Factors Influencing Daily Living and Ostomy Self-Care Management in Ostomates: A Mixed Methods Study

IF 3.5 3区医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-01-29 DOI:10.1111/jocn.17676

Elif Budak Ertürk, Hacer Ari, Çiğdem Üstündağ, Esra Yilmaz, Ülkü Topdemir

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Abstract

Aim

To examine the factors affecting the ability of ostomates to perform activities of daily living and manage ostomy self-care.

Design

Mix method design.

Method

This study was undertaken through survey (descriptive and clinical characteristics form and Katz Activities of Daily Living (ADL)) for collecting the quantitative data (n = 60) and semi-structured interviews were conducted with patients unable to perform ostomy self-care for collecting qualitative data (n = 12) between January 2023 and December 2023.

Results

Factors hindering the ability to perform ostomy self-care were physical reasons (68.3%) and psychological reasons (66.7%). Multiple linear regression analysis revealed that individuals with a chronic disease have a Katz ADL score 12.6 times higher than those without a chronic disease (p = 0.004, OR = 12.665, 95% CI: 2.304–69.614). Qualitative analysis identified three themes as challenges, taking over ostomy care and factors improving the quality of life with ostomy.

Conclusion

The findings indicate that having an ostomy impairs individuals' ability to perform daily activities independently and manage their ostomy. Additionally, the presence of a chronic disease in ostomates predicts greater dependence in daily activities. In this regard, support mechanisms should be identified and activated based on the needs of ostomates and chronic diseases, with nursing interventions tailored to address those needs.

Implications for the Profession and/or Patient Care

A dedicated team of specialised ostomy nurses can offer valuable support by focusing on ostomy management and assessing factors that affect both self-care and daily activities.

Impact

This study highlights the impact of coping with an ostomy on daily life and self-care, underscoring the need for targeted support for vulnerable groups and guiding ostomy care nurses in post-discharge follow-up and support group organisation.

Reporting Methods

STROBE and GRAMMS checklists.

Patient or Public Contribution

Patients contributed to the study by sharing their experiences through face-to-face interviews during data collection process.

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影响造口患者日常生活及造口自我护理管理的因素：一项混合方法研究。

目的：探讨影响造口患者日常生活活动能力及造口术后自理能力的因素。设计：混合法设计。方法：本研究于2023年1月至2023年12月期间，通过调查（描述性和临床特征表及Katz日常生活活动量表）收集定量资料（n = 60），并对无法进行造口自我护理的患者进行半结构化访谈收集定性资料（n = 12）。结果：影响造口自我护理能力的因素主要为生理原因（68.3%）和心理原因（66.7%）。多元线性回归分析显示，有慢性疾病个体的Katz ADL评分比无慢性疾病个体高12.6倍（p = 0.004, OR = 12.665, 95% CI: 2.304 ~ 69.614）。定性分析确定了三个主题的挑战，接管造口护理和改善造口生活质量的因素。结论：研究结果表明，造口术损害了个体独立进行日常活动和管理造口术的能力。此外，口腔慢性疾病的存在预示着在日常活动中更大的依赖性。在这方面，应根据口蹄疫和慢性病的需要确定和启动支助机制，并根据这些需要制定护理干预措施。对专业和/或患者护理的影响：一个专门的造口护士团队可以通过专注于造口管理和评估影响自我护理和日常活动的因素来提供有价值的支持。影响：本研究强调了应对造口术对日常生活和自我护理的影响，强调了对弱势群体的针对性支持的必要性，并指导造口护理护士在出院后随访和支持小组组织中。报告方法：STROBE和GRAMMS核对表。患者或公众贡献：在数据收集过程中，患者通过面对面的访谈分享他们的经验，为研究做出了贡献。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.