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Yang F, Cui S, Cai M, Feng F, Zhao M, Sun M, Zhang W. The experiences of family resilience in patients with permanent colostomy and their spouses: A dyadic qualitative study. Eur J Oncol Nurs 2024; 70:102590. [PMID: 38677217 DOI: 10.1016/j.ejon.2024.102590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Revised: 04/07/2024] [Accepted: 04/12/2024] [Indexed: 04/29/2024]
Abstract
PURPOSE With the prolonged survival time of patients with permanent colostomy for colorectal cancer, they and their spouses face tremendous pressure and development dilemmas that can easily lead to family adaptation crises. This qualitative study amid to explore the dyadic experiences of family resilience among Chinese patients with permanent colostomy and their spouses. METHODS A phenomenological research method was adopted. Semi-structured, in-depth, face-to-face interviews with 10 dyads of patients with permanent colostomy and their spouses were recruited through purposive sampling from a public tertiary hospital in China from March 2023 to July 2023.The Dyadic interview analysis and Colaizzi methods were used to analyze the interview data. RESULTS Three themes and nine subthemes were developed. (1) family crisis and dichotomous coping with stress-family crisis and coping pressure caused by enterostomy; (2) Adjustment and adaptation within the family-Joint adjustment and adaptation within the couple's family; and (3) integration and utilization of multi-dimensional social external resources (micro-level, meso-level, and macro-level). CONCLUSIONS Couples living with permanent colostomy often undergo a complex emotional journey, experiencing varied levels of individual stress as they navigate social interactions and daily activities, which can contribute to a decline in family adaptation. With the help of the perspective of family advantage, health practitioners should pay attention to the evaluation of individual factors and family environmental resources, to fully mobilize advantage resources and give effective interventions to improve the family and social adaptation level of patients and their spouses.
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Affiliation(s)
- Fangfang Yang
- Department of Nursing, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China
| | - Sumin Cui
- Tongji University School of Medicine, Shanghai, 200092, China; Department of Nursing, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 20000, China
| | - Mengyi Cai
- Tongji University School of Medicine, Shanghai, 200092, China
| | - Fangming Feng
- Department of Nursing, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China
| | - Meihui Zhao
- Department of Nursing, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China; Tongji University School of Medicine, Shanghai, 200092, China
| | - Mengchen Sun
- Department of Nursing, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China; Tongji University School of Medicine, Shanghai, 200092, China
| | - Weiying Zhang
- Department of Nursing, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China.
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Chery MJ, Henderson R, Dubique K, Camilus A, Eliacin HC, Pinard J, Toussaint E, Clisbee M. "I Am Half of a Person": Lived Experiences of Individuals Living With Ostomy After Surgery in Rural Haiti. QUALITATIVE HEALTH RESEARCH 2024:10497323241229420. [PMID: 38332547 DOI: 10.1177/10497323241229420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/10/2024]
Abstract
Intestinal ostomy can have significant effects on lives and lived experiences. However, limited research exists on the experiences of persons with ostomy in low-resource settings, such as rural Haiti. This study aimed to explore the lived experiences of Haitians with an ostomy, focusing on the physical, psychological, and social aspects of their post-operative lives. We conducted 9 semi-structured, in-depth interviews with participants who had undergone ostomy surgery at the Hôpital Universitaire de Mirebalais in Haiti. Employing interpretative phenomenological analysis (IPA), we iteratively examined transcripts to identify convergent and divergent codes, which were then grouped into themes to better understand the participants' experiences. Three themes emerged: (a) ostomy as a social disease, which has severe impacts on relationships and place in society; (b) ostomy as altering self-image, leading participants to reflect on their identity and the underlying causes of their condition and to reevaluate their necessities and abilities; and (c) ostomy as an arduous medical journey, characterized by pain, distress, uncertainty, and disillusionment, but also resiliency, improvisation, and hope. This study highlights the multifaceted experiences of persons with ostomy in the low-resource rural environment of Haiti and underscores the need for improved access to medical care, financial support, and psychosocial and caregiving resources for these individuals. Findings also emphasize the importance of medical providers' improved understanding in making medical decisions, and cultural and socioeconomic factors in developing effective support strategies.
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Affiliation(s)
- Maurice J Chery
- Research Department, Zanmi Lasante/Partners in Health Mirebalais, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
- Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Rebecca Henderson
- Research Department, Zanmi Lasante/Partners in Health Mirebalais, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
- College of Medicine, University of Florida, Gainesville, FL, USA
| | - Kobel Dubique
- Research Department, Zanmi Lasante/Partners in Health Mirebalais, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
| | - Adler Camilus
- Research Department, Zanmi Lasante/Partners in Health Mirebalais, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
| | - Henry Claude Eliacin
- Surgery Department Zanmi Lasante/Partners in Health Mirebalais, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
| | - Jacquemine Pinard
- Surgery Department Zanmi Lasante/Partners in Health Mirebalais, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
| | - Eric Toussaint
- Surgery Department Zanmi Lasante/Partners in Health Mirebalais, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
| | - Mary Clisbee
- Research Department, Zanmi Lasante/Partners in Health Mirebalais, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
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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.
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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
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Yousef J, Al Hasanat A, Othman S, Alrahma S, Alloubani A. Effects of lavender oil on odor elimination, ostomy adjustment and quality of life in patients with permanent colostomy: A randomized controlled trial. Eur J Oncol Nurs 2024; 68:102471. [PMID: 38016202 DOI: 10.1016/j.ejon.2023.102471] [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: 07/27/2023] [Revised: 11/13/2023] [Accepted: 11/16/2023] [Indexed: 11/30/2023]
Abstract
PURPOSE The aim of this study is to assess the impact of lavender oil on odor elimination, ostomy adjustment and quality of life outcomes in patients with permanent colostomy. Specifically, the study aims to compare the outcomes of an experimental group receiving lavender oil intervention with those of a control group. METHODS A randomized controlled trial design was employed, including an experimental group receiving lavender oil intervention and a control group receiving standard care. The study participants were patients with permanent colostomy. Various variables were assessed, including odor scale, work and social functioning, sexuality and body image, stoma function, financial concerns, acceptance, anxiety/preoccupation, social engagement and anger. RESULTS The post-scores assessment showed significant differences between the experimental and control groups in all variables. The experimental group exhibited significantly more positive outcomes concerning the reduction of odor (p<0.001), performance in the workplace (p<0.001), body image connected to sexuality (p<0.001), stoma functionality (p<0.001), financial worries (p=0.005), acceptance levels (p<0.001), anxiety levels (p<0.001), social involvement (p<0.001), and irritability (p<0.001). Effect sizes were substantial (=0.88-0.98 in all variables but one), indicating significant differences in average scores before and after the intervention. CONCLUSION The findings of this study suggest that lavender oil intervention effectively improved odor elimination, ostomy adjustment and quality of life outcomes in patients with permanent colostomy.
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Zhou M, Zhou H, Zhang X, Jin X, Su X, Bai Y, Wei W, Zhang Y, Ma F. A qualitative study on patients' and health care professionals' perspectives regarding care delivered during CIED operation. BMC Health Serv Res 2024; 24:73. [PMID: 38225638 PMCID: PMC10789075 DOI: 10.1186/s12913-024-10546-7] [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: 10/17/2023] [Accepted: 01/02/2024] [Indexed: 01/17/2024] Open
Abstract
BACKGROUND Cardiac implantable electronic devices (CIEDs) has proven to be an invaluable tool in the practice of cardiology. Patients who have undergone CIED surgery with local anesthesia may result in fear, insecurity and suffering. Some studies have put efforts on ways to improve intraoperative experience of patients with local anesthesia, but researches concerning experiences of CIED patients during surgery is in its infancy. METHODS Based on semi-structured and in-depth interviews, a qualitative design was conducted in a tertiary general hospital in China from May 2022 to July 2023.Purposeful sampling of 17 patients received CIED surgery and 20 medical staff were interviewed. Thematic analysis with an inductive approach was used to identify dominant themes. RESULTS Four themes emerged from the data: (1) Safety and success is priority; (2) Humanistic Caring is a must yet be lacking; (3) Paradox of surgery information given; (4) Ways to improve surgery experiences in the operation. CONCLUSIONS Intraoperative care is significant for CIED surgery. To improve care experience during surgery, healthcare professionals should pay attention to patients' safety and the factors that affecting humanistic caring in clinical practice. In addition, information support should consider information-seeking styles and personal needs. Besides, the four approaches presented in this study are effective to improve the intraoperative care experience.
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Affiliation(s)
- Min Zhou
- Department of Nursing, The First Affiliated Hospital of Kunming Medical University, No. 295, Xichang Road, 650032, Kunming, China
- School of Nursing, Kunming Medical University, Kunming, China
| | - Huilin Zhou
- Department of Nursing, The First Affiliated Hospital of Kunming Medical University, No. 295, Xichang Road, 650032, Kunming, China
| | - Xiong Zhang
- Department of Nursing, The First Affiliated Hospital of Kunming Medical University, No. 295, Xichang Road, 650032, Kunming, China
| | - Xiaorong Jin
- Department of Nursing, The First Affiliated Hospital of Kunming Medical University, No. 295, Xichang Road, 650032, Kunming, China
| | - Xu Su
- Department of Nursing, The First Affiliated Hospital of Kunming Medical University, No. 295, Xichang Road, 650032, Kunming, China
| | - Yangjuan Bai
- Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Wei Wei
- Digestive Surgery Department, The First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Yimei Zhang
- Department of Nursing, The First Affiliated Hospital of Kunming Medical University, No. 295, Xichang Road, 650032, Kunming, China
| | - Fang Ma
- Department of Nursing, The First Affiliated Hospital of Kunming Medical University, No. 295, Xichang Road, 650032, Kunming, China.
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Näverlo S, Strigård K, Gunnarsson U, Edin-Liljegren A. Patients' experiences of living with a stoma in rural areas in Northern Sweden. Int J Circumpolar Health 2023; 82:2221767. [PMID: 37300840 DOI: 10.1080/22423982.2023.2221767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 05/31/2023] [Accepted: 06/01/2023] [Indexed: 06/12/2023] Open
Abstract
Introduction: Stoma complications are common and interfere with many aspects of everyday life. Stoma problems are usually managed by a specialised stoma nurse, a service not present in the rural areas of South Lapland in Sweden. The aim of this study was to describe how stoma patients in rural areas experience living with a stoma.Methods: A qualitative descriptive study with semi-structured interviews were conducted with 17 stoma patients living in rural municipalities and who received a part of their care at the local cottage hospital. Qualitative content analysis was employed.Results: Initially, the stoma was experienced as very depressing. Participants had difficulties in properly managing the dressing. Over time they learned how to properly care for their stoma, making their life easier. Both satisfaction and dissatisfaction with the healthcare were experienced. Those who were dissatisfied expressed a lack of competence in dealing with stoma-related problems.Conclusions: Living with a stoma in a rural area in northern Sweden is experienced as a learning process and acceptance of the stoma's existence is important. This study emphasises the need for increased knowledge of stoma-related problems in rural primary healthcare in order to help patients cope with everyday life.
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Affiliation(s)
- Simon Näverlo
- Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden
| | - Karin Strigård
- Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden
| | - Ulf Gunnarsson
- Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden
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Li M, Wang D, Huang J, Luan S, Wang Q. Sexual Behaviors and Intimate Relationships of Sexual Partners of Young Patients with Early-Stage Cervical Cancer: A Qualitative Study. Int J Gen Med 2023; 16:5377-5387. [PMID: 38021052 PMCID: PMC10674558 DOI: 10.2147/ijgm.s437150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 11/09/2023] [Indexed: 12/01/2023] Open
Abstract
Purpose This study aimed to explore the sexual behaviors and intimate relationships of sexual partners of young patients with cervical cancer. Patients and Methods This study employed a descriptive phenomenological research design, which falls within the realm of qualitative research methods. Qualitative research typically utilizes interview techniques for gathering participants' experiences, perceptions, and behaviors. This study conduct face-to-face semi-structured interviews with the sexual partners of 15 young cervical cancer patients receiving cancer treatment to collect their experiences and perspectives on intimate relationships and sexual behavior with cervical cancer patients, and use the Colaizzi method for data analysis. Results Four themes were identified through the interview analysis: (1) reduction or absence of sexual behavior, (2) unpleasant sexual experiences, (3) adjustment of intimate relationships, and (4) lack of sexual health education. Conclusion The sexual partners of young cervical cancer patients have experienced significant shifts in their perspectives on sexual behavior and intimate relationships. These changes include reduction or absence of sexual behavior, unpleasant sexual experiences, adjustment of intimate relationships, and lack of sexual health education. Hospitals should pay more attention to the sexual behavior and intimate relationships of patients with cervical cancer and their sexual partners, and social support systems and psychological and emotional counselling services should be established for providing relevant knowledge and guidance.
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Affiliation(s)
- Mingyue Li
- School of Nursing, Binzhou Medical University, Binzhou, 256603, People’s Republic of China
| | - Dongyang Wang
- Department of Nursing, the Third People’s Hospital of Henan Province, Zhengzhou, 450000, People’s Republic of China
| | - Jiaxiang Huang
- Oncology Department, Binzhou Medical University Hospital, Binzhou, 256603, People’s Republic of China
| | - Shunlian Luan
- Oncology Department, Binzhou Medical University Hospital, Binzhou, 256603, People’s Republic of China
| | - Qinghua Wang
- School of Nursing, Binzhou Medical University, Binzhou, 256603, People’s Republic of China
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Robitaille S, Maalouf MF, Penta R, Joshua TG, Liberman AS, Fiore JF, Feldman LS, Lee L. The impact of restorative proctectomy versus permanent colostomy on health-related quality of life after rectal cancer surgery using the patient-generated index. Surgery 2023; 174:813-818. [PMID: 37495462 DOI: 10.1016/j.surg.2023.06.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 05/16/2023] [Accepted: 06/18/2023] [Indexed: 07/28/2023]
Abstract
BACKGROUND The impact of bowel dysfunction versus colostomy on quality of life after rectal cancer surgery is poorly understood. BACKGROUND To evaluate the quality of life after rectal cancer surgery in patients with colostomy versus restorative proctectomy. METHODS A mixed-methods study measuring quality of life using the Patient-Generated Index, patients were asked to list up to 5 areas of their life affected by their surgery. Areas were then weighted according to patients' preferences for improvement to generate a score from 0-100. The areas reported by patients were linked to the International Classification of Functioning for content analysis. Bowel dysfunction was measured using the low anterior resection syndrome score, and patients were then grouped according to (1) colostomy, (2) no/minor, or (3) major low anterior resection syndrome. Quality of life was compared between groups. RESULTS Overall, 121 patients were included (colostomy n = 39, restorative proctectomy n = 82). There were no differences in demographics, neoadjuvant radiotherapy, or time to follow-up between groups. In the restorative proctectomy group, 53% had no/minor, and 47% had major low anterior resection syndrome. Overall, patients with colostomy had significantly lower quality-of-life scores than those with restorative proctectomy. However, patients with major low anterior resection syndrome scored similarly to those with colostomy. On content analysis, patients with colostomies reported more problems with sexual function, body image, and sports. Patients with restorative proctectomy reported more problems with sleep, using transportation, and taking care of themselves. CONCLUSION Colostomy has a more detrimental impact on quality of life than restorative proctectomy. However, bowel dysfunction severity is important to consider. The patient experience between treatments differs.
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Affiliation(s)
- Stephan Robitaille
- Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada. https://twitter.com/sarobitaille
| | - Michael F Maalouf
- Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada. https://twitter.com/MichaelMaalouf
| | - Ruxandra Penta
- Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada. https://twitter.com/ruxi0077T
| | - Temitope Grace Joshua
- Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada
| | - A Sender Liberman
- Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada. https://twitter.com/senderliberman
| | - Julio F Fiore
- Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada. https://twitter.com/JulioFioreJr
| | - Liane S Feldman
- Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada. https://twitter.com/lianefeldman
| | - Lawrence Lee
- Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada.
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Mithany RH, Shahid MH, Shahid R, Hannan A, Gill MU, Aslam S. Ileostomy 101: Understanding the Basics for Optimal Patient Care. Cureus 2023; 15:e46822. [PMID: 37829655 PMCID: PMC10565359 DOI: 10.7759/cureus.46822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/10/2023] [Indexed: 10/14/2023] Open
Abstract
This comprehensive literature review explores the foundational aspects of ileostomy, encompassing surgical techniques, postoperative care, complications, and advancements. Ileostomy, a surgical procedure redirecting the ileal lumen through an abdominal opening, is a critical intervention for various gastrointestinal conditions. The review delves into surgical techniques, emphasizing the importance of stoma location and type selection, whether temporary or permanent. Complications associated with ileostomy are discussed, highlighting the significance of vigilant postoperative care, including stoma care and addressing potential complications. The profound impact of ileostomy on patients' quality of life is elucidated, underlining the necessity for a holistic approach to patient care. Additionally, advancements in the field, such as biodegradable stoma bags, smart stoma appliances, and telemedicine, are explored for their potential to enhance patient outcomes. The review emphasizes the need for individualized approaches and ongoing research to maximize the benefits of these advancements for ileostomy patients and improve their overall experience.
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Affiliation(s)
- Reda H Mithany
- Laparoscopic Colorectal Surgery, Kingston Hospital NHS Foundation Trust, Kingston Upon Thames, GBR
| | | | - Ra'ana Shahid
- General Surgery, Lahore General Hospital, Lahore, PAK
| | - Abdul Hannan
- Surgery, Glangwili General Hospital, Carmarthen, GBR
| | - Muhammad Umar Gill
- Accident and Emergency Medicine, Kings College Hospital NHS Foundation Trust, London, GBR
| | - Samana Aslam
- Obstetrics and Gynaecology, Lahore General Hospital, Lahore, PAK
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Heydari A, Manzari ZS, Pouresmail Z. Nursing Intervention for Quality of Life in Patients with Ostomy: A Systematic Review. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2023; 28:371-383. [PMID: 37694203 PMCID: PMC10484385 DOI: 10.4103/ijnmr.ijnmr_266_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 05/10/2023] [Accepted: 05/13/2023] [Indexed: 09/12/2023]
Abstract
Background Ostomy-related challenges in everyday life may negatively affect patients' Quality of Life (QL), even long after ostomy surgery. Nurses provide care interventions that may have a significant effect on the patients' QL. Therefore, the purpose of the present study was to determine evidence of effective nursing interventions on the QL of patients with an ostomy. Materials and Methods A systematic review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. English articles published from 2000 to 2021 were identified and retrieved from PubMed, Medscape, MedlinePlus, ScienceDirect, Web of Science, Scopus, Wiley Online Library, ProQuest, ClinicalKey, SAGE, IRCT, and Cochrane. We assessed all included studies (18 articles) using the JBI Critical Appraisal Checklist. Results Interventions reviewed in the study were categorized based on intervention, content of nursing intervention, training method, and target group of the nursing intervention. The nursing interventions involved natural treatments, self-care, and psychological support for patients. The training methods used in the studies included demonstration and lecture, mixed media presentation including PowerPoints, and Internet tools such as WeChat Applications. Some interventions were only presented to patients, caregivers, caregivers and patients together, or peer patients. Conclusions According to the results of the present study, it is suggested that a regular care plan be used with the participation of families and patients from pre-operational to discharge along with nurses' follow-ups and home care to promote the QL. A combination of self-care and psychological education can promote these patients' QL.
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Affiliation(s)
- Abbas Heydari
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Zahra Sadat Manzari
- School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Zohre Pouresmail
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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Mørkhagen AE, Nortvedt L. A Qualitative Study on How Younger Women Experience Living with an Ostomy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20095627. [PMID: 37174147 PMCID: PMC10178502 DOI: 10.3390/ijerph20095627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 03/30/2023] [Accepted: 04/17/2023] [Indexed: 05/15/2023]
Abstract
There is a growing demand that ostomy patients receive more systematic and individualised follow-up by ostomy nurses. The purpose of the study was to explore how younger women experience everyday life after an ostomy and to map what healthcare personnel can do to ensure that the patient group can feel safe and looked after. This qualitative study included four younger women who had a stoma fitted. Individual in-depth interviews were conducted, and two participants were interviewed twice. The findings resulted in three main themes: (1) The importance of follow-up and information from healthcare personnel, (2) Experience with illness and freedom in everyday life and (3) Self-image and social relationships. We found that time to prepare before surgery and learning to live with the stoma provide a good basis for handling the new everyday life with a stoma. We conclude that ostomy nurses provide support and security to those undergoing ostomy operations. Healthcare professionals should focus on providing individually tailored information to ensure that patients are receptive to the information being shared with them. Having parts of a bowel removed can be experienced as relief, especially when the disease has previously contributed to poor self-image and social isolation.
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Affiliation(s)
- Andrea Emilie Mørkhagen
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet, Oslo Metropolitan University, 0130 Oslo, Norway
| | - Line Nortvedt
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet, Oslo Metropolitan University, 0130 Oslo, Norway
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Soares-Pinto I, Braga AMP, Santos IMRMA, Ferreira NMRG, Silva SCDRE, Alves PJ. eHealth Promoting Stoma Self-care for People With an Elimination Ostomy: Focus Group Study. JMIR Hum Factors 2023; 10:e39826. [PMID: 36912879 PMCID: PMC10132022 DOI: 10.2196/39826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 08/26/2022] [Accepted: 01/29/2023] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND The construction of an elimination stoma has a physical, psychological, and social impact on the person. The development of stoma self-care competence contributes to the adaptation to a new health condition and improvement of quality of life. eHealth refers to everything associated with information and communication technology and health care, including telemedicine, mobile health, and health informatics. The use of eHealth platforms by the person with an ostomy, as a digital application that includes websites and mobile phone apps, can bring scientific knowledge and well-informed practices to individuals, families, and communities. It also allows functionalities that enable the person to describe and identify early signs and symptoms and precursors of complications and to be guided to an adequate health response for their problems. OBJECTIVE This study aimed to define the most relevant content and features to promote ostomy self-care integrated into an eHealth platform as a digital app or website to be used by patients for self-management of stoma care. METHODS We developed a descriptive, exploratory study with a qualitative approach using the focus group methodology, which was oriented to reach a consensus of at least 80%. A convenience sample of 7 participants consisting of stomatherapy nurses was used. The focus group discussion was recorded, and field notes were taken. The focus group meeting was fully transcribed, and a qualitative analysis was performed. The research question was: Which content and features for ostomy self-care promotion should be integrated into an eHealth platform as a digital app or website? RESULTS An eHealth platform, which can be a smartphone app or website, for people with ostomy should provide content aimed at promoting self-care, namely in the field of knowledge and self-monitoring, as well as the possibility of interacting with a stomatherapy care nurse. CONCLUSIONS The stomatherapy nurse has a decisive role in promoting adaptation to life with a stoma, namely through the promotion of stoma self-care. Technological evolution has emerged as a useful tool to enhance nursing interventions and promote self-care competence. The development of an eHealth platform aimed at promoting ostomy self-care should include the capabilities for telehealth and help with decision-making regarding self-monitoring and seeking differentiated care.
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Affiliation(s)
- Igor Soares-Pinto
- Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, Portugal.,Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa, Oliveira de Azeméis, Portugal
| | - Ana Margarida Pinto Braga
- Instituto Português de Oncologia de Coimbra Francisco Gentil, Gabinete de Estomaterapia, Coimbra, Portugal
| | | | | | | | - Paulo Jorge Alves
- Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, Portugal.,Centro de Investigação Interdisciplinar em Saúde, Porto, Portugal
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Argyriadis A, Fradelos EC, Argyriadi A, Ziegler E, Kaba E. Advancing Access to Quality LGBTQIA+ Health Care: Gender Discrimination, Socio-Cultural, and Mental Health Issues: A Mixed-Method Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4767. [PMID: 36981675 PMCID: PMC10048612 DOI: 10.3390/ijerph20064767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/01/2023] [Accepted: 03/04/2023] [Indexed: 06/18/2023]
Abstract
Recent research highlights the lack of knowledge and reduced skills of health care professionals in communicating with people from the LGBTQIA+ community. This often occurs due to reduced continuing education on social issues in the health sector. The purpose of this research was to study the readiness of health care professionals to manage the social and mental health issues of the LGBTQIA+ community. In particular, the cultural competence of health care professionals targeted at gender identity, the recognition of the level of mastery of soft skills, and the relevant experiences of the participants were studied. For the purposes of conducting this research, a mixed methodology was used to pursue an in-depth study of human beliefs, attitudes, perceptions, ideas, and experiences. More specifically, a previously validated research tool was used to measure cultural competence and assess soft skills. At the same time, interviews were conducted with health care professionals for a more complete understanding of their skills and attitudes. The study comprised a quantitative study involving 479 health care professionals and a qualitative study involving 20 health care professionals, with results from each study. The results showed that the health care professionals' knowledge of the LGBTQIA+ community is sufficient, but their skills and attitudes towards gender diversity are limited. In addition, the level of acquisition of soft skills by health care professionals is low, and there is insufficient training for health care professionals with regards to social issues. In conclusion, a targeted and structured educational intervention for health care professionals is required to avoid future unfortunate behaviours, and to ensure that the health care provided to healthy and sick populations, regardless of sexual orientation, is adequate.
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Affiliation(s)
- Alexandros Argyriadis
- School of Health Sciences, Department of Nursing, Frederick University, Nicosia 3080, Cyprus
| | - Evangelos C. Fradelos
- School of Health Sciences, Department of Nursing, University of Thessaly, 41500 Larisa, Greece
| | - Agathi Argyriadi
- School of Education and Social Sciences, Department of Psychology, Frederick University, Nicosia 1036, Cyprus
| | - Erin Ziegler
- Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, ON M5B 2K3, Canada
| | - Evridiki Kaba
- School of Health Sciences, Department of Nursing, University of West Attica, 11521 Athens, Greece
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Queirós SMM, Soares Pinto IE, de Brito MAC, de Brito Santos CSV. Promotion of tracheostomy self-care: a qualitative study based on the nurses' perspective. CENTRAL EUROPEAN JOURNAL OF NURSING AND MIDWIFERY 2023. [DOI: 10.15452/cejnm.2022.13.0016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2023] Open
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Chrobak-Bień J, Marciniak A, Kozicka I, Lakoma Kuiken A, Włodarczyk M, Sobolewska-Włodarczyk A, Ignaczak A, Borowiak E. Quality of Life in Patients over Age 65 after Intestinal Ostomy Creation as Treatment of Large Intestine Disease. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1749. [PMID: 36767113 PMCID: PMC9914844 DOI: 10.3390/ijerph20031749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 12/26/2022] [Accepted: 01/16/2023] [Indexed: 06/18/2023]
Abstract
INTRODUCTION For patients with severe intestinal diseases, ostomy surgery can be health-preserving and even lifesaving. Unfortunately, stoma creation also results in a morbidity that patients must manage. Utilization of the correct ostomy appliances is essential for the patient to regain full daily fitness. Patients also now have access to stoma clinics and fistula support groups where they can receive education and emotional support. AIM The aim of the study was to assess the quality of life of patients over 65 years of age with an intestinal stoma, created for treatment of severe colorectal disease. MATERIAL AND METHODS The study involved 100 patients (52 women, 48 men) over the age of 65 with an intestinal stoma. Demographic and medical information was collected. The patients completed diagnostic surveys using the SF-36v2 questionnaire and the author's questionnaire. RESULTS Analysis demonstrated statistically significant relationships between the quality of life of the patient population and stressors of everyday life. Furthermore, there are statistically significant relationships between quality of life and demographic factors including age, marital status, place of residence, and education. Only gender was not a statistically significant factor. CONCLUSIONS A lengthened time interval to intestinal stoma creation is associated with an improved quality of life as well as psychological and emotional acceptance of the intestinal stoma. Support relationships with loved ones is associated with the acceptance of an intestinal stoma. There is a relationship between acceptance of an intestinal stoma and demographic factors such as marital status, place of residence, and education. Gender did not show any significant relationship. Stoma complications are not related to the acceptance of an intestinal stoma.
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Affiliation(s)
- Joanna Chrobak-Bień
- Department of Conservative Nursing, Faculty of Health Sciences, Medical University of Lodz, Jaracza 63, 90-251 Lodz, Poland
| | - Anna Marciniak
- Nursing, Medical University of Lodz, 90-251 Lodz, Poland
| | - Izabela Kozicka
- Department of Conservative Nursing, Faculty of Health Sciences, Medical University of Lodz, Jaracza 63, 90-251 Lodz, Poland
| | | | - Marcin Włodarczyk
- Department of General and Colorectal Surgery, Faculty of Medicine, Medical University of Lodz, 90-251 Lodz, Poland
| | | | - Anna Ignaczak
- Department of Conservative Nursing, Faculty of Health Sciences, Medical University of Lodz, Jaracza 63, 90-251 Lodz, Poland
| | - Ewa Borowiak
- Department of Conservative Nursing, Faculty of Health Sciences, Medical University of Lodz, Jaracza 63, 90-251 Lodz, Poland
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Influences of Heider Balance on Knowledge, Attitude, Practice, and Quality of Life in Bladder Cancer Patients after Urinary Diversion. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:5635971. [PMID: 36561371 PMCID: PMC9767729 DOI: 10.1155/2022/5635971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 11/02/2022] [Accepted: 11/10/2022] [Indexed: 12/15/2022]
Abstract
Objective To explore the influences of Heider balance on knowledge, attitude, practice (KAP), and quality of life in bladder cancer patients after urinary diversion. Methods A set of bladder cancer patients after urinary diversion in our hospital from January 2016 to December 2020 were included in this study. Patients who received out-hospital intervention based on Heider balance were included in the observation group (85 cases). Meanwhile, patients who received routine out-hospital intervention were included in the control group (85 cases), and these patients matched with the observation group by gender, age, and education level. The scores of KAP, WHO quality of life-100 (WHOQOL-100) before discharge and at 6 months after discharge, and the rate of complications were compared in the two groups. Results At 6 months after discharge, the score of these items of KAP including basic knowledge of disease, procedure of pouch replacement, dealing with pouch leakage, skin care of stoma, purchase and storage of pouch, dealing with stoma complications, optimistic mentality for disease, optimistic mentality for stoma, trust in medical staff, willingness to correct bad habits, confidence in maintaining health behavior, maintaining in health dietary habit, maintaining in health behavior, learning from relevant books, learning from relevant videos, experienced in pouch replacement, and experienced in care of stoma of the observation group were significantly higher than those of the control group (t = 6.144, 9.366, 3.129, 3.809, 4.173, 5.923, 2.788, 8.871, 3.291, 10.797, 7.067, 7.805, 3.828, 9.454, 2.827, 4.059, and 8.662, respectively, all P < 0.05). The scores of 16 items of WHOQOL-100 such as energy and fatigue, sleep and rest, positive feelings, thinking, learning, memory and concentration, self-esteem, body image and appearance, negative feelings, mobility, activities of daily living, dependence on medical support, personal relationships, social support, health and social care: availability and quality, opportunities to get new information/skills, opportunities for recreation and leisure, and quality of life from viewpoint in the observation group were significantly higher than those in the control group (t = 2.666, 2.571, 2.961, 3.453, 4.279, 2.781, 3.775, 4.807, 5.850, 4.194, 3.324, 3.873, 5.118, 3.244, 2.956, and 4.218, respectively, all P < 0.05). The rate of complications of the observation group was significantly lower than that of the control group (x 2 = 5.829, P < 0.05). Conclusion The Heider balance can help to reduce the rate of complications, improve knowledge, attitude, practice, and quality of life in urinary diversion patients. These merits make it an attractive approach in guidance of out-hospital intervention.
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Dames NB, Keller DS. The lived experience. Colorectal Dis 2022; 24:1613-1615. [PMID: 36111427 DOI: 10.1111/codi.16322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 08/30/2022] [Indexed: 01/07/2023]
Affiliation(s)
- Nicola B Dames
- Association of Coloprotology of Great Britain and Ireland (ACPGBI), Patient Liaison Group (PLG), Glasgow/Oxford, UK
| | - Deborah S Keller
- Division of Colorectal Surgery, Department of Surgery, Lankenau Medical Center, Wynnewood, Pennsylvania, USA
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Vural ÖF, Başaran M, Demirtaş Z, Karamanlı AR, Bayrakcı C. Students' "COVID-19" and "school" perceptions in the pandemic. Front Psychol 2022; 13:897177. [PMID: 36003094 PMCID: PMC9393374 DOI: 10.3389/fpsyg.2022.897177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 07/14/2022] [Indexed: 11/13/2022] Open
Abstract
This study aims to reveal high school students' perceptions of COVID-19 and schools in the pandemic process through metaphors. In the study, phenomenology research design based on the qualitative research method was used. The study was carried out with the participation of 134 students at all grade levels from high school. The data were analyzed by content analysis. The metaphors were categorized according to their similarities, and their frequency values were calculated. Seventy-six metaphors and eight categories about COVID-19 were reached, and "flu," "prison," and "snake" are the metaphors that have the highest frequency values. They explained the metaphors by making associations with the disease, fast-spreading and damaging things. In the COVID-19 process, 78 metaphors and eight categories were found out for the school. Based on the metaphors created by the students, suggestions were made depending on the research results. It was determined that students had negative perceptions about the COVID-19 pandemic and the school in this process, and it was suggested that this could be eliminated again with educational activities.
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Affiliation(s)
- Ömer F. Vural
- Department of Education Sciences, Faculty of Education, Sakarya University, Sakarya, Turkey
| | - Mehmet Başaran
- Department of Education Sciences, Faculty of Education, Gaziantep University, Gaziantep, Turkey
| | - Zeynep Demirtaş
- Department of Education Sciences, Faculty of Education, Sakarya University, Sakarya, Turkey
| | - Aynur R. Karamanlı
- Department of Education Sciences, Institute of Education Sciences, Sakarya University, Sakarya, Turkey
| | - Cansu Bayrakcı
- Department of Psychology, Social Sciences Institute, Üsküdar University, Istanbul, Turkey
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He X, Li Z. Ostomy Does Not Lead to Worse Outcomes After Bowel Resection With Ovarian Cancer: A Systematic Review. Front Oncol 2022; 12:892376. [PMID: 35677154 PMCID: PMC9169036 DOI: 10.3389/fonc.2022.892376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 04/19/2022] [Indexed: 11/13/2022] Open
Abstract
Background Debulking cytoreduction surgery with bowel resection is a common intervention for ovarian cancer. It is controversial whether ostomy causes worse survival outcomes and how clinical physicians should choose which patients to undergo ostomy. During this study, we performed a systematic review to determine whether ostomy leads to worse outcomes after bowel resection compared to anastomosis. We also summarized the possible indications for ostomy. Methods We searched PubMed, Embase, and Cochrane for articles containing the phrase "ovarian cancer with bowel resection" that were published between 2016 and 2021. We included studies that compared primary anastomosis with ostomy. We mainly focused on differences in the anastomotic leakage rate, length of hospital stay, overall survival, and other survival outcomes associated with the two procedures. Results and Conclusion Of the 763 studies, three were ultimately included in the systematic review (N=1411). We found that ostomy did not contribute to worse survival outcomes, and that the stoma-related complications were acceptable. Indications for ostomy require further study. Bowel resection segment margins and the distance from the anastomosis to the anal verge require consideration.
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Affiliation(s)
- Xinlin He
- Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, China
- Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China
| | - Zhengyu Li
- Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, China
- Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China
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