Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study

Eladio J Collado-Boira, Francisco H Machancoses, Ana Folch-Ayora, Pablo Salas-Medina, Mª Desamparados Bernat-Adell, Vicente Bernalte-Martí, Mª Dolores Temprado-Albalat, Eladio J Collado-Boira, Francisco H Machancoses, Ana Folch-Ayora, Pablo Salas-Medina, Mª Desamparados Bernat-Adell, Vicente Bernalte-Martí, Mª Dolores Temprado-Albalat

Abstract

The current article examined stoma self-care and health-related quality of life in patients with drainage enterostomy, described clinical and sociodemographic variables and analyzed the relationship between all of them. Trained interviewers collected data using a standardized form that queried sociodemographic and clinical variables. In addition, Self-Care (SC) was measured through a specific questionnaire for Ostomized Patients (CAESPO) and Health-Related Quality of Life (HRQoL) through the Stoma Quality of Life questionnaire (S-QoL), which are not included in the electronic medical record. This was a multicenter, cross sectional study conducted in four hospitals of the province of Castellon (Spain), where 139 participants were studied. As novel findings, it was found that the level of SC of the stoma was high and was positively correlated with health-related quality of life. In relation to SC and sociodemographic variables studied in the research, women, married patients and active workers presented significantly higher scores than the rest. In relation to the clinical variables, we highlight the highest scores of the autonomous patients in the care of their stoma and those who used irrigations regularly. The lowest scores were the patients with complications in their stoma. We can highlight the validity and reliability of the CAESPO scale for biomedical and social research, and the importance of skills related to self-care of ostomy patients for a good level of HRQoL.

Keywords: quality of life; self-care; self-care monitoring; stoma care.

Conflict of interest statement

All authors declare no financial interests or connections, direct or indirect, or other situations that might raise the question of bias in the work reported or the conclusions, implications, or opinions stated.

References

    1. Duchesne J.C., Wang Y.-Z., Weintraub S.L., Boyle M., Hunt J.P. Stoma complications: A multivariate analysis. Am. Surg. 2002;68:966.
    1. De Mejía B.E., Eugenia M., Merchán P. Calidad de vida relacionada con la salud (cvrs) en adultos mayores de 60 años: Una aproximación teórica. Rev. Hacia la Promoc. de la Salud. 2007;12:11–24.
    1. Fernández-López J.A., Fernández-Fidalgo M., Cieza A. Los conceptos de calidad de vida, salud y bienestar analizados desde la perspectiva de la Clasificación Internacional del Funcionamiento (CIF) Rev. Esp. de Salud Pública. 2010;84:169–184. doi: 10.1590/S1135-57272010000200005.
    1. Mezzich J.E., Cohen N.L., Ruiperez M.A., Banzato C.E.M., Zapata-Vega M.I. The Multicultural Quality of Life Index: Presentation and validation. J. Eval. Clin. Pract. 2011;17:357–364. doi: 10.1111/j.1365-2753.2010.01609.x.
    1. Ang S.G.M., Chen H.-C., Siah R.J.C., He H.-G., Klainin-Yobas P. Stressors Relating to Patient Psychological Health Following Stoma Surgery: An Integrated Literature Review. Oncol. Nurs. Forum. 2013;40:587–594. doi: 10.1188/13.ONF.587-594.
    1. Bulkley J., McMullen C.K., Hornbrook M.C., Grant M., Altschuler A., Wendel C.S., Krouse R.S. Spiritual well-being in long-term colorectal cancer survivors with ostomies. Psycho-Oncology. 2013;22:2513–2521. doi: 10.1002/pon.3318.
    1. Simmons K.L., Smith J.A., Bobb K.-A., Liles L.L. Adjustment to colostomy: Stoma acceptance, stoma care self-efficacy and interpersonal relationships. J. Adv. Nurs. 2007;60:627–635. doi: 10.1111/j.1365-2648.2007.04446.x.
    1. Bekkers M., Van Knippenberg F., Van Dulmen A., Borne H.V.D., Henegouwen G.V.B. Survival and psychosocial adjustment to stoma surgery and nonstoma bowel resection: A 4-year follow-up. J. Psychosom. Res. 1997;42:235–244. doi: 10.1016/S0022-3999(96)00288-7.
    1. Bonill C., Celdrán M., Hueso C., Morales J., Rivas C., Cuevas M. Living with digestive stomas: Strategies to cope with the new bodily reality. Rev. Latino-Am. Enferm. 2014;22:394. doi: 10.1590/0104-1169.3208.2429.
    1. Brito J., Jimenez K., Tolorza G., Siqués P., Rojas F., Barrios L. Impacto de la ostomía en el paciente y su entorno. Rev. Chil. Cirugía. 2004;56:31–34.
    1. Kenderian S., Stephens E., Jatoi A. Ostomies in rectal cancer patients: What is their psychosocial impact? Eur. J. Cancer Care. 2013;23:328–332. doi: 10.1111/ecc.12133.
    1. Mathis K.L., Boostrom S.Y., Pemberton J.H. New developments in colorectal surgery. Curr. Opin. Gastroenterol. 2013;29:72–78. doi: 10.1097/MOG.0b013e32835a34ea.
    1. Williams J. Patient stoma care: Educational theory in practice. Br. J. Nurs. 2012;21:786–794. doi: 10.12968/bjon.2012.21.13.786.
    1. Araujo A., Decesario M. The adjustment experienced by persons with an ostomy: An Integrative Review of the Literature. Ostomy Wound Manag. 2014;60:34–42.
    1. Stewart B.W., Wild C.P. World CANCER Report 2014. [(accessed on 26 September 2019)]; Available online: .
    1. Siegel R.L., Miller K.D., Fedewa S.A., Ahnen D.J., Meester R.G.S., Barzi A., Jemal A. Colorectal cancer statistics, 2017. CA Cancer J. Clin. 2017;67:177–193. doi: 10.3322/caac.21395.
    1. Ferlay J., Colombet M., Soerjomataram I., Dyba T., Randi G., Bettio M., Gavin A., Visser O., Bray F. Cancer incidence and mortality patterns in Europe: Estimates for 40 countries and 25 major cancers in 2018. Eur. J. Cancer. 2018;103:356–387. doi: 10.1016/j.ejca.2018.07.005.
    1. Lauby-Secretan B., Vilahur N., Bianchini F., Guha N., Straif K. The IARC Perspective on Colorectal Cancer Screening. N. Engl. J. Med. 2018;378:1734–1740. doi: 10.1056/NEJMsr1714643.
    1. Guillem J.G., Paty P.B., Cohen A.M. Surgical treatment of colorectal cancer. CA Cancer J. Clin. 1997;47:113–128. doi: 10.3322/canjclin.47.2.113.
    1. McArdle C.S., McMillan D.C., Hole D.J. Impact of anastomotic leakage on long-term survival of patients undergoing curative resection for colorectal cancer. BJS. 2005;92:1150–1154. doi: 10.1002/bjs.5054.
    1. Nichols T.R. Health-Related Quality of Life in Community-Dwelling Persons with Ostomies. J. Wound Ostomy Cont. Nurs. 2015;42:374–377. doi: 10.1097/WON.0000000000000153.
    1. Silva M.A., Ratnayake G., Deen K.I. Quality of Life of Stoma Patients: Temporary Ileostomy versus Colostomy. World J. Surg. 2003;27:421–424. doi: 10.1007/s00268-002-6699-4.
    1. Vonk-Klaassen S.M., De Vocht H.M., Ouden M.E.M.D., Eddes E.H., Schuurmans M.J. Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: A systematic review. Qual. Life Res. 2016;25:125–133. doi: 10.1007/s11136-015-1050-3.
    1. Bonham P., Palmer R., Steinberg G., Salvadalena G., Rafferty J., Pittman J., Nottingham C.U., Livingston V., Hendren S., Fellows J., et al. WOCN Society Clinical Guideline. J. Wound Ostomy Cont. Nurs. 2018;45:50–58. doi: 10.1097/WON.0000000000000396.
    1. Danielsen A.K., Burcharth J., Rosenberg J. Patient education has a positive effect in patients with a stoma: A systematic review. Color. Dis. 2013;15:e276–e283. doi: 10.1111/codi.12197.
    1. Danielsen A.K., Soerensen E.E., Burcharth K., Rosenberg J. Learning to Live With a Permanent Intestinal Ostomy. J. Wound Ostomy Cont. Nurs. 2013;40:407–412. doi: 10.1097/WON.0b013e3182987e0e.
    1. Orem D.E., Taylor S.G., Renpenning K.M. Nursing Concepts of Practice. Elsevier Health Sciences; Amsterdam, The Netherlands: 1995.
    1. Riegel B., Jaarsma T., Strömberg A. A Middle-Range Theory of Self-Care of Chronic Illness. Adv. Nurs. Sci. 2012;35:194–204. doi: 10.1097/ANS.0b013e318261b1ba.
    1. Cheng F., Meng A., Yang L.-F., Zhang Y. Feature the Correlation Between ostomy Knowledge and self-Care ability with psychosocial adjustment in Chinese Patients with a Permanent Colostomy: A descriptive study. Ostomy Wound Manag. 2013;59:35–38.
    1. Piwonka M.A., Merino J. A multidimensional modeling of predictors influencing the adjustment to a colostomy. J. WOCN. 1999;26:298–305.
    1. Liu L., Herrinton L.J., Hornbrook M.C., Wendel C.S., Grant M., Krouse R.S. Early and Late Complications among Long-Term Colorectal Cancer Survivors with Ostomy or Anastomosis. Dis. Colon Rectum. 2010;53:200–212. doi: 10.1007/DCR.0b013e3181bdc408.
    1. Prieto L., Thorsen H., Juul K. Development and validation of a quality of life questionnaire for patients with colostomy or ileostomy. Health Qual. Life Outcomes. 2005;3:62. doi: 10.1186/1477-7525-3-62.
    1. Collado-Boira E.J., Machancoses F.H., Temprado M.D. Development and Validation of an Instrument Measuring Self-Care in Persons with a Fecal Ostomy. J. Wound Ostomy Cont. Nurs. 2018;45:335–340. doi: 10.1097/WON.0000000000000444.
    1. Knowles S.R., Cook S.I., Tribbick D. Relationship between health status, illness perceptions, coping strategies and psychological morbidity: A preliminary study with IBD stoma patients. J Crohns Colitis. 2013;7:e471–e478. doi: 10.1016/j.crohns.2013.02.022.
    1. Wu H.K.-M., Chau J.P.-C., Twinn S. Self-efficacy and Quality of Life among Stoma Patients in Hong Kong. Cancer Nurs. 2007;30:186–193. doi: 10.1097/01.NCC.0000270704.34296.86.
    1. Su X., Zhen L., Zhu M., Kuang Y., Qin F., Ye X., Yin X., Wang H. Determinants of self-efficacy and quality of life in patients with temporary enterostomy: A cross-sectional survey. J. Clin. Nurs. 2016;26:477–484. doi: 10.1111/jocn.13469.
    1. Holman H., Lorig K. Patient Self-Management: A Key to Effectiveness and Efficiency in Care of Chronic Disease. Public Health Rep. 2004;119:239–243. doi: 10.1016/j.phr.2004.04.002.
    1. Ran L., Jiang X., Qian E., Kong H., Wang X., Liu Q. Quality of life, self-care knowledge access, and self-care needs in patients with colon stomas one month post-surgery in a Chinese Tumor Hospital. Int. J. Nurs. Sci. 2016;3:252–258. doi: 10.1016/j.ijnss.2016.07.004.
    1. Kershaw T., Ellis K.R., Yoon H., Schafenacker A., Katapodi M.C., Northouse L.L. The Interdependence of Advanced Cancer Patients’ and Their Family Caregivers’ Mental Health, Physical Health, and Self-Efficacy over Time. Ann. Behav. Med. 2015;49:901–911. doi: 10.1007/s12160-015-9743-y.
    1. Liao C., Qin Y. Factors associated with stoma quality of life among stoma patients. Int. J. Nurs. Sci. 2014;1:196–201. doi: 10.1016/j.ijnss.2014.05.007.
    1. Goldzweig G., Andritsch E., Hubert A., Walach N., Perry S., Brenner B., Baider L. How relevant is marital status and gender variables in coping with colorectal cancer? A sample of middle-aged and older cancer survivors. Psycho-Oncology. 2009;18:866–874. doi: 10.1002/pon.1499.
    1. Su X., Qin F., Zhen L., Ye X., Kuang Y., Zhu M., Yin X., Wang H. Self-efficacy and Associated Factors in Patients With Temporary Ostomies. J. Wound Ostomy Cont. Nurs. 2016;43:623–629. doi: 10.1097/WON.0000000000000274.
    1. Varma S. Issues in irrigation for people with a permanent colostomy: A review. Br. J. Nurs. 2009;18:S15–S18. doi: 10.12968/bjon.2009.18.Sup1.39633.
    1. Cesaretti I.U.R., Santos V.L.C.G., Vianna L.A.C. Qualidade de vida de pessoas colostomizadas com e sem uso de métodos de controle intestinal. Rev. Bras. de Enferm. 2010;63:16–21. doi: 10.1590/S0034-71672010000100003.
    1. Karadag A., Menteş B.B., Ayaz S. Colostomy irrigation: Results of 25 cases with particular reference to quality of life. J. Clin. Nurs. 2005;14:479–485. doi: 10.1111/j.1365-2702.2004.01083.x.
    1. Magistri P., Scordamaglia M.R., Giulitti D., Papaspyropoulos V., Eleuteri E., Coppola M. Patients’ quality of life and role of the ambulatory in after-surgery stoma care. A single center experience. Ann. Ital. di Chir. 2014;85:105–108.
    1. Gray M., Colwell J.C., Doughty D., Goldberg M., Hoeflok J., Manson A., McNichol L., Rao S. Peristomal Moisture–Associated Skin Damage in Adults with Fecal Ostomies. J. Wound Ostomy Cont. Nurs. 2013;40:389–399. doi: 10.1097/WON.0b013e3182944340.

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