Individuals who undergo ostomy-creation surgery often experience diminished psychosocial adjustment (PSA) and health-related quality of life (HRQOL). The literature offers variable findings regarding the effect of sociodemographic and clinical factors on individuals with an ostomy. The aim of this study was to examine the influence of personal and clinical factors upon PSA and HRQOL in new adult ostomates. A cross-sectional research design utilized the Ostomy Adjustment Inventory-23 to examine PSA and the SF-36 to assess HRQOL. The sample included 183 adult participants from 15 states in the US who had a stoma for less than 1 year. Data were analyzed using descriptive statistics, analysis of variance, associations using Cramer’s V, and multiple regression. Study hypotheses were supported and identified that age, assistance with care, educational background, stoma type, BMI, stoma height, preoperative education and stoma siting all affected PSA and HRQOL while gender, time since surgery, and planned versus emergent surgery additionally influenced HRQOL. Multivariate analysis of variance identified those who reported independence with ostomy care experienced better PSA and HRQOL. The findings from this study may assist health care providers to understand the physical and emotional needs of those with ostomies and positively affect the care provided to them.
|Advisor:||Mawn, Barbara E|
|Commitee:||Beitz, Janice M, Koren, Ainat, Rydberg, Jason|
|School:||University of Massachusetts Lowell|
|School Location:||United States -- Massachusetts|
|Source:||DAI 81/11(E), Dissertation Abstracts International|
|Keywords:||Health-related quality of life, OAI-23, Ostomy, Ostomy complications, Psychosocial adjustment, SF-36|
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