ASSESSMENT OF NUTRITIONAL STATUS, SELF-ESTEEM, AND QUALITY OF LIFE IN STOMATIZED PATIENTS

A NAWAZ; F RASOOL; M ANWAR

doi:10.54112/bcsrj.v2023i1.382

Authors

A NAWAZ Charge Nurse, Surgical Unit, Nishter Medical University and Hospital (NMU & H) Multan, Pakistan
F RASOOL Charge Nurse, Medical Unit, Nishter Medical University and Hospital (NMU & H) Multan, Pakistan
M ANWAR Charge Nurse, Neuro trauma unit, Nishter Medical University And Hospital (NMU & H) Multan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.382

Keywords:

self-esteem, Nutrition, Quality of life, Stoma

Abstract

The prospective study of Nishtar Hospital Multan from January 2022 to January 2023 to assess the impact of intestinal stomas on patients' quality of life and nutritional status. Patients of both genders, aged > 18 years, having intestinal stoma, were included. A total of 100 participants were included in the study. A questionnaire including demographic details, information regarding the stoma, and the Rosenberg Self-Esteem Scale/UNIFESP-EPM quality of Life Scale was used to collect data.59 respondents had low self-esteem (<15), having a mean Score of 0.56; 11 had normal self-esteem with a mean value of 0.64, and 30 had high self-esteem (>25), having a mean of 0.62. A significant association and positive correlation existed between self-esteem and nutritional status (P= 0.04). Linear regression analysis showed a significant association between nutritional status and duration of stoma (P=0.011), type of stoma (P=0.05), monthly income (P=0.01), and number of meals/day (P=0.002). Moreover, there was a significant difference between median QoL – SeSi scores of urostomy patients (Mdn=18.5) compared to those who had a stoma (Mdn=16.5) or an inflamed appendix (16.0) (P= 0.04). Analysis of QoL-FF Score (relation with friends and family) showed urostomy patients (Mdn = 34.5) had substantially higher ratings than colostomy patients (median = 33.5, p = 0.02), and ileostomy patients (Mdn = 32.0, p = 0.025). There was no discernible difference between colostomy as well as ileostomy ratings. It was concluded that stoma patients' quality of life, self-esteem, and nutritional status are interconnected.

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References

Atallah, R., van de Meent, H., Verhamme, L., Frölke, J., and Leijendekkers, R. (2020). Safety, prosthesis wearing time and health-related quality of life of lower extremity bone-anchored prostheses using a press-fit titanium osseointegration implant: a prospective one-year follow-up cohort study. PLoS One 15, e0230027.

Braumann, C., Müller, V., Knies, M., Aufmesser, B., Schwenk, W., and Koplin, G. (2016). Quality of life and need for care in patients with an ostomy: a survey of 2647 patients of the Berlin OStomy-Study (BOSS). Langenbeck's archives of surgery 401, 1191-1201.

Diniz, I. V., Pereira da Silva, I., Silva, R. A., Garcia Lira Neto, J. C., do Nascimento, J. A., Costa, I. K. F., Mendonça, A. E. O. d., Oliveira, S. H. d. S., and Soares, M. J. G. O. (2023). Effects of the quality of life on the adaptation of people with an intestinal stoma. Clinical Nursing Research 32, 527-538.

Goodyear, V., Boardley, I., Chiou, S., Fenton, S., Stathi, A., Wallis, G., Veldhuijzen van Zanten, J., Wood, G., and Thompson, J. (2021). Guidelines for using social media to inform behaviours related to physical activity, diet and quality of life.

Keane, C., Sharma, P., Yuan, L., Bissett, I., and O'Grady, G. (2020). Impact of temporary ileostomy on long‐term quality of life and bowel function: a systematic review and meta‐analysis. ANZ journal of surgery 90, 687-692.

Koç, M. A., Akyol, C., Gökmen, D., Aydın, D., Erkek, B. A., and Kuzu, M. A. (2022). Effect of prehabilitation on stoma self-care, anxiety, depression and quality of life in stoma patients: a randomized controlled trial. Diseases of the Colon & Rectum.

Kristensen, H. Ø., Thyø, A., Emmertsen, K. J., Smart, N. J., Pinkney, T., Warwick, A. M., Pang, D., Elfeki, H., Shalaby, M., and Emile, S. H. (2022). Surviving rectal cancer at the cost of a colostomy: global survey of long-term health-related quality of life in 10 countries. BJS open 6, zrac085.

Mao, Z., Ahmed, S., Graham, C., Kind, P., Sun, Y.-N., and Yu, C.-H. (2021). Similarities and differences in health-related quality-of-life concepts between the East and the West: A qualitative analysis of the content of health-related quality-of-life measures. Value in Health Regional Issues 24, 96-106.

Pape, E., Vlerick, I., Van Nieuwenhove, Y., Pattyn, P., Van de Putte, D., van Ramshorst, G., Geboes, K., and Van Hecke, A. (2021). Experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal: A systematic review and thematic-synthesis. European Journal of Oncology Nursing 54, 102018.

Saati, M., NasiriZiba, F., and Haghani, H. (2021). The correlation between emotional intelligence and self‐esteem in patients with intestinal stoma: A descriptive‐correlational study. Nursing Open 8, 1769-1777.

Schmidt, C. E., Bestmann, B., Küchler, T., Longo, W. E., Rohde, V., and Kremer, B. (2005). Gender differences in quality of life of patients with rectal cancer. A five-year prospective study. World journal of surgery 29, 1630-1641.

Sirimarco, M. T., Moraes, B. H. X. d., Oliveira, D. R. L. S. d., Oliveira, A. G. d., and Schlinz, P. A. F. (2021). Thirty years of the health care service for ostomy patients in Juiz de Fora and surroundings. Revista do Colégio Brasileiro de Cirurgiões 48.

Su, X., Qin, F., Zhen, L., Ye, X., Kuang, Y., Zhu, M., Yin, X., and Wang, H. (2016). Self-efficacy and associated factors in patients with temporary ostomies. Journal of Wound, Ostomy and Continence Nursing 43, 623-629.

Tulek, Z., Baykal, D., Erturk, S., Bilgic, B., Hanagasi, H., and Gurvit, I. H. (2020). Caregiver burden, quality of life and related factors in family caregivers of dementia patients in Turkey. Issues in mental health nursing 41, 741-749.

Vasilopoulos, G., Makrigianni, P., Polikandrioti, M., Tsiampouris, I., Karayiannis, D., Margari, N., Avramopoulou, L., Toulia, G., and Fasoi, G. (2020). Pre-and post-operative nutrition assessment in patients with colon cancer undergoing ileostomy. International journal of environmental research and public health 17, 6124.

Wulff-Burchfield, E. M., Potts, M., Glavin, K., and Mirza, M. (2021). A qualitative evaluation of a nurse-led pre-operative stoma education program for bladder cancer patients. Supportive Care in Cancer, 1-9.