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Başlık: A prospective, multicentered study to assess social adjustment in patients with an intestinal stoma in Turkey
Yazarlar: Karadağ, Ayişe
Karabulut, Hatice
Baykara, Zehra G.
Harputlu, Deniz
Toyluk, Eylem
Karadağ, Sercan
Kahraman, Aysel
Hin, Aysel Ören
Altınsoy, Meral
Akıl, Yasemin
Leventoğlu, Sezai
Bursa Uludağ Üniversitesi/Tıp Fakültesi.
Ulusoy, Birgül
CEJ-6935-2022
56919602600
Anahtar kelimeler: Surgery
Multicenter study
Ostomy
Intestinal stoma
Social adjustment
Stoma care
Quality-of-life
Psychosocial adjustment
Ostomy
Permanent
Adaptation
Colostomy
Surgery
Cancer
Impact
Yayın Tarihi: Eki-2015
Yayıncı: H M P Communications
Atıf: Karadağ, A. vd. (2015). "A prospective, multicentered study to assess social adjustment in patients with an intestinal stoma in Turkey". Ostomy Wound Management, 61(10), 16-29.
Özet: Patients with a stoma undergo physiological, psychological, and social adjustment to their new life situation. A descriptive, prospective study was conducted to assess adaptation among patients > 18 years of age with a new temporary or permanent colostomy or ileostomy living in Turkey and receiving care at a participating stomatherapy unit. The study took place between September 1, 2011, and September 1, 2012. During hospitalization and following discharge, patients with a stoma received training and counseling according to their individual characteristics and their physiological, psychological, and social needs. Each participant completed the 19-item "Identification Form for Patients with a Stoma" at the beginning of the study to document sociodemographic and stoma characteristics. To assess adjustment to the stoma, The Ostomy Assessment Inventory (OAI-23) was administered 2 times - he first within 1 month and the second within 6 months after surgery or when a temporary stoma was closed (whichever came first). This instrument comprised 23 items regarding adaptation to the stoma using Likert-type response options (0-4 range). Total scores ranged from 10 to 92, with higher scores indicating better adjustment. The instruments were completed by stoma and wound care nurses during face-to-face interviews. Data were analyzed using the Kruskal-Wallis, Mann-Whitney, and Wilcoxon tests. Of the 135 participants, the majority (77, 57.0%) were male; 73 (54.1%) had a colostomy, and 106 (78.5%) had a temporary stoma. The primary reason for stoma creation was cancer (89, 65.9%). Mean total OAI-23 scores were 48.63 +/- 13.75 at the first administration and 50.59 +/- 13.89 for the second. In terms of sociodemographic factors, significant increases in mean scores from the first to the second survey time were noted among patients in the 50-69 age group, women, married persons, and unemployed persons (P < 0.05). With regard to stoma characteristics, the OAI-23 scores of patients with planned stoma operations and persons with permanent stomas increased significantly (P < 0.05) between assessments. Significant increases in OAI-23 scores also were noted among persons who did not receive information before the operation, patients whose stoma site was not marked, and patients who had experienced a complication (P < 0.05). Postoperatively, it is important to consider sociodemographic and stoma characteristics as well as preoperative variables that may influence adaptation to stoma. Additional larger, multicentered studies with extended patient follow-up are warranted.
URI: http://hdl.handle.net/11452/34499
ISSN: 0889-5899
Koleksiyonlarda Görünür:Scopus
Web of Science

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