A Prospective, Multicentered Study to Assess Social Adjustment in Patients With an Intestinal Stoma in Turkey

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dc.authoridTogluk Yigitoglu, Eylem/0000-0001-6204-1543
dc.authoridMentes, Bulent/0000-0001-6417-8949
dc.authoridKarabulut, Hatice/0000-0002-0033-9114
dc.authoridLeventoglu, FACS, FEBS Coloproctology, Sezai/0000-0003-0680-0589
dc.contributor.authorKaradag, Ayise
dc.contributor.authorKarabulut, Hatice
dc.contributor.authorBaykara, Zehra G.
dc.contributor.authorHarputlu, Deniz
dc.contributor.authorToyluk, Eylem
dc.contributor.authorUlusoy, Birgul
dc.contributor.authorKaradag, Sercan
dc.date.accessioned2025-02-24T17:18:40Z
dc.date.available2025-02-24T17:18:40Z
dc.date.issued2015
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü
dc.description.abstractPatients with a stoma undergo physiological, psychological, and social adjustment to their new life situation. A descriptive, prospective study was conducted to assess adaptation among patients > 18 years of age with a new temporary or permanent colostomy or ileostomy living in Turkey and receiving care at a participating stomatherapy unit. The study took place between September 1, 2011, and September 1, 2012. During hospitalization and following discharge, patients with a stoma received training and counseling according to their individual characteristics and their physiological, psychological, and social needs. Each participant completed the 19-item Identification Form for Patients with a Stoma at the beginning of the study to document sociodemographic and stoma characteristics. To assess adjustment to the stoma, The Ostomy Assessment Inventory (OAI-23) was administered 2 times - he first within 1 month and the second within 6 months after surgery or when a temporary stoma was closed (whichever came first). This instrument comprised 23 items regarding adaptation to the stoma using Likert-type response options (0-4 range). Total scores ranged from 10 to 92, with higher scores indicating better adjustment. The instruments were completed by stoma and wound care nurses during face-to-face interviews. Data were analyzed using the Kruskal-Wallis, Mann-Whitney, and Wilcoxon tests. Of the 135 participants, the majority (77, 57.0%) were male; 73 (54.1%) had a colostomy, and 106 (78.5%) had a temporary stoma. The primary reason for stoma creation was cancer (89, 65.9%). Mean total OAI-23 scores were 48.63 +/- 13.75 at the first administration and 50.59 +/- 13.89 for the second. In terms of sociodemographic factors, significant increases in mean scores from the first to the second survey time were noted among patients in the 50-69 age group, women, married persons, and unemployed persons (P < 0.05). With regard to stoma characteristics, the OAI-23 scores of patients with planned stoma operations and persons with permanent stomas increased significantly (P < 0.05) between assessments. Significant increases in OAI-23 scores also were noted among persons who did not receive information before the operation, patients whose stoma site was not marked, and patients who had experienced a complication (P < 0.05). Postoperatively, it is important to consider sociodemographic and stoma characteristics as well as preoperative variables that may influence adaptation to stoma. Additional larger, multicentered studies with extended patient follow-up are warranted.
dc.identifier.endpage29
dc.identifier.issn0889-5899
dc.identifier.issn1943-2720
dc.identifier.issue10
dc.identifier.pmid26479123
dc.identifier.scopus2-s2.0-84945138595
dc.identifier.scopusqualityN/A
dc.identifier.startpage16
dc.identifier.urihttps://hdl.handle.net/20.500.14440/770
dc.identifier.volume61
dc.identifier.wosWOS:000367159100001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherH M P Communications
dc.relation.ispartofOstomy Wound Management
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250201
dc.subjectmulticenter study
dc.subjectostomy
dc.subjectintestinal stoma
dc.subjectsocial adjustment
dc.subjectstoma care
dc.titleA Prospective, Multicentered Study to Assess Social Adjustment in Patients With an Intestinal Stoma in Turkey
dc.typeArticle

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