• Title/Summary/Keyword: Ostomates

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Comparison of unmet need and quality of life between permanent ostomates and temporary ostomates (영구적 장루보유자와 일시적 장루보유자의 미충족 요구와 삶의 질 비교)

  • Kim, Jin-Mi;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.374-383
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    • 2018
  • This study was conducted to compare the unmet needs and quality of life of permanent and temporary ostomates. The research subjects were 128 ostomates with colorectal cancer or other advanced cancers. Data were collected by self-reported completion of the Comprehensive Needs Assessment Tool in Cancer (CNAT) and the City of Hope Quality of Life (COH-QOL) Ostomy Questionnaire from February 1 to April 5, 2018. Collected data were analyzed by chi-squared and independent t-tests using IBM SPSS 21.0. The results showed that the unmet need for temporary ostomates was significantly higher than that of permanent ostomates (t=-2.284, P=0.024). Moreover, temporary ostomates showed a higher unmet need for information and education (t=-2.747, p=0.007), psychological problems (t=-2.578, p=0.011), and physicians (t=-2.599, p=0.010). Although quality of life of temporary ostomates seems lower than that of permanent ostomates, there was no significant difference between groups (t=-1.364, P=0.0175). Therefore, it is necessary to develop a self-management program to provide appropriate information and psychological support for temporary ostomates.

Factors Predicting Self-care in Ostomates (장루환자의 자가간호에 영향하는 요인)

  • Park Young-Sook
    • Journal of Korean Public Health Nursing
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    • v.13 no.2
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    • pp.215-226
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    • 1999
  • The purpose of this study was to investigate the factors influencing self care in ostomates, to provide the basic data for self care promoting intervention, The subject of this study were 110 ostomates living in Deagu and Deajon, during the period from March to April. 1998. The instruments for this study were the self care scale developed by Lee Ji Sook(1990), the family support scale by Lee Ji Sook(1990), the self esteem scale by Rosenberg(1965) and the hope scale by Nowotny(1989). The instruments for this study were pretested on the ostomates for reliability and validity. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The results are as follows : 1. The average score on the self care was 2.90. 2. There were significant positive correlations between self care and other factors self esteem(r=.652 P<.05), family support (r=.632 P<.05) and hope(r= .604 P<.05). 3. The variables that affected the self care of the subjects were self esteem, hope, family support, economical status, fecal control type and monthly participation in ostomate meetings in that order. These variance of self care was R2=62 percent by calculating the sum of those variables. The results of this study might help nurses and other health providers to develop interventions for the self care reinforcement of ostomates.

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A Study on Quality of Life and Related Factors of Ostomates (장루보유자의 삶의 질 및 관련 요인에 대한 연구)

  • 송경숙;박영숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.817-828
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    • 1999
  • This is a descriptive study on quality of life(QOL) and related factors of ostomates to provide a basic data for development of nursing interventions. The subjects were 110 ostomates who were members of the Daegu or Daejon branches of the Korean Ostomy Association. Data collection was performed between March 1st and April 6th, 1998. Measurements of QOL, self-care, family support, self-esteem, and hope were used as the study tools. Data were analyzed with the SAS program by using t-test, ANOVA Pearson correlation and stepwise multiple regression. The results are as follows : 1) The score on the QOL scale ranged from 97 to 226 with a mean of 164.53($\pm$28.29). 2) The score of QOL on the general and ostomate-related characteristics showed significant differences according to monthly income, monthly participation in ostomate meetings, combined treatments after operation, types of evacuation management, problems of ostomy, help in caring for the ostomy, length of time since ostomate surgery, and presence or absence of readmission after discharge. 3) There were significant positive correlations between quality of life and other factors : self-esteem(r=0.7107, P<0.001), hope(r=0.6584, P<0.001) family support(r=0.6191, P<0.001), perception of health condition(r=0.6017, P<0.001), and self-care (r=0.2286, P<0.05). 4) The variables that affected the quality of life of the subjects were self-esteem, level of family support, perception of health condition, monthly participation in ostomate meetings, combined treatments after operation, monthly income, level of hope, and age in that order. The variance of quality of life was $R^2$=77.20 percent by calculating the sum of those variables. In conclusion, it is necessary for nursing intervention to promote self-esteem, family support, and hope in the care of ostomates in order to improve QOL.

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Effectiveness of online-based education for self-care in ostomates: systematic review (장루보유자의 자가간호를 위한 온라인 기반 교육의 효과: 체계적 문헌고찰)

  • Jeongwon Yeom;Inhee Park
    • Journal of Industrial Convergence
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    • v.22 no.10
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    • pp.111-123
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    • 2024
  • With an increase in the number of individuals with ostomies globally, online-based programs are being used to educate ostomates. Therefore, this study analyzed the effects, characteristics, outcomes, and implications of online self-care education programs for ostomates. This systematic review searched the MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Cochrane Central Register of Controlled Trials (Central) electronic databases to conduct a meta-analysis of randomized controlled trials published up to December 2023. Two investigators independently extracted data and assessed study quality based on the risk of bias. Of the 519 identified studies, eight were relevant, which were divided by intervention: three studies used telehealth, three used mobile applications, and two, multimedia learning training. The educational programs in the relevant studies focused on ostomy knowledge, self-care, and prevention of complications; while some included psychological support. Online-based education programs can improve ostomy patients' adjustment and self-efficacy, reduce complications, and improve quality of life. Online-based education programs have easier accessibility by patients and nurses; it can effectively improve ostomy patients' quality of life and prevent future complications.

A Survey on the Ostomate Education Materials (장루 보유자 교육용 자료에 대한 조사 연구)

  • 박경숙;김명숙;최경숙
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.705-717
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    • 1998
  • Ostomates have suffered from many difficulties due to their physical, psychosocial handicaps and changes of life style to include ostoma management that influences their daily and quality of life. An appropriate nursing education for ostoma management is very important. Practical educational materials needs revision because those were developed by pharmaceutical companies and hospital institutions. The purpose of this study is to provide more practical and reasonable education materials for ostomates by doing analysis and survey of educational materials now being used. We surveyed 8 types of educational materials used in 23 university hospitals and medical centers in Seoul ; four of them were developed by department of nursing and the remainder by an Ostomy Company Data, collected from July 14, 1997 through July 31, 1997 were analyzed. The results are as follows ; 1. The analysis of education guide, on ostomate included 14 subcategories : introduction, structure and function of gastrointestinal tracts, definition of stoma, types of ostomy, definition of peristalsis, methods of defecation management, selection of instrument, resolution of problems and general situations following surgery, daily life, where to ask for help, explanations for terms, information about where to buy instrument, explanations for enterostomal therapist, a matter of consultation with doctor, etc. 2. Introduction contained specific contents on practical ostomate management that ostomates would experience through their lives. Ostomate education guides were developed 3 hospitals except one which missed this point. 3. Most ostomate education guides, except one hospital, helped ostomates to understand their physical structure changes with specific explanations on gastrointestinal tracts with figures. 4. Six institutions did not talk about the definition of peristalsis. 5. All institutions, except two, helped ostomates to understand types of ostomy with figures. 6. More detailed explanations on natural defecation are needed. The benefits and pitfalls of natural defecation should be more specified. 7 No psychosocial difficulties of ostomy management were addressed. 8. The efficiency of enema can be better understood through all explanations with figures. Some institutions did not mention items about definition, benefits, pitfalls of enema, sequency of enema, how to wash, cautions performing and enema, skin management, cleaning instrument after enema proper time to spend. 9. There were no detailed contents and what to do in case of not being able to do enema. 10. Only one educational material mentioned emotional aspects after the surgrey. 11. Most institutions explained subcategory of daily life but did not provide specific contents on the difficulties of physical, psychological, and sociocultural controls. 12. The subcategory of ureterostomy education guides included explanations on normal structure and function of urinary tracts, types of ureterostomy, how to manage skin, usage and types of instrument, commercial urostomy, how to manage instrument, daily life, introduced the general contents. However, more specific explanations were needed.

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Comparison of Standardized Peristomal Skin Care and Crusting Technique in Prevention of Peristomal Skin Problems in Ostomy Patients

  • Park, Seung-Mi;Lee, Yun-Jin;Oh, Doo-Nam;Kim, Ji-Yun
    • Journal of Korean Academy of Nursing
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    • v.41 no.6
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    • pp.814-820
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    • 2011
  • Purpose: This study was performed to compare the effects of standardized peristomal skin care (SPSC) and crusting technique (CT) on the peristomal skin of ostomates. SPSC was developed by a consensus among the expert group based on a comprehensive review of the relevant literature and hospital protocols. Methods: A randomized controlled pilot trial with 2 parallel arms was used. A total of 81 ostomates, who were recruited from a tertiary hospital, completed the baseline, 1-month, 2-month, and 3-month follow-up (SPSC group, n=45; CT group, n=36). SPSC consisted of water cleansing and direct application of ostomy appliances. CT involved crusting hydrocolloid powder and patting with water sponge or protective barrier liquid film. The outcomes of the study were assessed by skin problems, such as discoloration, erosion and tissue overgrowth; the domains of the evaluation tool used in examining the peristomal skin. A generalized estimating equation model was used to examine the effects according to time and group. Results: In both SPSC and CT groups, the likelihood of occurrence of discoloration (OR, 1.99; 95% CI, 1.61-2.46), erosion (OR, 1.87; 95% CI, 1.55-2.25) and tissue enlargement (OR, 1.94; 95% CI, 1.36-2.77) increased with time. There was no significant difference in discoloration between the groups, whereas the probability of erosion (OR, 0.38; 95% CI, 0.16-0.89) and tissue overgrowth (OR, 0.09; 95% CI, 0.02-0.55) was lower in the SPSC group than in CT group. Conclusion: SPSC was sufficient in preventing peristomal skin problems of ostomates compared to the CT.

Distress of the Patients with Ostomy (장루보유자의 불편함)

  • Oh, Eun-Hee;Hong, Sung-Jung;Mo, Moon-Hee;Woo, Mi-Young;Kim, Sun-Ju;Chung, Bok-Yae
    • Asian Oncology Nursing
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    • v.11 no.1
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    • pp.9-19
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    • 2011
  • Purpose: The purpose of this study was to explore and describe the distress of the patients with ostomy. Methods: A descriptive research design was adopted for data collection and analysis. Six patients with ostomy participated in the study. The consent from the participants was obtained for ethical protection. Data were collected from July 31, 2009 to January 10, 2010 using in-depth interview technique. Krippendorff's content analysis method was utilized for data analysis. Results: Eight categories and 26 themes were extracted from the data which illustrated the lived distress of the patients with ostomy. The categories were "do not have any freedom to eat whatever I wish to eat", "uncontrolled defecation"tomy", "can not live with comfort", "easily take a pessimistic view", and "see how the wind blows in daily family life". Conclusion: Ostomates were affected by the distress of having an ostomy in their physical, psychological, social and spiritual life. Individualized and continued nursing education program has to be developed in hospital and community settings in order to improve the quality of life of the ostomates.

Affecting Factors of End Colostomy-Related Complications (말단결장루의 합병증 발생 영향 요인)

  • Park, Seung Mi;Kim, Keum Soon
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.634-643
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    • 2007
  • Purpose: This study was performed to investigate the type and frequency of end colostomy-related complications and to identify the risk factors for those complications. Methods: Retrospective analysis of medical records was made in 708 patients who underwent end colostomy in Samsung Medical Center between October 1994 and February 2005. The type was divided into stomal and peristomal complications: stomal complications included bleeding, necrosis, mucocutaneous separation, prolapsed stoma, retraced stoma, stenosis, and hyperplasia; peristomal complications did peristomal varix, peristomal hernia, irritant contact dermatitis, allergic contact dermatitis, maceration, folliculitis, hyperplasia, bacterial infection, candidal infection, malignancy in the peristomal area, mechanical damage and pyoderma gangrenosum. Results: For stomal complications, hyperplasia was most common(9.0%). For peristomal complications, irritant contact dermatitis was developed in 17.4%. Sex and BMI were risk factors for irritant contact dermatitis, hyperplasia, peristomal hernia, flat stoma, and retracted stoma. Conclusion: Teaching for preventing irritant contact dermatitis such as proper pouching and peristomal skin protection, and for comprehensive weight control should be emphasized on self care program for ostomates, while ostomy care nurse should take a careful consideration of preoperative ostomy site marking in female obese patients.

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