The relationship between adaptability and life satisfaction among ostomy patients
Background & Aim: Ostomy surgery is used to provide a means of collecting waste through a channel. However, ostomy can produce functional problems and major changes in adaptability and life satisfaction among the patients. This study attempts to investigate the relationship between adaptability and life satisfaction among ostomy patients.
Methods & Materials: This study is descriptive-correlational. 100 ostomy patients referring to Iran Ostomy Association were selected and studied using continuous sampling method and questionnaires of demographic information, Satisfaction with Life Scale (SWLS), and Bell Adjustment Inventory (BAI).
Results: The mean ± standard deviation of life satisfaction scores and adaptability scores were 16.8±4.4 (of 35) and 53.1±23.7, respectively. A positive and significant correlations were observed between life satisfaction and adjustment (r=0.597, p<0.001), and also adjustment dimensions, including home (r=0.585, p<0.001), health (r=0.611, p<0.001), social (r= 0.460, p<0.001), emotional (r=0.538, p<0.001) and occupational adjustment (r=0.380, p<0.001).
Conclusion: According to the results, there was a positive and significant relationship between life satisfaction and adaptability. Thus, therapeutic department members have to help improve life satisfaction among ostomy patients by facilitating adaptability.
2. Boraii S. A Descriptive Study to Assess Quality of Life in Egyptian Patients With a Stoma. Ostomy/wound management. 2017 Jul;63(7):28-33.
3. Bazaliński D, Sałacińska I, Więch P, Kózka M. Life satisfaction and self-efficacy in patients with stoma. Progress in Health Sciences. 2014;4(2):22-30.
4. 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. Gastroenterology Nursing. 2018 Jul;41(4):341.
5. Ercolano E, Grant M, McCorkle R, Tallman NJ, Cobb MD, Wendel C, Krouse R. Applying the chronic care model to support ostomy self-management: Implications for oncology nursing practice. Clinical journal of oncology nursing. 2016 Jun 1;20(3):269.
6. Yau T, Watkins D, Cunningham D, Barbachano Y, Chau I, Chong G. Longitudinal assessment of quality of life in rectal cancer patients with or without stomas following primary resection. Diseases of the Colon & Rectum. 2009 Apr 1;52(4):669-77.
7. Ramirez M, McMullen C, Grant M, Altschuler A, Hornbrook MC, Krouse RS. Figuring out sex in a reconfigured body: experiences of female colorectal cancer survivors with ostomies. Women & health. 2010 Feb 19;49(8):608-24.
8. Popek S, Grant M, Gemmill R, Wendel CS, Mohler MJ, Rawl SM, Baldwin CM, Ko CY, Schmidt CM, Krouse RS. Overcoming challenges: life with an ostomy. The American Journal of Surgery. 2010 Nov 1;200(5):640-5.
9. Cheng F, Meng AF, Yang LF, Zhang YN. The correlation between ostomy knowledge and self-care ability with psychosocial adjustment in Chinese patients with a permanent colostomy: a descriptive study. Ostomy Wound Manage. 2013 Jul 1;59(7):35-8.
10. Pouresmail Z, Heshmati Nabavi F, Sadeghi T, Shafiee Jafarabadi MN, Voshani B, Reza H. Correlation between adjustment and self-efficacy in patients with intestinal ostomy. Journal of hayat. 2017 Jan 15;22(4):300-11.
11. Naderiravesh N, Abed Saeedi J, Besharat M, Pourkhaki A, Alavi Majd H. A review of the models and theories of adjustment to illness and disability. Payesh 2014;13(6):677-86.
12. Roy S, Andrews H. The Roy aduptation model. : Stamford, CT: Appleton & Lange.; 1999.
13. Lazarus R, Folkman S. Stress, appraisal. and coping New York, NY: Springer Publishing Company. 1984.
14. Martín Muñoz B, Panduro Jiménez RM, Crespillo Díaz Y, Rojas Suárez L, González Navarro S. El proceso de afrontamiento en personas recientemente ostomizadas. Index de Enfermería. 2010;19(2-3):115-9.
15. Bonill-de-las-Nieves C, Celdrán-Mañas M, Hueso-Montoro C, Morales-Asencio JM, Rivas-Marín C, Fernández-Gallego MC. Living with digestive stomas: strategies to cope with the new bodily reality. Revista latino-americana de enfermagem. 2014;22(3):394-400.
16. Goldberg M, Aukett LK, Carmel J, Fellows J, Pittman J. Management of the patient with a fecal ostomy: best practice guideline for clinicians. Journal of Wound Ostomy & Continence Nursing. 2010;37(6):596-8.
17. Hu A, Pan Y, Zhang M, Zhang J, Zheng M, Huang M, et al. Factors influencing adjustment to a colostomy in chinese patients: a cross-sectional study. Journal of Wound Ostomy & Continence Nursing. 2014;41(5):455-9.
18. Martín Muñoz B, Panduro Jiménez R, Crespillo Díaz Y, Rojas Suárez L, González Navarro S. The coping process in people who have a recently ostomy surgery. Index de Enfermería. 2010;19(2-3):115-9.
19. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. Journal of personality assessment. 1985;49(1):71-5.
20. Taha NFH, Moustafa MM. Hope Level and Life Satisfaction among Patients with Colostomy and their Family caregivers.
21. Bell HM. The adjustment inventory (adult form). 1961.
22. Aarabi S. The effectiveness of teaching life skills on social adjustment of female teenagers participating in leisure time programs of Isfahan Welfare Organization (MSc Thesis). Isfahan, Iran: Khorasgan Branch, Islamic Azad University. 2001.
23. Alipour Birgandi S, Sahaghi H, Jelodari A. The relationship between perceived social support and Academic self-efficacy with social adjustment. Development Strategies in Medical Education. 2015;2(1):26-37.
24. Ghasemi M. Validity and reliability of Bell Inventory (thesis of MSc): Tehran Azad University, Research Science Branch. 1998.
25. Diener ED, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. Journal of personality assessment. 1985;49(1):71-5.
26. Shin DC, Johnson DM. Avowed happiness as an overall assessment of the quality of life. Social indicators research. 1978;5(1-4):475-92.
27. Simmons KL, Smith JA, Bobb KA, Liles LL. Adjustment to colostomy: stoma acceptance, stoma care self-efficacy and interpersonal relationships. J Adv Nurs. 2007;60(6):627-35.
28. Pavot W, Diener E. The satisfaction with life scale and the emerging construct of life satisfaction. The Journal of Positive Psychology. 2008;3(2):137-52.
29. Bayani AA, Kouchaki AM, Goudarzi H. The reliability and validity of the satisfaction with life scale. Jornal of iranian psychologists. 2007;3(11):259-65.
30. Simmons KL, Maekawa A, Smith JA. Culture and psychosocial function in British and Japanese people with an ostomy. Journal of Wound Ostomy & Continence Nursing. 2011;38(4):421-7.
31. Krouse RS, Grant M, McCorkle R, Wendel CS, Cobb MD, Tallman NJ, et al. A chronic care ostomy self-management program for cancer survivors. Psycho-oncology. 2016;25(5):574-81.
32. Lopes A, Decesaro M. Adjustments experience by persons with an ostomy: a integrative review of the literature. Ostomy Wound Manage (Internet). 2014:34-42.
33. 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. Journal of wound, ostomy, and continence nursing: official publication of The Wound, Ostomy and Continence Nurses Society/WOCN. 2013;40(1):61.
34. Basińska M. Marzec A. Satysfakcja z życia wśród osób przewlekle chorych. Ann Acad Med Siles. 2007;61(5):401-7.
35. Rogowska J, Krajewska-Kulak E, Kondzior D. Przystosowanie się do życia pacjentów po wyłonieniu stomii. Pielęg Chir Angiol. 2013;2:44-54.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.