Clinical Profile and Post-operative Lifestyle Changes in Cancer and Non-cancer Patients with Ostomy

Overview

Journal Gastroenterol Hepatol Bed Bench

Specialty Gastroenterology

Date 2014 May 17

PMID 24834234

Citations 3

Authors

Fakhryalsadat Anaraki

Mohamad Vafaie

Roobic Behboo

Nakisa Maghsoodi

Sahar Esmaeilpour

Azadeh Safaee

Affiliations

Soon will be listed here.

Abstract

Aim: The aim of this was to investigate some clinical profiles and lifestyle changes in stoma patients.

Background: Stoma patients experienced multiple complications due to their ostomy formation.

Patients And Methods: A cross-sectional study performed on 102 random samples of stoma patients. Any patient with adequate physical and mental capability to participate and having had an ostomy in place for at least 3 months was eligible to enter the study. Participants asked to answer study questions concerning age, sex, type of stoma, having permanent or temporary ostomy, underlying cause of stoma formation, type of cancers cause of stoma. Patient also questioned about some lifestyle changes because of stoma including: changing diet, sexual satisfaction (if sexually active after stoma formation), sense of depression, changing job, change clothing style.

Results: Colostomy was the most common type of stoma followed by ileostomy and urostomy. In 80.4% of patients under study the stoma was permanent. Most patients had a stoma because of cancer (77.5%), with colon cancer (41.2%) being the most common malignant diagnosis. The mean age of cancer patients (56.1±10.9) with stoma was significantly higher than non-cancer patients (44.7±12.9) (p < 0.05). A significant differences were found regarding to sexual satisfaction after stoma formation between the two groups (p < 0.05) and the cancer group was less sexually satisfied post-ostomy.

Conclusion: In conclusion, stoma formation can caused multiple problems for both cancer and non-cancer patients. Counseling of patient is an important component of care that could help stoma patients to adjust with new situations.

Citing Articles

Depression after stoma surgery: a systematic review and meta-analysis.

Kovoor J, Jacobsen J, Stretton B, Bacchi S, Gupta A, Claridge B BMC Psychiatry. 2023; 23(1):352.

PMID: 37217917 PMC: 10201486. DOI: 10.1186/s12888-023-04871-0.

"Living with a Stoma": Exploring the Lived Experience of Patients with Permanent Colostomy.

Stavropoulou A, Vlamakis D, Kaba E, Kalemikerakis I, Polikandrioti M, Fasoi G Int J Environ Res Public Health. 2021; 18(16).

PMID: 34444262 PMC: 8393572. DOI: 10.3390/ijerph18168512.

Relative Tranquility in Ostomy Patients' Social Life: A Qualitative Content Analysis.

Sarabi N, Navipour H, Mohammadi E World J Surg. 2017; 41(8):2136-2142.

PMID: 28321552 DOI: 10.1007/s00268-017-3983-x.

References

Black P . Psychological, sexual and cultural issues for patients with a stoma. Br J Nurs. 2004; 13(12):692-7. DOI: 10.12968/bjon.2004.13.12.13254. View

Model G . A new image to accept: psychological aspects of stoma care. Prof Nurse. 1990; 5(6):310-6. View

Noorbala A, Bagheri Yazdi S, Yasamy M, Mohammad K . Mental health survey of the adult population in Iran. Br J Psychiatry. 2004; 184:70-3. DOI: 10.1192/bjp.184.1.70. View

Mohammadi M, Davidian H, Noorbala A, Malekafzali H, Naghavi H, Pouretemad H . An epidemiological survey of psychiatric disorders in Iran. Clin Pract Epidemiol Ment Health. 2005; 1:16. PMC: 1253522. DOI: 10.1186/1745-0179-1-16. View

Bekkers M, van Knippenberg F, van den Borne H, Poen H, Bergsma J, vanBergeHenegouwen G . Psychosocial adaptation to stoma surgery: a review. J Behav Med. 1995; 18(1):1-31. DOI: 10.1007/BF01857702. View

Wade B . Colostomy patients: psychological adjustment at 10 weeks and 1 year after surgery in districts which employed stoma-care nurses and districts which did not. J Adv Nurs. 1990; 15(11):1297-304. DOI: 10.1111/j.1365-2648.1990.tb01745.x. View

White C, Hunt J . Psychological factors in postoperative adjustment to stoma surgery. Ann R Coll Surg Engl. 1997; 79(1):3-7. PMC: 2502633. View

Borwell B . Psychological considerations of stoma care nursing. Nurs Stand. 1997; 11(48):49-53; quiz 54-5. DOI: 10.7748/ns.11.48.49.s45. View

Moghimi-Dehkordi B, Safaee A, Zali M . Prognostic factors in 1,138 Iranian colorectal cancer patients. Int J Colorectal Dis. 2008; 23(7):683-8. DOI: 10.1007/s00384-008-0463-7. View

10.

Mahjoubi B, Moghimi A, Mirzaei R, Bijari A . Evaluation of the end colostomy complications and the risk factors influencing them in Iranian patients. Colorectal Dis. 2005; 7(6):582-7. DOI: 10.1111/j.1463-1318.2005.00878.x. View

11.

Nugent K, Daniels P, Stewart B, Patankar R, Johnson C . Quality of life in stoma patients. Dis Colon Rectum. 1999; 42(12):1569-74. DOI: 10.1007/BF02236209. View

12.

Salter M . What are the differences in body image between patients with a conventional stoma compared with those who have had a conventional stoma followed by a continent pouch?. J Adv Nurs. 1992; 17(7):841-8. DOI: 10.1111/j.1365-2648.1992.tb02006.x. View

13.

Mahjoubi B, Mohammadsadeghi H, Mohammadipour M, Mirzaei R, Moini R . Evaluation of psychiatric illness in Iranian stoma patients. J Psychosom Res. 2009; 66(3):249-53. DOI: 10.1016/j.jpsychores.2008.10.015. View

14.

Jenks J, Morin K, Tomaselli N . The influence of ostomy surgery on body image in patients with cancer. Appl Nurs Res. 1998; 10(4):174-80. DOI: 10.1016/s0897-1897(97)80548-4. View

15.

Sprunk E, Alteneder R . The impact of an ostomy on sexuality. Clin J Oncol Nurs. 2000; 4(2):85-8. View

16.

Bekkers M, van Knippenberg F, van den Borne H, van Berge-Henegouwen G . Prospective evaluation of psychosocial adaptation to stoma surgery: the role of self-efficacy. Psychosom Med. 1996; 58(2):183-91. DOI: 10.1097/00006842-199603000-00013. View

17.

Narimani M, Ahari S, Abdi R . Epidemiological survey of mental disorders in urban regions of Ardabil province (Iran). J Psychiatr Ment Health Nurs. 2011; 18(4):368-73. DOI: 10.1111/j.1365-2850.2011.01700.x. View

18.

Krouse R, Grant M, Ferrell B, Dean G, Nelson R, Chu D . Quality of life outcomes in 599 cancer and non-cancer patients with colostomies. J Surg Res. 2007; 138(1):79-87. DOI: 10.1016/j.jss.2006.04.033. View

19.

Azadeh S, Moghimi-Dehkordi B, Fatem S, Pourhoseingholi M, Ghiasi S, Zali M . Colorectal cancer in Iran: an epidemiological study. Asian Pac J Cancer Prev. 2008; 9(1):123-6. View

20.

Kuzu M, Topcu O, Ucar K, Ulukent S, Unal E, Erverdi N . Effect of sphincter-sacrificing surgery for rectal carcinoma on quality of life in Muslim patients. Dis Colon Rectum. 2002; 45(10):1359-66. DOI: 10.1007/s10350-004-6425-4. View