to a temporary or permanent ostomy using a validated instrument. An understanding of differences in adjustment in those with a temporary and permanent ostomy is important for planning how health care services can be better tailored to meet the needs of ostomy patients beyond the initial postoperative period of recovery.
Collapse
Affiliation(s)
- Ian Whiteley
- Ian Whiteley, M Clin Nurs, Grad Cert STN, RN, Faculty of Health and Medicine, The University of Sydney, and Concord Repatriation General Hospital, Concord, New South Wales, Australia
- Sue Randall, PhD, RGN, Broken Hill Department of Rural Health, Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Broken Hill, New South Wales, Australia
- Fiona F. Stanaway, PhD, MBBS, MPH, The University of Sydney School of Public Health, Faculty of Medicine and Health, Sydney, New South Wales, Australia
| | - Sue Randall
- Ian Whiteley, M Clin Nurs, Grad Cert STN, RN, Faculty of Health and Medicine, The University of Sydney, and Concord Repatriation General Hospital, Concord, New South Wales, Australia
- Sue Randall, PhD, RGN, Broken Hill Department of Rural Health, Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Broken Hill, New South Wales, Australia
- Fiona F. Stanaway, PhD, MBBS, MPH, The University of Sydney School of Public Health, Faculty of Medicine and Health, Sydney, New South Wales, Australia
| | - Fiona F Stanaway
- Ian Whiteley, M Clin Nurs, Grad Cert STN, RN, Faculty of Health and Medicine, The University of Sydney, and Concord Repatriation General Hospital, Concord, New South Wales, Australia
- Sue Randall, PhD, RGN, Broken Hill Department of Rural Health, Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Broken Hill, New South Wales, Australia
- Fiona F. Stanaway, PhD, MBBS, MPH, The University of Sydney School of Public Health, Faculty of Medicine and Health, Sydney, New South Wales, Australia
| |
Collapse
|
5
|
Vuyyuru SK, Ma C, Sharma T, Nguyen TM, Bessissow T, Narula N, Singh S, Rieder F, Jairath V. Characteristics of Interventional Trials for Patients Living With Intestinal Stoma Registered in ClinicalTrials.gov With a Focus on Inflammatory Bowel Disease. Inflamm Bowel Dis 2023:izad293. [PMID: 38135729 DOI: 10.1093/ibd/izad293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Indexed: 12/24/2023]
Abstract
BACKGROUND This systematic review was performed to characterize the landscape of research conducted in patients with intestinal stoma (IS) and highlight unmet needs for clinical research in Crohn's disease (CD) and IS. METHODS We searched ClinicalTrials.gov from inception to May 25, 2022, to identify clinical trials assessing interventions in patients with an IS, as well as those with an IS and CD. Studies were grouped according to type of intervention. We excluded observational studies with no treatment arm. RESULTS A total of 253 studies were included in the final analysis. Most studies investigated devices (n = 122 [48.2%]), or surgical procedures (n = 63 [24.9%]), followed by behavioral interventions (n = 30 [11.8%]), drugs (n = 20 [7.9%]), dietary interventions (n = 2 [0.8%]), skin care products (n = 2 0.8%]), and others (n = 14 [5.5%]). A total of 50.9% (n = 129) of studies had completed recruitment, enrolling 11 116 participants. Only 6 studies (surgery: n = 3; physiological studies: n = 2; drugs: n = 1) exclusively included patients with inflammatory bowel disease (IBD), and 16 studies commented that patients with IBD were excluded in their eligibility criteria. No study assessed efficacy of drugs in patients with CD and IS. Approximately one-quarter of studies (n = 65 of 253) included quality of life as an outcome measure. CONCLUSION There is a paucity of research in IBD patients with IS, with the majority focusing on devices and surgical procedures. There have been no drug trials evaluating efficacy in patients with CD and IS. There is an urgent need to identify barriers to enrollment and develop eligibility and outcome measures that enable the inclusion of patients with CD with stoma into clinical trials.
Collapse
Affiliation(s)
- Sudheer K Vuyyuru
- Division of Gastroenterology, Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada
| | - Christopher Ma
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
- Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Calgary, AB, Canada
| | - Tanmay Sharma
- Division of Gastroenterology, Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada
| | - Tran M Nguyen
- Lawson Health Research Institute, Western University, London, ON, Canada
| | - Talat Bessissow
- Division of Gastroenterology, Department of Medicine, McGill University Health Center, Montreal, QC, Canada
| | - Neeraj Narula
- Division of Gastroenterology, Department of Medicine, Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, ON, Canada
| | - Siddharth Singh
- Division of Gastroenterology, Department of Medicine, University of California, San Diego, La Jolla, CA, USA
| | - Florian Rieder
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
- Department of Gastroenterology, Hepatology and Nutrition, Digestive Diseases and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
| | - Vipul Jairath
- Division of Gastroenterology, Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada
- Lawson Health Research Institute, Western University, London, ON, Canada
- Department of Epidemiology and Biostatistics, Western University, London, ON, Canada
| |
Collapse
|
6
|
Simpson E, Pourshahidi K, Davis J, Slevin M, Lawther R, O'Connor G, Porrett T, Marley J, Gill C. Living with and without an intestinal stoma: Factors that promote psychological well-being and self-care: A cross-sectional study. Nurs Open 2023; 10:7811-7825. [PMID: 37840444 PMCID: PMC10643826 DOI: 10.1002/nop2.2030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 08/29/2023] [Accepted: 09/29/2023] [Indexed: 10/17/2023] Open
Abstract
AIMS This study compared those living with and without an intestinal stoma in relation to physical and psychological health, stress and coping, quality of life and resilience. Also, identifying factors that could be used to promote better self-care in stoma patients in the future. DESIGN A cross-sectional and comparative study design was employed. METHODS Participants were recruited via email and social media (Facebook and Twitter) between August 2018 and March 2019, to complete an online survey. The data were analysed using analysis of variance to examine group difference and a series of hierarchical linear regression analyses determining predictors of psychological well-being. RESULTS Of 278 participants aged 18-68 years who completed the survey, 129 (46%) had a stoma and reported significantly poorer physical health. Approximately one-fifth experienced problems with stoma management. Psychological well-being was mediated by the duration of living with a stoma (under 3 years) and frequency of leaks (weekly and monthly).
Collapse
Affiliation(s)
- Ellen Simpson
- Psychology Research InstituteUlster UniversityColeraineUK
| | - Kirsty Pourshahidi
- Nutrition Innovation Centre for Food & Health (NICHE), Biomedical Sciences Research InstituteUlster UniversityColeraineUK
| | - James Davis
- Engineering Research InstituteUlster UniversityColeraineUK
| | - Mary Slevin
- Nutrition Innovation Centre for Food & Health (NICHE), Biomedical Sciences Research InstituteUlster UniversityColeraineUK
| | - Roger Lawther
- Altnagelvin HospitalWestern Health and Social Care TrustLondonderryUK
| | - Gloria O'Connor
- Altnagelvin HospitalWestern Health and Social Care TrustLondonderryUK
| | | | | | - Chris Gill
- School of Biomedical SciencesUlster University Faculty of Life and Health SciencesColeraineUK
| |
Collapse
|
7
|
Tirgari B, Azizzadeh Forouzi M, Heidarzadeh A, Khalilzadeh Ganjalikhani M. Does Resilience Predict Ostomy Adjustment in Patients With Permanent Ostomy? J Wound Ostomy Continence Nurs 2023; 50:386-391. [PMID: 37713349 DOI: 10.1097/won.0000000000001007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/17/2023]
Abstract
PURPOSE This study aimed to evaluate associations between resilience and ostomy adjustment in a group of patients with a permanent ostomy. DESIGN Descriptive, correlational study. SUBJECTS AND SETTING One hundred participants were interviewed; most were male (N = 56; 56%), married (N = 77; 77%), illiterate (N = 46; 46%), and self-employed (N = 35; 35%). The most frequent condition leading to ostomy surgery was colorectal cancer (N = 24; 24%). A majority (N = 43; 43%) had been diagnosed with cancer 1 to 5 years before data collection, and 35 (35%) had lived with an ostomy for 1 to 5 years. Participants were recruited from an ostomy clinic of in Kerman, located in southeastern Iran. Data were collected from August to October 2019. METHODS Data were collected via interviews. A questionnaire, developed for purposes of this study, was developed that included items querying demographic and pertinent clinical characteristics and 2 validated instruments, the Resilience Scale and the Ostomy Adjustment Inventory-23 (OAI-23). Data were analyzed using t tests, analysis of variance, Pearson correlation coefficient, and linear regression. RESULTS The mean score for ostomy adjustment was 43.37 (SD = 11.57) indicating less than optimal adjustment to life with an ostomy. The mean score of the Resilience Scale was 104.56 (SD = 25.98); most participants (n = 67, 67%) had very low and low resilience. Resilience was weakly associated with ostomy adjustment; specifically, participants who scored higher on the Resilience Scale tended to score higher on the OAI-23 (r = 0.32, P = .006). Linear regression indicated that resilience had the greatest predictive effect on ostomy adjustment (P = .004). CONCLUSIONS Results suggest that higher levels of resilience may facilitate adjustment to a permanent ostomy. Findings indicate that nurses should design and implement programs to aid ostomy adjustment via resilience assessment.
Collapse
Affiliation(s)
- Batool Tirgari
- Batool Tirgari, PhD, Professor of Nursing, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
- Mansooreh Azizzadeh Forouzi, MSN, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Science, Kerman, Iran
- Azam Heidarzadeh, MSN, Geriatric Research Center, School of Nursing & Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
- Mahboobeh Khalilzadeh Ganjalikhani, MSN, Department of Medical Surgical Nursing, Razi Faculty of Nursing & Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Mansooreh Azizzadeh Forouzi
- Batool Tirgari, PhD, Professor of Nursing, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
- Mansooreh Azizzadeh Forouzi, MSN, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Science, Kerman, Iran
- Azam Heidarzadeh, MSN, Geriatric Research Center, School of Nursing & Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
- Mahboobeh Khalilzadeh Ganjalikhani, MSN, Department of Medical Surgical Nursing, Razi Faculty of Nursing & Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Azam Heidarzadeh
- Batool Tirgari, PhD, Professor of Nursing, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
- Mansooreh Azizzadeh Forouzi, MSN, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Science, Kerman, Iran
- Azam Heidarzadeh, MSN, Geriatric Research Center, School of Nursing & Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
- Mahboobeh Khalilzadeh Ganjalikhani, MSN, Department of Medical Surgical Nursing, Razi Faculty of Nursing & Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahboobeh Khalilzadeh Ganjalikhani
- Batool Tirgari, PhD, Professor of Nursing, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
- Mansooreh Azizzadeh Forouzi, MSN, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Science, Kerman, Iran
- Azam Heidarzadeh, MSN, Geriatric Research Center, School of Nursing & Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
- Mahboobeh Khalilzadeh Ganjalikhani, MSN, Department of Medical Surgical Nursing, Razi Faculty of Nursing & Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
8
|
Doucette JE, Mawn BE, Beitz JM, Koren A. Factors Affecting Psychosocial Adjustment in Persons With a Recent Ostomy. J Wound Ostomy Continence Nurs 2023; 50:297-306. [PMID: 37467408 DOI: 10.1097/won.0000000000000986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
PURPOSE The aim of this study was to examine the influence of personal and clinical factors on psychosocial adjustment in persons living with an ostomy for less than 1 year. DESIGN A cross-sectional survey. SUBJECTS AND SETTING The study sample comprised 183 adult individuals who had a colostomy, ileostomy, or urostomy for less than 1 year, residing in the Northeastern United States. METHODS Data were collected from May through November 2018 using 2 instruments: a sociodemographic questionnaire and the Ostomy Adjustment Inventory-23 (OAI-23). The OAI-23 items measured 4 psychosocial subscales: acceptance, anxious preoccupation, social engagement, and anger. Data were analyzed using analysis of variance, multivariate analysis of variance, Cramer's V correlations, and multiple regression. RESULTS Univariate analysis indicated that factors influencing psychosocial adjustment to an ostomy include age, assistance with care, educational background, stomal type, body mass index, ostomy height, preoperative education, and stoma siting. Multivariate analysis of variance identified that those who reported independence with ostomy care experienced higher levels of adjustment in all areas of the OAI-23. CONCLUSIONS Findings from this study may assist nurses and other care providers to better understand the physical and emotional needs of those with ostomies and to identify interventions to promote optimal health in this population.
Collapse
Affiliation(s)
- Jeffrey E Doucette
- Jeffrey E. Doucette, PhD, RN, CWOCN, Senior WOC Nurse, UMass Memorial Medical Center, Worcester, Massachusetts
- Barbara E. Mawn, PhD, RN, Solomont School of Nursing, University of Massachusetts Lowell
- Janice M. Beitz, PhD, RN, CS, CNOR, CWOCN-AP, CRNP, APNC, ANEF, FNAP, FAAN, Rutgers University School of Nursing-Camden, Camden, New Jersey
- Ainat Koren, PhD, DNP, PMHNP, Solomont School of Nursing, University of Massachusetts Lowell
| | - Barbara E Mawn
- Jeffrey E. Doucette, PhD, RN, CWOCN, Senior WOC Nurse, UMass Memorial Medical Center, Worcester, Massachusetts
- Barbara E. Mawn, PhD, RN, Solomont School of Nursing, University of Massachusetts Lowell
- Janice M. Beitz, PhD, RN, CS, CNOR, CWOCN-AP, CRNP, APNC, ANEF, FNAP, FAAN, Rutgers University School of Nursing-Camden, Camden, New Jersey
- Ainat Koren, PhD, DNP, PMHNP, Solomont School of Nursing, University of Massachusetts Lowell
| | - Janice M Beitz
- Jeffrey E. Doucette, PhD, RN, CWOCN, Senior WOC Nurse, UMass Memorial Medical Center, Worcester, Massachusetts
- Barbara E. Mawn, PhD, RN, Solomont School of Nursing, University of Massachusetts Lowell
- Janice M. Beitz, PhD, RN, CS, CNOR, CWOCN-AP, CRNP, APNC, ANEF, FNAP, FAAN, Rutgers University School of Nursing-Camden, Camden, New Jersey
- Ainat Koren, PhD, DNP, PMHNP, Solomont School of Nursing, University of Massachusetts Lowell
| | - Ainat Koren
- Jeffrey E. Doucette, PhD, RN, CWOCN, Senior WOC Nurse, UMass Memorial Medical Center, Worcester, Massachusetts
- Barbara E. Mawn, PhD, RN, Solomont School of Nursing, University of Massachusetts Lowell
- Janice M. Beitz, PhD, RN, CS, CNOR, CWOCN-AP, CRNP, APNC, ANEF, FNAP, FAAN, Rutgers University School of Nursing-Camden, Camden, New Jersey
- Ainat Koren, PhD, DNP, PMHNP, Solomont School of Nursing, University of Massachusetts Lowell
| |
Collapse
|
9
|
Choi HR, Park HS, Hong Y, Kim YA. The lived experience of colorectal cancer patients with a temporary ileostomy and the patient's perception of the ostomy nurses' educational interventions. Support Care Cancer 2023; 31:276. [PMID: 37071187 DOI: 10.1007/s00520-023-07748-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 04/12/2023] [Indexed: 04/19/2023]
Abstract
PURPOSE This study is aimed at exploring the lived experiences of colorectal cancer patients regarding temporary ileostomy and the educational interventions of ostomy nurses. METHODS This study is conducted using Heideggerian phenomenological focus group. Focus group interviews were conducted from November 2021 to February 2022 using a semi-structured guide with nine colorectal cancer patients having a temporary ileostomy. The interview data were analyzed using latent content analysis RESULTS: Four main categories and 13 sub-categories are identified as the result of data analysis. Main categories were "colorectal cancer and ileostomy: patient's adaptation," "supporting resources for the patient with ileostomy," "ileostomy closure: hope and concerns," and "ostomy nurse's professionalism." The main categories reflect the shared experiences and perceptions of colorectal cancer patients, across the timeline from colorectal cancer diagnosis to ileostomy closure. CONCLUSION This study provides a timely response to a pilot project for recognizing ostomy nurse's education for patients with stomas. Also, the findings of this study contribute to nursing knowledge by providing patients' perspectives on the education provided to them by the ostomy nurse. Lastly, this study inspires future studies to evaluate and recognize ostomy nurse's practice by using various methodological approaches.
Collapse
Affiliation(s)
- Hye Ri Choi
- School of Nursing, University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Hyun Suk Park
- Department of Nursing, Severance Hospital Yonsei University, Seoul, Republic of Korea
| | - YongEun Hong
- Department of Nursing, National Cancer Center, Goyang-si, Republic of Korea
| | - Young Ae Kim
- National Cancer Survivorship Center, National Cancer Control Institute, National Cancer Center, Goyang-si, Republic of Korea.
| |
Collapse
|
10
|
Muhammad FA, Akpor OA, Akpor OB. Lived experiences of patients with ostomies in a University Teaching Hospital in Kwara State, Nigeria. Heliyon 2022; 8:e11936. [DOI: 10.1016/j.heliyon.2022.e11936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 09/19/2022] [Accepted: 11/18/2022] [Indexed: 12/03/2022] Open
|