The Impact of Specialty Practice Nursing Care on Health-Related Quality of Life in Persons With Ostomies

被引:23
作者
Coca, Cristina [1 ]
Fernandez de Larrinoa, Ignacio [1 ]
Serrano, Raquel [1 ]
Garcia-Llana, Helena [2 ]
机构
[1] Inst Antae, Madrid 28003, Spain
[2] Hosp Univ La Paz, IdiPAZ, Madrid, Spain
关键词
continence nursing; health-related quality of life; ostomy; specialty practice nursing; well-being; wound; STOMA; DISCHARGE; EUROQOL;
D O I
10.1097/WON.0000000000000126
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
PURPOSE: Ostomy patients suffer significant physiological challenges that can affect psychological variables and health-related quality of life (HRQOL). The purpose of this study was to compare HRQOL in a group of patients cared for in hospitals that employed nurses specializing in ostomy care versus patients who were cared for at hospitals that did not employ nurses specializing in ostomy care. DESIGN: Multicenter, quasi-experimental, prospective, longitudinal study. SUBJECTS AND SETTING: This is a national study set in Spain. We collected data from 402 ostomy patients in health centers among 16 Spanish regions from March 2012 to June 2013. The average age of the patients was 61.3 +/- 13.71 years (mean +/- SD). METHODS: Questionnaires were administered by the investigators prior to and 3 months after the ostomy surgery. Two groups of patients were compared: patients in group 1 were treated by nurses specializing in ostomies; patients in group 2 were not treated by an ostomy nurse specialist. Two validated scales were used to determine HRQOL: EQ-5 D (Spanish version) and the Montreux questionnaire. RESULTS: Patients in group 1 adapted better to their ostomies than group 2. They exhibited less concern with appearance; increased comfort with cleaning, changing, and throwing away ostomy bags; and decreased pain and pain frequency. They reported less fearfulness; improvements in sleep, weight concerns, and strength; and better overall health, leading to a greater percentage of patients able to lead a normal life (P < .05). Sexual activity was the only variable that worsened in both groups, but it was more satisfactory at postoperation stage in group 1 (P = .015). CONCLUSIONS: Patients who received specialized ostomy care experienced significant improvements in HRQOL compared to patients who were not cared for by specialist nurses. Our findings strongly suggest that patients undergoing ostomy surgery should be provided access to a nurse specialist in ostomy care since our results highlight the potential benefit promoting the HRQOL of patients.
引用
收藏
页码:257 / 263
页数:7
相关论文
共 37 条
[1]  
[Anonymous], 2009, NURS ASS ONT OST CAR
[2]   Quality of Life for Patients Living With Ostomies Influence of Contact With an Ostomy Nurse [J].
Aronovitch, Sharon A. ;
Sharp, Robbie ;
Harduar-Morano, Laurel .
JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING, 2010, 37 (06) :649-653
[3]   Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma [J].
Ayaz, Sultan ;
Kubilay, Gulumser .
JOURNAL OF CLINICAL NURSING, 2009, 18 (01) :89-98
[4]  
Badia X, 1999, MED CLIN-BARCELONA, V112, P79
[5]  
Barbero Juarez FJ, 2004, NURE INV, V7, P1
[6]  
Barreto APCP, 2013, J NURS UFPE, V7, P4935, DOI [10.5205/reuol.4700-39563-1-ED.0707esp201315, DOI 10.5205/REUOL.4700-39563-1-ED.0707ESP201315]
[7]  
Bodega Urruticoechea C, 2013, ENE REV ENFERMERIA A, V7, P1
[8]   Living with a stoma: a review of the literature [J].
Brown, H ;
Randle, J .
JOURNAL OF CLINICAL NURSING, 2005, 14 (01) :74-81
[9]  
Campo Gascon J, 2007, NURSING, V25, P52
[10]  
Charúa-Guindic L, 2011, CIR CIR, V79, P136