Objective To describe predictors of adjustment to living with an ostomy among Italian adults with an enterostomy or a colostomy. Methods A multicenter, cross-sectional design was performed, sampling 403 patients with an ostomy in three different outpatient clinics of northern Italy between April 2018 and December 2020. Data were collected by stoma therapists in ambulatory settings using the Italian version of the Ostomy Adjustment Inventory-23 and patient medical records. Results Acceptance was lower among women, patients who underwent emergency surgery, those with a urostomy, and those with a body mass index of less than or equal to 25 kg/m2. Negative feelings were associated with higher body mass index, colostomies, shorter length of time of living with an ostomy, and emergency ostomy creation. Conclusions Being young and having a high level of education are protective against psychosocial problems and help promote acceptance and social engagement. The findings of this study help identify patients who are likely to be more vulnerable and need greater support through specific educational and motivational interventions.
Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study
Dellafiore, FedericaMembro del Collaboration Group
;Manara, Duilio F.Membro del Collaboration Group
;Arrigoni, CristinaMembro del Collaboration Group
;Baroni, IreneMembro del Collaboration Group
;Nania, TizianaMembro del Collaboration Group
;Caruso, RosarioMembro del Collaboration Group
;
2022-01-01
Abstract
Objective To describe predictors of adjustment to living with an ostomy among Italian adults with an enterostomy or a colostomy. Methods A multicenter, cross-sectional design was performed, sampling 403 patients with an ostomy in three different outpatient clinics of northern Italy between April 2018 and December 2020. Data were collected by stoma therapists in ambulatory settings using the Italian version of the Ostomy Adjustment Inventory-23 and patient medical records. Results Acceptance was lower among women, patients who underwent emergency surgery, those with a urostomy, and those with a body mass index of less than or equal to 25 kg/m2. Negative feelings were associated with higher body mass index, colostomies, shorter length of time of living with an ostomy, and emergency ostomy creation. Conclusions Being young and having a high level of education are protective against psychosocial problems and help promote acceptance and social engagement. The findings of this study help identify patients who are likely to be more vulnerable and need greater support through specific educational and motivational interventions.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
