Quality of Life of Persons with Colostomy: Problems and Nursing Interventions

Yıl 2019, Cilt: 6 Sayı: 2, 111 - 119, 30.07.2019

Burcu Duluklu Sevilay Şenol Çelik

Öz

Colorectal cancers are one of the most common types of cancer in women and men and surgical treatment, radiotherapy and chemotherapy are the treatment of these cancers. Due to the area of carcinoma, end-to-end anastomosis or colostomy is performed after resection. Colostomy, which is created to help individuals live longer and help them to return to a healthy and productive life, can also cause many physical, social, cognitive and emotional problems. These problems negatively affect the quality of life of persons with colostomy. This review article has been written in order to reveal the effects of stoma surgery on individual’s life and the nursing interventions for encountered problems after opening a stoma.

Anahtar Kelimeler

Colorectal surgery, colostomy, nursing care, quality of life

Kolostomisi Olan Bireylerde Yaşam Kalitesi: Sorunlar ve Hemşirelik Girişimleri

Öz

Kolorektal kanserler, kadınlarda ve erkeklerde en sık görülen kanser türlerinden biri olup; bu kanserlerin tedavisinde cerrahi tedavi, radyoterapi ve kemoterapi yer almaktadır. Karsinomun bulunduğu alana göre rezeksiyon sonrasında uç uca anostomoz yapılmakta ya da kolostomi açılmaktadır. Bireylerin daha uzun süre yaşamalarını sağlamak, sağlıklı ve üretken bir yaşama dönmelerine yardımcı olabilmek için oluşturulan kolostomi, aynı zamanda bu bireylerin fiziksel, sosyal, bilişsel ve duygusal açıdan birçok sorun yaşamasına neden olabilmektedir. Bu sorunlar stomalı bireyin yaşam kalitesini olumsuz olarak etkilemektedir. Bu derleme, stoma cerrahisinin bireyin hayatına etkilerini ve stoma açılması sonrasında karşılaşılan sorunlara yönelik hemşirelik girişimlerini ortaya koymak amacıyla yazılmıştır.

Anahtar Kelimeler

Hemşirelik bakımı, kolorektal cerrahi, kolostomi, yaşam kalitesİ

Kaynakça

• 1. Ferlay J, Soerjomataram I, Ervik M et al. Cancer facts & figures: Worldwide data. World Cancer Research Fund International 2012. URL: http://www.wcrf.org/int/cancer-facts-figures/worldwide-data Erişim Tarihi: 06.02.2015.
• 2. American Cancer Society, What Is Colorectal Cancer? 2018. URL: http://www.cancer.org/cancer/colon-rectal-cancer/about/what-is-colorectal-cancer.html Erişim Tarihi: 2 Şubat 2017.
• 3. Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J et al. Cancer ıncidence and mortality patterns in Europe: Estimates for 40 countries in 2012. European Journal of Cancer. 2013; 49(6):1374-1403.
• 4. Ferlay J, Soerjomataram I, Ervik M et al. Colorectal cancer statistics. World Cancer Research Fund International. URL: http://www.wcrf.org/int/cancer-facts-figures/data-specific-cancers/colorectal-cancer-statistics. Erişim Tarihi: 2 Şubat 2017.
• 5. T.C. Sağlık Bakanlığı Sağlık Araştırmaları Genel Müdürlüğü, Sağlık İstatistikleri Yıllığı 2016. URL: https://dosyasb.saglik.gov.tr/Eklenti/13183,sy2016turkcepdf.pdf?0 Erişim Tarihi: 31 Ocak 2018.
• 6. Grant M, Mccorkle R, Hornbrook MC, Wendel CS, Krouse R. Development of a chronic care ostomy self-management program. J Canc Educ. 2013; 28:70-78. 7. Şenol Çelik S. Yaşlı Bireylerin Ürostomi Öncesi ve Sonrası Bakımı. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2009;16(1):59-68.
• 8. Sayek, İ. Temel Cerrahi Cilt 1. 2. bs. Ankara: Güneş Kitapevi; 2012.
• 9. Eucomed Medical Technology. Eucomed Background Paper, Access to Ostomy Supplies and Innovation: Guiding Principles for European Payers 2012 URL: http://www.medtecheurope.org/sites/default/files/resource_items/files/2002012_MTE_Access to Ostomy Supplies and Innovation Guiding Principles for European Payers_Backgrounder.pdf. Erişim Tarihi: 17 Mart 2017.
• 10. Luo BJ, Qin HY, Zheng MC. Correlation between social relational quality and hope among patients with permanent colostomies. International Journal of Nursing Sciences. 2014; 1(4):405-409.
• 11. Aksoy N, Ay S, Eryılmaz MA, Demirgül R, Sevinç B, Karahan Ö. Kolon ameliyatlı hastaların kolonoskopik bulguları ve anostomoz hattının değerlendirilmesi. Kolon Rektum Hastalıkları Dergisi. 2014; 24:75-80.
• 12. Karadağ A, Öztürk D, Çelik B. Ostomili bireylere yönelik yaşam kalitesi ölçeğinin Türkçeye uyarlanması. Kolon Rektum Hastalıkları Dergisi. 2011; 21:173-181.
• 13. Ayaz S. Stomalı Bireylerin cinsel sorunlarına yaklaşım. Turkiye Klinikleri J Med Ethics. 2008; 16:89-93.
• 14. Lim SH, Chan SWC, Lai JH, He HG. A randomized controlled trial examining the effectiveness of a stoma psychosocial ıntervention programme on the outcomes of colorectal patients with a stoma: study protocol. Journal Of Advanced Nursing. 2014; 71:1310-1323.
• 15. Kuzu MA, Topçu Ö, Uçar K, Ulukent S, Ünal E, Erverdi N et al. Effect Of Sphincter-Sacrificing surgery for rectal carcinoma on quality of life ın muslim patients. Dis Colon Rectum. 2002;45(10):1359-1366.
• 16. Brown H, Randle J. Living with a stoma: a review of the literature. Journal of Clinical Nursing. 2005;14(1):74-81.
• 17. Pinquart M, Duberstein PR. Depression and cancer mortality: a meta-analysis. Psychological Medicine. 2010;40(11):1797-1810.
• 18. Karadağ A, Baykara Göçmen Z, Korkut H, Çelik B. Ostomili bireylere yönelik uyum ölçeğinin Türkçe’ye uyarlanması. Ulusal Cerrahi Dergisi 2011;27(4):206-211.
• 19. Salomé GM, Almeida SAD, Silveira MM. Quality of life and self-esteem of patients with ıntestinal stoma. journal of coloproctology (Rio de Janeiro). 2014;34(4):231-239. 20. Thamilselvam P, Khairuzi S, Fadzli I. Quality of life after colostomy. Rev Prog. 2013;1(19):4-7.
• 21. Gooszen AW, Geelkerken RH, Hermans J, Lagaay MB, Gooszen HG. Quality of life with a temporary stoma. Diseases of the Colon & Rectum. 2000;43(5):650-655.
• 22. Dabirian A, Yaghmaei F, Rassouli M, Tafreshi MZ. Quality of life in ostomy patients: a qualitative study. Patient Preference and Adherence. 2011; 5:1-5.
• 23. Celasin H, Karakoyun R, Yılmaz S, Elhan AH, Erkek B, Kuzu MA. Quality of life measures in Islamic rectal carcinoma patients receiving counselling. Colorectal Disease. 2011;13(7):170-175.
• 24. Üstündağ H, Demir N, Zengin N, Gül A. Stomalı hastalarda beden imajı ve benlik saygısı. Türkiye Klinikleri J Med Sci. 2007; 27:522-527.
• 25. Akgül B, Karadağ A. The Effect of Colostomy and Ileostomy on Acts of worship in the Islamic faith. Wound Ostomy Continence Nurs. 2016;43(4):392-397.
• 26. Kılıç E, Taycan O, Belli AK, Özmen M. the effect of permanent ostomy on body ımage, self-esteem, marital adjustment, and sexual functioning. Türk Psikiyatri Dergisi. 2007; 18(4):1-8.
• 27. Bloemen JG, Visschers RG, Truin W, Beets GL, Konsten JL. Long-term quality of life in patients with rectal cancer: association with severe postoperative complications and presence of a stoma. Diseases of the Colon & Rectum. 2009;52(7):1251-1258.
• 28. Grumann MM, Noack EM, Hoffmann IA, Schlag PM. Comparison of quality of life in patients undergoing abdominoperineal extirpation or anterior resection for rectal cancer. Annals of Surgery. 2001;233(2):149.
• 29. Akıl Y, Alabaz Ö, Baykara ZG et al. Türk Ostomi Cerrahi Derneği, Kolostomi ile Yaşam No:2. URL: http://www.yoihd.org.tr/userfiles/formlar/kolostomi_ile_yasam.pdf Erişim Tarihi: 6 Şubat 2017.
• 30. Vancouver Chapter of the United Ostomy Association of Canada, A Handbook for New Ostomy Patients. URL: http://www.vcn.bc.ca/ostomyvr/NEW%20PATIENTS%20EDITION%205th%20printing%20web.pdf Erişim Tarihi: 8 Kasım 2017.
• 31. Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006;130(5):1480-1491.
• 32. McKenna LS, Taggart E, Stoelting J, Kirkbride G, Forbes GB. The impact of preoperative stoma marking on health-related quality of life: a comparison cohort study. Journal of Wound Ostomy & Continence Nursing. 2016;43(1):57-61.
• 33. Martinson J, Moore C, Hamburg G, Fischer A. Patient education and ınstructional booklet for the patient with colostomy. Cedars-Sinai Medical Center. 2004. URL: http://www.nmh.org/ccurl/580/761/colostomy-care-guide-09-07.pdf Erişim Tarihi: 16 Kasım 2017.
• 34. Hooper J, Gutman N. Colostomy Guide. United Ostomy Associations of America 2017;1–24. URL: https://www.ostomy.org/wp-content/uploads/2018/03/ColostomyGuide.pdf. Erişim Tarihi: 16 Kasım 2017.
• 35. Horn CV. Having a Colostomy. The Cleveland Clinic Foundation 1998;2-29. URL: https://my.clevelandclinic.org/ccf/media/files/Digestive_Disease/HavingColostomy.pdf Erişim Tarihi: 16 Kasım 2017.
• 36. Lynch BM, Hawkes AL, Steginga SK, Leggett B, Aitken JF. Stoma surgery for colorectal cancer a population-based study of patient concerns. J Wound Ostomy Continence Nurs. 2008;35(4):424-428.
• 37. Annells, M. The experience of flatus ıncontinence from a bowel ostomy: a hermeneutic phenomenology. J Wound Ostomy Continence Nurs. 2006;33(5):518–524.
• 38. Settlemire I. New Ostomy Patient Guide. United Ostomy Associations of America 2017;1–88. URL: https://www.ostomy.org/wp-content/uploads/2018/05/All-In-One-New-Patient-Guide_2018.pdf Erişim Tarihi: 16 Kasım 2017.
• 39. Andersson G, Engström A, Söderberg S. A Chance To Live: Women’s experiences of living with a colostomy after rectal cancer surgery. International Journal Of Nursing Practice. 2010; 16:603–608.
• 40. Cengiz B, Bahar Z. Perceived barriers and home care needs when adapting to a fecal ostomy: a phenomenological study. J Wound Ostomy Continence Nurs. 2017;44(1):63-68.
• 41. Wound Ostomy and Continence Nurses. A Patient’s Guide to Colostomy Care. Northwestern Memorial Hospital 2007;1-11. URL: http://www.nmh.org/ccurl/580/761/colostomy-care-guide-09-07.pdf Erişim Tarihi: 16 Kasım 2017.
• 42. Juul K, Prieto L. Quality of life with an intestinal stoma. In Seminars in Colon and Rectal Surgery. 2008;19(3):167-173.
• 43. Smith DM, Loewenstein G, Rozin P, Sherriff RL, Ubel PA. Sensitivity to disgust, stigma, and adjustment to life with a colostomy. Journal of Research in Personality. 2007;41(4):787-803.
• 44. Çakmak A, Aylaz G, Kuzu MA. Permanent stoma not only affects patients’ quality of life but also that of their spouses. World Journal of Surgery. 2010;34(12):2872-2876.
• 45. 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. Journal of Clinical Oncology. 2009; 27:4664-4670.
• 46. Canadian Society of Intestinal Research (Gastrointestinal Society), Travelling with an Ostomy 2017. URL: https://www.badgut.org/information-centre/ostomies/travelling-with-an-ostomy/ Erişim Tarihi: 25 Ocak 2018.
• 47. Li CC, Rew L, Hwang SL. The relationship between spiritual well-being and psychosocial adjustment in Taiwanese patients with colorectal cancer and a colostomy. J Wound Ostomy Continence Nurs. 2012; 39:161–169.
• 48. Shaffy SK, Das K, Gupta R. Psychosocial experiences of the patients with colostomy/ileostomy: a qualitatıve study. Indian J Soc Psychiatry. 2014;30(1-2):28–34.
• 49. Yara Ostomi İnkontinans Hemşireleri Derneği, Stoma ve İbadet 2016;1-15. URL: http://www.yoihd.org.tr/images/cust_files/170724095711.pdf Erişim Tarihi: 1 Kasım 2017.
• 50. Registered Nurses’ Association of Ontario. Clinical Best Practice Guidelines; Ostomy Care and Management 2009;1-117. URL: http://rnao.ca/sites/rnao-ca/files/Ostomy_Care__Management.pdf Erişim Tarihi: 16 Kasım 2017.
• 51. Bozdoğan Yeşilot S. Kendini Algılama. İçinde: Kapucu S, Akyar İ, Korkmaz F editörler. Pearson Hemşirelik Tanıları El Kitabı. Pelikan Yayınevi; 2018.s.449–454.
• 52. Evenoa C, Lamblinb A, Mariette C, Pocard M. Sexual and urinary dysfunction after proctectomy for rectal cancer. Journal of Visceral Surgery. 2010; 147:21-30.
• 53. Angenete E, Asplund D, Andersson J, Haglind E. Self reported experience of sexual function and quality after abdominoperineal excision in a prospective cohort. International Journal of Surgery. 2014;12(11):1221-1227.
• 54. Persson E, Hellström Al. Experiences of Swedish men and women 6 to 12 weeks after ostomy surgery. Journal of Wound Ostomy & Continence Nursing. 2002;29(2):103-108.
• 55. Yanar H. Abdominal Ameliyatlar. İçinde: Wexner SD, Fleshman JW, editors. Kolon ve Rektum Cerrahisi: (Çev.). İstanbul Tıp Kitabevi; 2015.s.407-412.