Predicting Ostomy Adjustment Based on Spiritual Well-Being in Patients with an Intestinal Ostomy

Hadi-Foroushani, Mohadeseh; Naseh, Ladan; Roshanzadeh, Mostafa

Predicting Ostomy Adjustment Based on Spiritual Well-Being in Patients with an Intestinal Ostomy

Document Type : Original Article

Authors

Mohadeseh Hadi-Foroushani ¹

Ladan Naseh ²

Mostafa Roshanzadeh ³

¹ Iranian Cancer Control Center (MACSA),Isfahan University of Medical Science, Isfahan, Iran

² 2Operating and Nursing Department, Shahrekord University of Medical Sciences, Shahrekord, Iran

³ Operating and Nursing Department, Shahrekord University of Medical Sciences, Shahrekord, Iran

Abstract

Background and Objective: After ostomy surgery, patients experience many changes in their appearance and body function which they have to accept these changes and adjust with an ostomy and a new lifestyle.Religion and spirituality play an important role in people's well-being, adaptation, acceptance of treatment and lifestyle afterwards. The present study was conducted to evaluating the relationship between spiritual well-being and psychosocial adjustment with ostomy.
Materials & Methods: This descriptive–analytical study was conducted in four surgical outpatient clinics affiliated with Isfahan University of Medical Sciences. A total of 130 patients were recruited using convenience sampling. Data were collected using a researcher-developed demographic–clinical questionnaire, Paloutzian and Ellison (1982) Spiritual Well-being (SWB) questionnaire, and Ostomy Adjustment Inventory (OAI-23) developed by Simmons et al. (2009). Data analysis was performed using SPSS software (version 17) and included both descriptive and inferential statistics(independent t-tests, ANOVA, regression analysis, Mann–Whitney and Kruskal–Wallis). The level of statistical significance was set at p<0.05.
Results: The mean score of the spiritual well-being and Psychosocial adjustment were 97.40 ± 14.819 and 47.83 ± 17.211 respectively.The multiple linear regression model showed that the dimensions of spiritual well-being explained approximately 59.5% of the variance in ostomy adjustment (R = 0.772, R² = 0.595, adjusted R² = 0.586). Within this model, religious well-being had the strongest contribution to ostomy adjustment (β = 0.772, p = 0.018).
Conclusion: Based on these findings, nurses as the main providers of health care, need to pay more attention to patient’s spiritual needs and try to improve their spiritual wellbeing, as a source for psychosocial adjustment with ostomy, by providing appropriate nursing support, training and counseling.

Keywords

Colorectal cancer

ostomy surgery

psychosocial adjustment

spiritual well-being

stoma

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