Quality of Life of Patients with a Stoma: A Descriptive Study
Yıl: 2021 Cilt: 31 Sayı: 3 Sayfa Aralığı: 246 - 251 Metin Dili: İngilizce DOI: 10.4274/tjcd.galenos.2020.2020-7-11 İndeks Tarihi: 19-05-2022
Quality of Life of Patients with a Stoma: A Descriptive Study
Öz: Aim: Stoma opening causes patients to experience various problems in terms of physiological, social, psychological, and sexual aspects. All these problems negatively affect the quality of life (QoL) of patients; thus, this study aimed to evaluate the QoL of patients with a stoma. Method: This descriptive cross-sectional study includes 115 patients with a stoma for at least 3 months. Data were collected using the City of Hope Ostomy QoL Questionnaire between March 2015 and June 2016. Approval from the ethics committee and informed consent from participants were obtained. Descriptive statistics, Kruskal-Wallis test, Student t-test, and Mann-Whitney U test were used. Results: Of the 115 participants, the duration of stoma was 17.5±23.2 months. A colostomy is present in 54.8% of patients, ileostomy in 47.8%, and urostomy in 6.1%. The overall QoL score was 5.37±1.32, with subscale scores as follows: physical 4.42±2.78, psychological 5.33±1.45, social 5.37±1.32, and spiritual 6.97±1.70. A statistically significant difference was found between psychological, social subscale, and overall QoL scores of patients with a permanent and temporary stoma (p<0.05), and between psychological subscale score of patients receiving adjuvant chemotherapy and those who do not (p<0.05). Conclusion: The overall QoL of patients was adversely affected, especially the physical aspect. Patient-centered nursing interventions should be planned to improve the QoL of patients in the context of holistic nursing care.
Anahtar Kelime: Stomalı Hastaların Yaşam Kalitesi: Tanımlayıcı Bir Çalışma
Öz: Amaç: Stomanın açılması hastaların fizyolojik, sosyal, psikolojik ve cinsel yönden çeşitli sorunlar yaşamasına neden olur. Yaşanan tüm bu sorunlar hastaların yaşam kalitesini olumsuz etkileyebilmektedir. Bu çalışma stomalı hastaların yaşam kalitesini değerlendirmeyi amaçlamaktadır. Yöntem: Bu tanımlayıcı, kesitsel çalışma, en az üç aydır stoması olan 115 hastayı içermektedir. Veriler Mart 2015-Haziran 2016 tarihleri arasında Umut Merkezi Ostomi Yaşam Kalitesi Ölçeği (UMYKÖ) ile toplandı. Etik kurul onayı ve hastalardan bilgilendirilmiş onam alındı. Tanımlayıcı istatistikler, Kruskal-Wallis testi, Student t-testi ve Mann-Whitney U testi kullanıldı. Bulgular: Yüz on beş hastanın ortalama stoma süresi 17,5±23,2 aydır. Hastaların %54,8’inde kolostomi, %47,8’inde ileostomi, %6,1’inde ürostomi vardır. Stomalı hastaların UMYKÖ genel puan ortalaması 5,37±1,324, alt boyut puan ortalamaları ise sırasıyla fiziksel 4,42±2,78, psikolojik 5,33±1,45, sosyal 5,37±1,32 ve manevi 6,97±1,70’dir. Ameliyat sonrası kemoterapi alan ve almayan hastaların psikolojik alt boyut puan ortalaması arasında istatiksel olarak anlamlı fark saptandı (p<0,05). Stoması kalıcı ile geçici olan hastaların psikolojik ve sosyal alt boyut ve genel ölçek puan ortalaması arasında istatiksel olarak anlamlı fark saptandı (p<0,05). Sonuç: Hastaların genel yaşam kalitesi özellikle fiziksel alanda olumsuz etkilenmiştir. Bütüncül hemşirelik bakımı çerçevesinde hastaların yaşam kalitesini iyileştirmek için hasta merkezli hemşirelik girişimleri planlanmalıdır
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | vural f, Cihan E (2021). Quality of Life of Patients with a Stoma: A Descriptive Study. , 246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| Chicago | vural fatma,Cihan Emel Quality of Life of Patients with a Stoma: A Descriptive Study. (2021): 246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| MLA | vural fatma,Cihan Emel Quality of Life of Patients with a Stoma: A Descriptive Study. , 2021, ss.246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| AMA | vural f,Cihan E Quality of Life of Patients with a Stoma: A Descriptive Study. . 2021; 246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| Vancouver | vural f,Cihan E Quality of Life of Patients with a Stoma: A Descriptive Study. . 2021; 246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| IEEE | vural f,Cihan E "Quality of Life of Patients with a Stoma: A Descriptive Study." , ss.246 - 251, 2021. 10.4274/tjcd.galenos.2020.2020-7-11 |
| ISNAD | vural, fatma - Cihan, Emel. "Quality of Life of Patients with a Stoma: A Descriptive Study". (2021), 246-251. https://doi.org/10.4274/tjcd.galenos.2020.2020-7-11 |
| APA | vural f, Cihan E (2021). Quality of Life of Patients with a Stoma: A Descriptive Study. Türk Kolon ve Rektum Hastalıkları Dergisi, 31(3), 246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| Chicago | vural fatma,Cihan Emel Quality of Life of Patients with a Stoma: A Descriptive Study. Türk Kolon ve Rektum Hastalıkları Dergisi 31, no.3 (2021): 246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| MLA | vural fatma,Cihan Emel Quality of Life of Patients with a Stoma: A Descriptive Study. Türk Kolon ve Rektum Hastalıkları Dergisi, vol.31, no.3, 2021, ss.246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| AMA | vural f,Cihan E Quality of Life of Patients with a Stoma: A Descriptive Study. Türk Kolon ve Rektum Hastalıkları Dergisi. 2021; 31(3): 246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| Vancouver | vural f,Cihan E Quality of Life of Patients with a Stoma: A Descriptive Study. Türk Kolon ve Rektum Hastalıkları Dergisi. 2021; 31(3): 246 - 251. 10.4274/tjcd.galenos.2020.2020-7-11 |
| IEEE | vural f,Cihan E "Quality of Life of Patients with a Stoma: A Descriptive Study." Türk Kolon ve Rektum Hastalıkları Dergisi, 31, ss.246 - 251, 2021. 10.4274/tjcd.galenos.2020.2020-7-11 |
| ISNAD | vural, fatma - Cihan, Emel. "Quality of Life of Patients with a Stoma: A Descriptive Study". Türk Kolon ve Rektum Hastalıkları Dergisi 31/3 (2021), 246-251. https://doi.org/10.4274/tjcd.galenos.2020.2020-7-11 |
