Öz
Amaç
Ostomi ile yaşamak bireyi birçok açıdan etkilemektedir. Bu çalışmanın amacı, bağırsak ostomisi olan hastalarda ostomi adaptasyonunu, uyku kalitesini ve ilişkili faktörleri incelemektir.
Yöntem
Bu araştırma tanımlayıcı, kesitsel bir çalışmadır. Örneklemi ostomi bakımını kendisi yapabilen 45 yetişkin hasta oluşturmuştur. Çalışma verileri kişisel bilgi formu, Pittsburgh uyku kalitesi indeksi ve ostomi uyum envanteri kullanılarak toplanmıştır. Elde edilen veriler tanımlayıcı istatistiksel yöntemler, varyans analizi, student t-testi, korelasyon ve regresyon analizi kullanılarak değerlendirilmiştir.
Bulgular
Hastaların yaş ortalaması 58,0±17,7 yıldır ve hastaların %51’i erkekti, %69’una geçici ostomi ve %67’sine kolostomi yapılmıştır. Tüm hastaların ortalama bağırsak ostomi uyum skoru 47,1±13,9 ve ortalama uyku kalitesi puanı 7,8±4,1 idi. Cinsiyetler arasında uyku kalitesi puanları arasında anlamlı fark yoktur (p=0,442). Ostomi uyum envanter puanı kadınlarda 51,9±13,9, erkeklerde 42,5±12,6 puandır (p=0,023).
Sonuç
Çalışmamızda bağırsak ostomisi olan hastaların ostomiye orta derecede uyum gösterdiği ve uyku kalitesinin kötü olduğu görüldü. Kadın hastaların erkek hastalara göre uyumunun daha iyi olduğu, ostomi sorunu olmayanların ise olanlara göre daha iyi uyum gösterdiği görüldü. Bu çalışmanın sonuçları, ostomiye iyi uyum sağlayan hastaların da uyku sorunları yaşayabileceğini ortaya koyması açısından önemlidir.
Anahtar Kelimeler: Anahtar kelimeler: Bağırsak ostomisi, ostomi uyumu, uyku kalitesi
Kaynakça
Erol T. Stoma complications. Acta Medica. 2019;50(2):47-52.
Steinhagen E, Colwell J, Cannon LM. Intestinal stomas-postoperative stoma care and peristomal skin complications. Clin Colon Rectal Surg. 2017;30(3):184-192.
Correa-Marinez A, Grenabo J, Bock D, Wedin A, Angenete E. The type of stoma matters-morbidity in patients with obstructing colorectal cancer. Int J Colorectal Dis. 2018;33(12):1773-1780.
Harputlu D, Özsoy AS. A tool for the diagnosis of skin complications around the stoma: peristomal skin tool. F.N. Hem. Derg. 2016;24(1):38-48.
Marinez AC, González E, Holm K, Bock D, Prytz M, Haglind E, et al. Stoma-related symptoms in patients operated for rectal cancer with abdominoperineal excision. Int J Colorectal Dis. 2016;31(3):635-641.
Vonk-Klaassen SM, de Vocht HM, den Ouden ME, Eddes EH, Schuurmans MJ. Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Qual Life Res. 2016;25(1):125-133.
Seo HW. Effects of the frequency of ostomy management reinforcement education on self-care knowledge, self-efficacy, and ability of stoma appliance change among Korean hospitalised ostomates. Int Wound J. 2019;16(Suppl 1):21-28.
Zhang Y, Xian H, Yang Y, Zhang X, Wang X. Relationship between psychosocial adaptation and health-related quality of life of patients with stoma: A descriptive, cross-sectional study. J Clin Nurs. 2019;28(15-16):2880-2888.
Simmons KL, Smith JA, Maekawa A. Development and psychometric evaluation of the ostomy adjustment inventory-23. J Wound Ostomy Continence Nurs. 2009;36(1):69-76.
Indrebø KL, Natvig GK, Andersen JR. A cross-sectional study to determine whether adjustment to an ostomy can predict health-related and/or overall quality of life. Ostomy Wound Manage. 2016;62(10):50-59.
Sun V, Grant M, McMullen CK, Altschuler A, Mohler MJ, Hornbrook MC, et al. Surviving colorectal cancer: long-term, persistent ostomy-specific concerns and adaptations. J Wound Ostomy Continence Nurs. 2013;40(1):61-72.
Fabbri M, Beracci A, Martoni M, Meneo D, Tonetti L, Natale V. Measuring subjective sleep quality: a review. Int. J. Environ. Res. Public Health. 2021;18(1082).
Yalın H, Kürtüncü M. Evaluation of sleep and rest and clinical decision making. Eti Arslan F, editor. In: Evaluation of health and clinical decision making. Academisyen Medical Bookstore: Ankara; 2017.
Garland SN, Johnson JA, Savard J, Gehrman P, Perlis M, Carlson L, et al. Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients. Neuropsychiatr Dis Trea. 2014;10:1113-1124.
Guyton AC, Hall JE. Medical physiology. 11th ed. Çavuşoğlu H, Yeğen B, editors. Nobel Medical Bookstores: İstanbul; 2007.
Sochal M, Małecka-Panas E, Gabryelska A, Talar-Wojnarowska R, Szmyd B, Krzywdzinska M, et al. Determinants of sleep quality in inflammatory bowel diseases. J Clin Med. 2020;9:2921: 1-10.
Uemura R, Fujiwara Y, Iwakura N, Shiba M, Watanabe K, Kamata N, et al. Sleep disturbances in Japanese patients with inflammatory bowel disease and their impact on disease flare. Springerplus. 2016;5(1):1792-1800.
Ceylan H, Vural F. Living with stoma-a phenomenological study. Journal of Nursing Research and Practice. 2017;1(1):6-12.
Vorbeck E, Willette-Murphy K, Meiers S, Rudel R, Alakhras M. A descriptive, interventional study to assess the impact of surgical stomas on individuals’ sleep perceptions and response to sleep hygiene intervention. Ostomy Wound Manage. 2010;56(1):36-44.
Furukawa C, Morioka I. Health-related quality of life and sleep disorders in patients with a urostomy: is there a relationship? J Wound Ostomy Continence Nurs. 2017;44(4):358-362.
Ağargün M, Kara H, Anlar Ö. Validity and reliability of Pittsburgh sleep quality index. Turkish Journal of Psychiatry. 1996;7(2):107-115.
Karadag A, Göçmen ZB, Korkut H, Çelik B. Adaptation of the adaptation scale for individuals with ostomy into Turkish. Turkish Journal of Surgery. 2011;27(4):206-211.
Kurt S, Enç N. Sleep problems in critical care patients and nursing care. Turk J Card Nurs. 2013;4(5):1-8.
Hu A, Pan Y, Zhang M, Zhang J, Zheng M, Huang M, et al. Factors influencing adjustment to a colostomy in chinese patients: a cross-sectional study. J Wound Ostomy Continence Nurs. 2014;41(5):455-459.
Honkala S, Berterö C. Living with an ostomy: women’s long term experiences. Vård i Norden. 2009;29(2):19-22.
Cheng F, Meng AF, Yang LF, Zhang YN. The correlation between ostomy knowledge and self-care ability with psychosocial adjustment in Chinese patients with a permanent colostomy: a descriptive study. Ostomy Wound Manage. 2013;59(7):35-38.
Xian H, Zhang Y, Yang Y, Zhang X, Wang X. A descriptive, cross-sectional study among chinese patients to identify factors that affect psychosocial adjustment to an enterostomy. Ostomy Wound Manage. 2018;64(7):8-17.
Karaveli S, Özbayır T, Karacabay K. Investigating the preoperative and postoperative experiences of patients undergoing colorectal cancer surgery. Anadolu Nursing and Health Sciences Journal. 2014;17(2):90-96.
Sun V, Bojorquez O, Grant M, Wendel CS, Weinstein R, Krouse RS. Cancer survivors’ challenges with ostomy appliances and self-management: a qualitative analysis. Support Care Cancer. 2020;28(4):1551-1554.
Yan MH, Lv L, Zheng MC, Jin Y, Zhang JE. Quality of life and its influencing factors among Chinese patients with permanent colostomy in the early postoperative stage: a longitudinal study. Cancer Nurs. 2022;45(1):E153-E161.
Avci Işik S, Balanuye B, Budak Ertürk E, Karahan A, Üstündağ Ç, Uğurlu Z, et al. Sleep problems in individuals with intestinal stomas and determining the quality of sleep: a multicenter study. J Wound Ostomy Continence Nurs. 2023;50(1):39-46.
Wu X, Chen J, Deng S, Liu R. Assessment of the effect of “3H” nursing mode on negative emotions and insomnia in patients with enterostomy. Yangtze Medicine. 2023;7(1):18-26.
Ang SGM, Chen HC, Siah RJC, He HG. Klainin-Yobas P. Stressors relating to patient psychological health following stoma surgery: an integrated literature review. Oncol Nurs Forum. 2013;40(6):587-594.
Silva NM, Santos MA, Rosado SR, Galvão CM, Sonobe HM. Psychological aspects of patients with intestinal stoma: integrative review. Rev Lat Am Enfermagem. 2017;25:e2950.
Alptekin D, Arslan S. Satisfaction with life and stoma compliance in patients with colostomy. Journal of Kocaeli Health and Technology University. 2023;1(1):32-38.
Duluklu B, Çelik SŞ. Effects of lavender essential oil on deodorization, quality of life and ostomy adjustment in colorectal cancer patients with permanent colostomy: a randomized controlled trial. Eur J Oncol Nurs. 2019;42:90-96.
Çevik B, Uğurlu Z, Abbasoğlu A, Karahan A, Saltan Ç. Determination of ostomy adaptation of individuals with ostomy and factors affecting it. Journal of Hacettepe University Faculty of Nursing. 2020;7(3):186-195.
Aminisani N, Nikbakht H, Asghari Jafarabadi M, Shamshirgaran SM. Depression, anxiety, and health related quality of life among colorectal cancer survivors. J Gastrointest Oncol. 2017;8(1):81-88.
Black P, Notter J. Psychological issues affecting patients living with a stoma. Br J Nurs. 2021;30(6):S20-S32.
Pieper B, Templin TN. Sleep quality: a pilot study comparing patients with and without injection-related venous ulcers. J Wound Ostomy Continence Nurs. 2016;43(5):471-476.
