Nursing Intervention for Quality of Life in Patients with Ostomy: A Systematic Review

Abbas Heydari, Zahra Sadat Manzari, Zohre Pouresmail

Abstract


Background: Ostomy‑related challenges in everyday life may negatively affect patients’ Quality of Life (QL), even long after ostomy surgery. Nurses provide care interventions that may have a significant effect on the patients’ QL. Therefore, the purpose of the present study was to determine evidence of effective nursing interventions on the QL of patients with an ostomy.

Materials and Methods: A systematic review was conducted following the Preferred Reporting Items for Systematic Review and Meta‑Analysis (PRISMA) guidelines. English articles published from 2000 to 2021 were identified and retrieved from PubMed, Medscape, MedlinePlus, ScienceDirect, Web of Science, Scopus, Wiley Online Library, ProQuest, ClinicalKey, SAGE, IRCT, and Cochrane. We assessed all included studies (18 articles) using the JBI Critical Appraisal Checklist.

Results: Interventions reviewed in the study were categorized based on intervention, content of nursing intervention, training method, and target group of the nursing intervention. The nursing interventions involved natural treatments, self‑care, and psychological support for patients. The training methods used in the studies included demonstration and lecture, mixed media presentation including PowerPoints, and Internet tools such as WeChat Applications. Some interventions were only presented to patients, caregivers, caregivers and patients together, or peer patients.

Conclusions: According to the results of the present study, it is suggested that a regular care plan be used with the participation of families and patients from pre‑operational to discharge along with nurses’ follow‑ups and home care to promote the QL. A combination of self‑care and psychological education can promote these patients’ QL.


Keywords


Nurses, ostomy, quality of life

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References


Ansen F, Van Uden Kraan CF, Braakman JA, van Keizerswaard PM, Witte BI, Verdonck De Leeuw IM. A mixedmethod study on the generic and ostomy specific quality of life of cancer and non cancer ostomy patients. Support Care Cancer 2015:23;1689–97.

O’Flynn SK. Care of the stoma: Complications and treatments. Br J Community Nurs 2018:23;382–7.

Vonk Klaassen SM, de Vocht HM, den Ouden ME, Eddes EH, Schuurmans MJ. Ostomy related problems and their impact on quality of life of colorectal cancer ostomates: A systematic review. Qual Life Res 2016;25:125 33.

Erwin Toth P, Stricker LJ, van Rijswijk L. Wound wise: Peristomal skin complications. Am J Nurs 2010;110:43 8.

Simmons KL. A view from here: Psychosocial issues in colostomy care. J Wound Ostomy Continence Nurs 2014;41:55 9.

Pittman J, Rawl SM, Schmidt CM, Grant M, Ko CY, Wendel C, et al. Demographic and clinical factors related to ostomy complications and quality of life in veterans with an ostomy. J Wound Ostomy Continence Nurs 2008;35:493 503.

Andrade RS, de Medeiros LP, Freitas LS, Queiroz CG, de Mesquita Xavier SS, Lucena SKP, et al. Quality of life regarding people with an ostomy: Integrative review about related factors. Int Arch Med 2016;9:1-13.

Richbourg L, Thorpe JM, Rapp CG. Difficulties experienced by the ostomate after hospital discharge. J Wound Ostomy Continence Nurs 2007;34:70 9.

Danielsen AK, Soerensen EE, Burcharth K, Rosenberg J. Learning to live with a permanent intestinal ostomy: Impact on everyday life and educational needs. J Wound Ostomy Continence Nurs 2013;40:407 12.

Smith DM, Loewenstein G, Rozin P, Sherriff RL, Ubel PA. Sensitivity to disgust, stigma, and adjustment to life with a colostomy. J Res Pers 2007;41:787 803.

Qalawa SAA, Moussa MMM. Effectiveness of a multimedia educational package for cancer patients with colostomy on their performance, quality of life & body image. Int J Nurs Sci 2019;9:53 64.

Zewude WC, Derese T, Suga Y, Teklewold B. Quality of life in patients living with stoma. Ethiop J Health Sci 2021;31:993 1000.

Alenezi A, McGrath I, Kimpton A, Livesay K. Quality of life among ostomy patients: A narrative literature review. J Clin Nurs 2021;30:3111 23.

Post MW. Definitions of quality of life: What has happened and how to move on. Top Spinal Cord Inj Rehabil 2014;20:167 80.

Paszyńska W, Zborowska K, Czajkowska M, Skrzypulec Plinta V. Quality of sex life in intestinal stoma patients A literature review. Int J Environ Res Public Health 2023;20:2660. doi: 10.3390/ ijerph 20032660.

Ayaz Alkaya S. Overview of psychosocial problems in individuals with stoma: A review of literature. Int Wound J 2019;1:243 9.

Sun V, Grant M, McMullen CK, Altschuler A, Mohler MJ, Hornbrook MC, et al. Surviving colorectal cancer: Long term, persistent ostomy specific concerns and adaptations. J Wound Ostomy Continence Nurs 2013;40:61.

Jansen F, van Uden Kraan CF, Braakman JA, van Keizerswaard PM, Witte BI, Verdonck de Leeuw IM. A mixed method study on the generic and ostomy specific quality of life of cancer and non cancer ostomy patients. Support Care Cancer 2015;23:1689 97.

Stavropoulou A, Vlamakis D, Kaba E, Kalemikerakis I, Polikandrioti M, Fasoi G, et al. “Living with a stoma”: Exploring the lived experience of patients with permanent colostomy. Int J Environ Res Public Health 2021;18:8512.

Krouse RS, Herrinton LJ, Grant M, Wendel CS, Green SB, Mohler MJ, et al. Health related quality of life among long term rectal cancer survivors with an ostomy: Manifestations by sex. J Clin Oncol 2009;27:4664.

Orsini R, Thong M, Van de Poll Franse L, Slooter G, Nieuwenhuijzen G, Rutten H, et al. Quality of life of older rectal cancer patients is not impaired by a permanent stoma. Eur J Surg Oncol 2013;39:164 70.

Carter P. Recognising the importance of stoma care nurse specialists. Br J Nurs 2020;29:S4. doi: 10.12968/bjon. 2020.29.6.S4.

Petersén C, Carlsson E. Life with a stoma coping with daily life: Experiences from focus group interviews. J Clin Nurs 2021;30:2309 19.

Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta analyses: The PRISMA statement. PLoS med, 2009;6:p. e1000097.

Riva JJ, Malik KM, Burnie SJ, Endicott AR, Busse JW. What is your research question? An introduction to the PICOT format for clinicians. J Can Chiropr Assoc 2012;56:167 71.

Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L. Chapter 3: Systematic reviews of effectiveness. In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. JBI; 2020.

Cakir SK, Ozbayir T. The effect of preoperative stoma site marking on quality of life. Pak J Med Sci 2018;34:149.

Harputlu D, Özsoy S. A prospective, experimental study to assess the effectiveness of home care nursing on the healing of peristomal skin complications and quality of life. Ostomy Wound Manage 2018;64:18 30.

Zhou H, Ye Y, Qu H, Zhou H, Gu S, Wang T. Effect of ostomy care team intervention on patients with ileal conduit. J Wound Ostomy Continence Nurs 2019;46:413 7.

Zhang X, Gao R, Lin JL, Chen N, Lin Q, Huang GF, et al. Effects of hospital-family holistic care model on the health outcome of patients with permanent enterostomy based on the theory of ‘Timing It Right’. J Clin Nurs 2020;29:2196 208.

Rajabipour E, Maddah S, Falahi Khoshknab M, Zarei F, Anaraki F. Effect of group motivational interviewing on quality of life of patients with colorectal cancer and permanent ostomy. Iranian Journal of Psychiatric Nursing (IJPN) 2014;2:58 68.

Nasiri Ziba F, Kanani S. To Investigate the impact of family centered education on the quality of life of patient with stoma. J Evol Med Dent Sci 2018;7:5215 9.

Nasiri Ziba F, Kanani S. The effect of education with a family centered and client centered approach on the quality of life in patients with stoma. J Caring Sci 2020;9:225.

Coca C, Fernández de Larrinoa I, Serrano R, García Llana H. The impact of specialty practice nursing care on health related quality of life in persons with ostomies. J Wound Ostomy Continence Nurs 2015;42:257 63.

Duluklu B, Çelik SŞ. Effects of lavender essential oil for colorectal cancer patients with permanent colostomy on elimination of odor, quality of life, and ostomy adjustment: A randomized controlled trial. Eur J Oncol Nurs 2019;42:90 6.

Sun V, Ercolano E, McCorkle R, Grant M, Wendel CS, Tallman NJ, et al. Ostomy telehealth for cancer survivors: Design of the Ostomy Self Management Training (OSMT) randomized trial. Contemp Clin Trials 2018;64:167 72.

Khalilzadeh Ganjalikhani M, Tirgari B, Roudi Rashtabadi O, Shahesmaeili A. Studying the effect of structured ostomy care training on quality of life and anxiety of patients with permanent ostomy. Int Wound J 2019;16:1383 90.

Augestad K, Sneve A, Lindsetmo R. Telemedicine in postoperative follow up of STOMa PAtients: A randomized clinical trial (the STOMPA trial). Br J Surg 2020;107:509 18.

Xia L. The effects of continuous care model of information based hospital family integration on colostomy patients: A randomized controlled trial. J Cancer Educ 2020;35:301 11.

Cheung Y, Molassiotis A, Chang A. A pilot study on the effect of progressive muscle relaxation training of patients after stoma surgery. Eur J Cancer Care 2001;10:107 14.

Cheung YL, Molassiotis A, Chang AM. The effect of progressive muscle relaxation training on anxiety and quality of life after stoma surgery in colorectal cancer patients. Psychooncology 2003;12:254 66.

Sier M, Oostenbroek R, Dijkgraaf M, Veldink G, Bemelman W, Pronk A, et al. Home visits as part of a new care pathway (iAID) to improve quality of care and quality of life in ostomy patients: A cluster-randomized stepped-wedge trial. Colorectal Dis 2017;19:739 49.

Xu S, Zhang Z, Wang A, Zhu J, Tang H, Zhu X. Effect of self efficacy intervention on quality of life of patients with intestinal stoma. Gastroenterol Nurs 2018;41:341 6.

Hansen Turton T, Sherman S, King ES. Nurse led health clinics: Operations, policy, and opportunities. J Nurs Regul 2016;6:76.

Zganjar A, Glavin K, Mann K, Dahlgren A, Thompson J, Wulff Burchfield E, et al. Intensive preoperative ostomy education for the radical cystectomy patient. Urol Oncol 2022;40:481 6.

Danielsen AK, Soerensen EE, Burcharth K, Rosenberg J. Learning to live with a permanent intestinal ostomy: Impact on everyday life and educational needs. J Wound Ostomy Continence Nurs 2013;40:407 12.

Rojanasarot S. The impact of early involvement in a post discharge support program for ostomy surgery patients on preventable healthcare utilization. J Wound Ostomy Continence Nurs 2018;45:43 9.

Golpazir Sorkheh A, Ghaderi T, Mahmoudi S, Moradi K, Jalali A. Family centered interventions and quality of life of clients with ostomy. Nurs Res Pract 2022;2022:9426560. doi: 10.1155/2022/9426560.

Kirkland Kyhn H, Martin S, Zaratkiewicz S, Whitmore M, Young HM. Ostomy care at home. Am J Nurs 2018:118:63–8.

Rafii F, Naseh L, Yadegary M. Relationship between self efficacy and quality of life in ostomates. Iran J Nurs 2012;25:64 76.


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