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Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi

Year 2021, Volume: 8 Issue: 1, 107 - 115, 31.12.2020
https://doi.org/10.34087/cbusbed.813080

Abstract

Giriş ve Amaç: Bu çalışma stomalı hastaların yaşam kalitesinin ve öz yeterlilik düzeylerinin belirlenmesi amacıyla yapıldı.
Gereç ve Yöntem Tanımlayıcı tipte olan araştırmanın örneklemini Ocak-Eylül 2018 tarihleri arasında bir üniversite hastanesinin genel cerrahi ana bilim dalı ve Stomaterapi ünitesinde takip edilen 195 hasta oluşturdu. Araştırma verileri literatür doğrultusunda araştırmacılar tarafından hazırlanan Hasta Bilgi Formu, Umut Merkezi Ostomi Yaşam Kalitesi Ölçeği (UM-OYKÖ), Genel Öz Yeterlilik Ölçeği (GÖYÖ) kullanılarak toplandı. Veriler, yüzdelik, ortalama, standart sapma, student t-testi ve ANOVA testi, Pearson Korelasyon testi ile analiz edildi.
Bulgular: Hastaların yaş ortalaması 58.12±11.09 olup, %61,5’i erkektir. Umut merkezi ostomi yaşam kalitesi ölçeği toplam puan ortalaması 262,12±49,05 olarak belirlendi. Ölçeğin alt boyutlarından en yüksek ve en düşük puan ortalaması fiziksel iyilik 72,34±15,70 ve manevi iyilik hali 48,95±8,84, olduğu görüldü. Genel öz yeterlilik ölçeği toplam puan ortalaması 30,36±7,80 dir. Umut merkezi ostomi yaşam kalitesi ölçeği toplam puanı ile stomalı hastaların cinsiyet (p=0,012), medeni durum (p=0,001), eğitim durumu (p=0,000), stoma bakımını kendisi yapması (p=0,000) ve komplikasyon gelişme durumu (p=0,014) arasında anlamlı fark olduğu saptandı. Genel öz yeterlilik ölçeği toplam puanı ile stomalı hastaların medeni durumları (p=0,027), eğitim durumu (p= 0,018), stoma bakımını kendisi yapması (p= 0,000), arasında anlamlı fark olduğu saptandı. Stomalı hastaların, genel öz yeterlilik ölçeği toplam puanı ile umut merkezi ostomi yaşam kalitesi ölçeği toplam puanı ve tüm alt boyutları arasında ileri derecede anlamlı pozitif korelasyon saptandı.
Sonuç: Stoma bakım hemşireleri bireye özgü hemşirelik bakımı planlarken, yaşam kalitesini ve öz-yeterliliğini olumsuz etkileyen faktörleri dikkate almalıdırlar.

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References

  • 1. Wound, Ostomy and Continence Nurses Society; Guideline Development Task Force. WOCN Society Clinical Guideline: Management of the Adult Patient With a Fecal or Urinary Ostomy-An Executive Summary, Journal Wound Ostomy Continence Nursing, 2018, 45(1), 50-58.
  • 2. Bray, F, Ferlay, J, Soerjomataram, I, Siegel, R.L, Torre, L.A, Jemal, A, Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries, CA Cancer Journal for Clinicians, 2018, 68(6), 394-424.
  • 3. Ambei, P.C, Kurz, N.R, Nitschke, C, Odeh, S.F, Möslein, G, Zirngibl, H, Intestinal Ostomy, Deutsches Arzteblatt International, 2018, 16(11), 182-187.
  • 4. Berti-Hearn, L, Elliott, B, Colostomy Care: A guide for home care clinicians, Home Healthcare Now, 2019, 37(2), 68-78.
  • 5. Vural, F, Erol, F, Ostomili hastalarda yaşam kalitesi nasıl yükseltilir? Dokuz Eylül Üniversitesi Hemşirelik Yüksek Okulu Elektronik Dergisi, 2013, 6(1), 34-39.
  • 6. Üstündağ, H, Demir, N, Zengin, N, Gül, A, Stomalı bireylerde beden imajı ve benlik saygısı, Türkiye Klinikleri Tıp Bilimleri Dergisi, 2007, 27(4), 522- 527.
  • 7. Zhang, Y, Xian, H, Yang, Y, Zhang, X, Wang, X, Relationship between psychosocial adaptation and health-related quality of life of patients with stoma: A descriptive, cross-sectional study, Journal of Clinical Nursing, 2019, 28(15-16), 2880-2888.
  • 8. Knowles, S.R, Tribbick, D, Connell, W.R, Castle, D, Salzberg, M, Kamm, M.A, Exploration of Health Status, Illness Perceptions, Coping Strategies, Psychological Morbidity, and Quality of Life in Individuals With Fecal Ostomies,. Journal Wound Ostomy Continence Nursing, 2017, 44 (1), 69-73.
  • 9. Duluklu, B, Çelik, S.Ş,. 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, European Journal Oncology Nursing, 2019, 42(1), 90-96.
  • 10. Yilmaz, E, Çelebi, D, Kaya, Y, Baydur, H, A Descriptive, Cross-sectional Study to Assess Quality of Life and Sexuality in Turkish Patients with a Colostomy, Ostomy Wound Management, 2017, 63(8), 22-29.
  • 11. Geng, Z, Howell, D, Xu, H, Yuan, C, Quality of Life in Chinese Persons Living With an Ostomy: A Multisite Cross-sectional Study, Journal Wound Ostomy Continence Nursing, 2017, 44(3), 249-256.
  • 12. Vonk-Klaassen, S.M, de Vocht H.M, den Ouden, M.E, Eddes, E.H, Schuurmans, M.J, Ostomy-related problems and t,heir impact on quality of life of colorectal cancer ostomates: a systematic review, Quaity ofl Life Research, 2016, 25(1), 125-133.
  • 13. 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, Gastroenteroloji Nursing, 2018, 41(4), 341-346.
  • 14. Bazaliński, D, Sałacińska, I, Więch, P, Kózka M, Life satisfaction and self-efficacy in patients with stoma, Progress Health Sciences, 2014, 4(2), 22-30.
  • 15. Bandura, A, Exercise of Personal and Collective Efficacy in Changing Societies. Bandura A. Self-efficacy in changing societies, Cambridge University Pres, New York, 1995:1-45.
  • 16. Su, X, Qin, F, Zhen, L, Ye, X, Kuang, Y, Zhu, M, Yin, X, Wang, H, Self-efficacy and Associated Factors in Patients With Temporary Ostomies, Journal of Wound, Ostomy and Continence Nursing, 2016. 43(6), 623-629.
  • 17. Su, X, Zhen, L, Zhu, M, Kuang, Y, Qin, F, Ye, X, Yin, X, Wang, H, Determinants of self-efficacy and quality of life in patients with temporary enterostomy: a cross-sectional survey, Journal of Clinical Nursing, 2017, 26(3-4), 477-484.
  • 18. Wu, H.K, Chau, J.P, Twinn, S, Self-efficacy and quality of life among stoma patients in Hong Kong, Cancer Nursing, 2007, 30(3), 186-193.
  • 19. Grant, M, Ferrel, B, Dean, G, Uman, G, Chu, D, Krouse, R, Revision and psychometric testing of the city of hope quality of life–ostomy questionnaire, Quality of Life Research, 2004, 13(8), 1445-1457.
  • 20. Erol, F, Vural, F, Umut Merkezi ostomi yaşam kalitesi ölçeği’nin geçerlik ve güvenirliği, Hemşirelikte Araştırma Geliştirme Dergisi, 2012, 14(3), 1-14.
  • 21. Alpay, A, Genel özyeterlilik ölçeğinin Türkçe’ye uyarlama çalışması, İnönü Üniversitesi Eğitim Fakültesi Dergisi, 2010, 11(2), 113–131.
  • 22. Xian, H, Zhang, Y, Yang, Y, Zhang, X, Wang, X, A Descriptive, Cross-sectional Study Among Chinese Patients to Identify Factors that Affect Psychosocial Adjustment to an Enterostomy, Ostomy Wound Management, 2018, 64(7), 8-17.
  • 23. 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, International Wound Journal, 2019, 16(6), 1383-1390.
  • 24. Iqbal, F, Kujan, O, Bowley, DM, Keighley, MR, Vaizey, C.J, Quality of Life After Ostomy Surgery in Muslim Patients: A Systematic Review of the Literature and Suggestions for Clinical Practice, Journal Wound Ostomy Continence Nursing 2016, 43(4), 385-391.
  • 25. Cavdar, I, Ozbas, A, Akyuz, N, Findik, U.Y, Kutlu, Y, Religious worship in patients with abdominal stoma: praying and fasting during Ramadan, International Journal Caring Sciences, 2013, 6(3), 516-521 .
  • 26. Szpilewska, K, Juzwiszyn, J, Bolanowska, Z, et al. Acceptance of disease and the quality of life in patients with enteric stoma, Fundacja Polski Przeglad Chirurgiczny, 2018, 90(1), 13-17.
  • 27. Santos, V.L, Augusto, F.S, Gomboski, G, Health-Related Quality of Life in Persons With Ostomies Managed in an Outpatient Care Setting, Journal Wound Ostomy Continence Nursing 2016, 43(2), 158-164.
  • 28. Goldstine, J, Van Hees, R, Van de Vorst, D, Skountrianos, G, Nichols, T, Factors influencing health-related quality of life of those in the Netherlands living with an ostomy, British Journal Nursing, 2019,28(22), S10-S17.
  • 29. Maydick-Youngberg, D, A Descriptive Study to Explore the Effect of Peristomal Skin Complications on Quality of Life of Adults With a Permanent Ostomy, Ostomy Wound Management. 2017, 63(5), 10-23.

The Determination of Self-Efficacy and Quality of Life in Patients with Stoma

Year 2021, Volume: 8 Issue: 1, 107 - 115, 31.12.2020
https://doi.org/10.34087/cbusbed.813080

Abstract

Objective: The aim of this study was to determine of self-efficacy and quality of life in patients with stoma.
Material and Methods: This descriptive study was conducted between January - September 2018 in the stomatherapy unit and general surgery outpatient clinic of a university hospital. The study sample included 195 patients agreeing to participate. Patient information form, the City of Hope- Quality of life-Ostomy Questionnaire (COH-QOL-OQ) and the General Self-Efficacy Scale(GSE) were used for data collection. Descriptive statistics, t-test, one-way analysis of variance,and Pearson's correlation coefficient were used to evaluate the data.
Results: The mean age of the patients was 58.12±11.09 years and 61,5% of them were male. The mean score of City of Hope- Quality of life-Ostomy Questionnaire was 262,12±49,05. The highest and lowest scores were obtained for the subscales physiological well-being (72,34±15,70) and spiritual well-being (48,95±8,84), respectively. The mean score of General Self-Efficacy was 30,36±7,80. There was a statistically significant difference between the mean score of City of Hope- Quality of life-Ostomy Questionnaire and gender (p= 0,012), marital status (p=0,001), educational status (p=0.000), ability for self care of stoma (p=0,000) and occurence of stomal complication (p=0.014). There was a statistically significant difference between the mean score of General Self-Efficacy Scale and marital status (p=0,027), educational status (p=0.018) and ability for self care of stoma (p=0,000). A positive significant correlation between the total and sub-scale scores of City of Hope- Quality of life-Ostomy and General Self-Efficacy were found.
Conclusion: Stomacare nurses should take into account factors that negatively affect patients' quality of life and self-efficacy while planning individual nursing care.

References

  • 1. Wound, Ostomy and Continence Nurses Society; Guideline Development Task Force. WOCN Society Clinical Guideline: Management of the Adult Patient With a Fecal or Urinary Ostomy-An Executive Summary, Journal Wound Ostomy Continence Nursing, 2018, 45(1), 50-58.
  • 2. Bray, F, Ferlay, J, Soerjomataram, I, Siegel, R.L, Torre, L.A, Jemal, A, Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries, CA Cancer Journal for Clinicians, 2018, 68(6), 394-424.
  • 3. Ambei, P.C, Kurz, N.R, Nitschke, C, Odeh, S.F, Möslein, G, Zirngibl, H, Intestinal Ostomy, Deutsches Arzteblatt International, 2018, 16(11), 182-187.
  • 4. Berti-Hearn, L, Elliott, B, Colostomy Care: A guide for home care clinicians, Home Healthcare Now, 2019, 37(2), 68-78.
  • 5. Vural, F, Erol, F, Ostomili hastalarda yaşam kalitesi nasıl yükseltilir? Dokuz Eylül Üniversitesi Hemşirelik Yüksek Okulu Elektronik Dergisi, 2013, 6(1), 34-39.
  • 6. Üstündağ, H, Demir, N, Zengin, N, Gül, A, Stomalı bireylerde beden imajı ve benlik saygısı, Türkiye Klinikleri Tıp Bilimleri Dergisi, 2007, 27(4), 522- 527.
  • 7. Zhang, Y, Xian, H, Yang, Y, Zhang, X, Wang, X, Relationship between psychosocial adaptation and health-related quality of life of patients with stoma: A descriptive, cross-sectional study, Journal of Clinical Nursing, 2019, 28(15-16), 2880-2888.
  • 8. Knowles, S.R, Tribbick, D, Connell, W.R, Castle, D, Salzberg, M, Kamm, M.A, Exploration of Health Status, Illness Perceptions, Coping Strategies, Psychological Morbidity, and Quality of Life in Individuals With Fecal Ostomies,. Journal Wound Ostomy Continence Nursing, 2017, 44 (1), 69-73.
  • 9. Duluklu, B, Çelik, S.Ş,. 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, European Journal Oncology Nursing, 2019, 42(1), 90-96.
  • 10. Yilmaz, E, Çelebi, D, Kaya, Y, Baydur, H, A Descriptive, Cross-sectional Study to Assess Quality of Life and Sexuality in Turkish Patients with a Colostomy, Ostomy Wound Management, 2017, 63(8), 22-29.
  • 11. Geng, Z, Howell, D, Xu, H, Yuan, C, Quality of Life in Chinese Persons Living With an Ostomy: A Multisite Cross-sectional Study, Journal Wound Ostomy Continence Nursing, 2017, 44(3), 249-256.
  • 12. Vonk-Klaassen, S.M, de Vocht H.M, den Ouden, M.E, Eddes, E.H, Schuurmans, M.J, Ostomy-related problems and t,heir impact on quality of life of colorectal cancer ostomates: a systematic review, Quaity ofl Life Research, 2016, 25(1), 125-133.
  • 13. 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, Gastroenteroloji Nursing, 2018, 41(4), 341-346.
  • 14. Bazaliński, D, Sałacińska, I, Więch, P, Kózka M, Life satisfaction and self-efficacy in patients with stoma, Progress Health Sciences, 2014, 4(2), 22-30.
  • 15. Bandura, A, Exercise of Personal and Collective Efficacy in Changing Societies. Bandura A. Self-efficacy in changing societies, Cambridge University Pres, New York, 1995:1-45.
  • 16. Su, X, Qin, F, Zhen, L, Ye, X, Kuang, Y, Zhu, M, Yin, X, Wang, H, Self-efficacy and Associated Factors in Patients With Temporary Ostomies, Journal of Wound, Ostomy and Continence Nursing, 2016. 43(6), 623-629.
  • 17. Su, X, Zhen, L, Zhu, M, Kuang, Y, Qin, F, Ye, X, Yin, X, Wang, H, Determinants of self-efficacy and quality of life in patients with temporary enterostomy: a cross-sectional survey, Journal of Clinical Nursing, 2017, 26(3-4), 477-484.
  • 18. Wu, H.K, Chau, J.P, Twinn, S, Self-efficacy and quality of life among stoma patients in Hong Kong, Cancer Nursing, 2007, 30(3), 186-193.
  • 19. Grant, M, Ferrel, B, Dean, G, Uman, G, Chu, D, Krouse, R, Revision and psychometric testing of the city of hope quality of life–ostomy questionnaire, Quality of Life Research, 2004, 13(8), 1445-1457.
  • 20. Erol, F, Vural, F, Umut Merkezi ostomi yaşam kalitesi ölçeği’nin geçerlik ve güvenirliği, Hemşirelikte Araştırma Geliştirme Dergisi, 2012, 14(3), 1-14.
  • 21. Alpay, A, Genel özyeterlilik ölçeğinin Türkçe’ye uyarlama çalışması, İnönü Üniversitesi Eğitim Fakültesi Dergisi, 2010, 11(2), 113–131.
  • 22. Xian, H, Zhang, Y, Yang, Y, Zhang, X, Wang, X, A Descriptive, Cross-sectional Study Among Chinese Patients to Identify Factors that Affect Psychosocial Adjustment to an Enterostomy, Ostomy Wound Management, 2018, 64(7), 8-17.
  • 23. 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, International Wound Journal, 2019, 16(6), 1383-1390.
  • 24. Iqbal, F, Kujan, O, Bowley, DM, Keighley, MR, Vaizey, C.J, Quality of Life After Ostomy Surgery in Muslim Patients: A Systematic Review of the Literature and Suggestions for Clinical Practice, Journal Wound Ostomy Continence Nursing 2016, 43(4), 385-391.
  • 25. Cavdar, I, Ozbas, A, Akyuz, N, Findik, U.Y, Kutlu, Y, Religious worship in patients with abdominal stoma: praying and fasting during Ramadan, International Journal Caring Sciences, 2013, 6(3), 516-521 .
  • 26. Szpilewska, K, Juzwiszyn, J, Bolanowska, Z, et al. Acceptance of disease and the quality of life in patients with enteric stoma, Fundacja Polski Przeglad Chirurgiczny, 2018, 90(1), 13-17.
  • 27. Santos, V.L, Augusto, F.S, Gomboski, G, Health-Related Quality of Life in Persons With Ostomies Managed in an Outpatient Care Setting, Journal Wound Ostomy Continence Nursing 2016, 43(2), 158-164.
  • 28. Goldstine, J, Van Hees, R, Van de Vorst, D, Skountrianos, G, Nichols, T, Factors influencing health-related quality of life of those in the Netherlands living with an ostomy, British Journal Nursing, 2019,28(22), S10-S17.
  • 29. Maydick-Youngberg, D, A Descriptive Study to Explore the Effect of Peristomal Skin Complications on Quality of Life of Adults With a Permanent Ostomy, Ostomy Wound Management. 2017, 63(5), 10-23.
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Nursing
Journal Section Araştırma Makalesi
Authors

Zekiye YAŞAR 0000-0002-5717-3178

Hülya ÜSTÜNDAĞ 0000-0001-6119-8573

Publication Date December 31, 2020
Published in Issue Year 2021 Volume: 8 Issue: 1

Cite

APA YAŞAR, Z., & ÜSTÜNDAĞ, H. (2020). Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(1), 107-115. https://doi.org/10.34087/cbusbed.813080
AMA YAŞAR Z, ÜSTÜNDAĞ H. Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. December 2020;8(1):107-115. doi:10.34087/cbusbed.813080
Chicago YAŞAR, Zekiye, and Hülya ÜSTÜNDAĞ. “Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8, no. 1 (December 2020): 107-15. https://doi.org/10.34087/cbusbed.813080.
EndNote YAŞAR Z, ÜSTÜNDAĞ H (December 1, 2020) Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8 1 107–115.
IEEE Z. YAŞAR and H. ÜSTÜNDAĞ, “Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi”, CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, vol. 8, no. 1, pp. 107–115, 2020, doi: 10.34087/cbusbed.813080.
ISNAD YAŞAR, Zekiye - ÜSTÜNDAĞ, Hülya. “Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8/1 (December 2020), 107-115. https://doi.org/10.34087/cbusbed.813080.
JAMA YAŞAR Z, ÜSTÜNDAĞ H. Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2020;8:107–115.
MLA YAŞAR, Zekiye and Hülya ÜSTÜNDAĞ. “Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol. 8, no. 1, 2020, pp. 107-15, doi:10.34087/cbusbed.813080.
Vancouver YAŞAR Z, ÜSTÜNDAĞ H. Stomalı Hastaların Yaşam Kalitesi Ve Öz Yeterlilik Düzeylerinin Belirlenmesi. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2020;8(1):107-15.