Analysis of Preoperative Psychological Characteristics of Patients with Enterostomy

Journal: Advanced Journal of Nursing DOI: 10.32629/ajn.v3i2.1143

Jing Fang, Chun Yu, Xiaocui Zou, Tingting Yuan, Jing Zhang

Breast Surgery Nursing Unit, Sichuan Academy of Medical Sciences – Sichuan Provincial People's Hospital (SAMSPH), Chengdu 610072, Sichuan, China

Abstract

Enterostomy is to resect the diseased intestinal tract through surgery, free a section of normal intestinal tract, sew its opening on the abdominal wall, communicate with the intestinal tract, and use it to excrete metabolic waste in the intestinal tract. It is a common surgical method for cancer, which can save and prolong the life of patients. Intestinal stoma patients not only bring inconvenience to life, but also have physical and psychological problems such as depression, anxiety, insomnia, fatigue, and dyspnea, which seriously affect normal social activities. Therefore, attention should be paid to both physical and mental care of stoma patients. Family resilience refers to the support of family members to help patients get out of the plight of illness. Dual support and coping theory refers to the mutual support between patients and their main caregivers to achieve a stable relationship between family members and to jointly cope with the disease process. Quality of life is especially important. This article reviews the psychological characteristics of patients with enterostomy based on family resilience and dual support coping, aiming to provide reliable theoretical knowledge and nursing programs for postoperative physical and mental recovery of patients with enterostomy.

Keywords

enterostomy, psychological characteristics, family resilience, dual support coping

Funding

The general project funded by the Natural Science Foundation of Sichuan Province (2022NSFSC0648)

References

[1]Ambe PC, Kurz NR, Nitschke C, et al. Intestinal Ostomy[J]. Dtsch Arztebl Int, 2018,115(11):182-187.
[2]Guo Caixia, Lu Fengqing, Zhang Ping, et al. Current status and nursing progress of enterostomy [J]. Advances in Modern Biomedicine, 2010,10(16):3195-3197.
[3]Prophylactic biological mesh reinforcement versus standard closure of stoma site (ROCSS): a multicentre, randomised controlled trial[J]. Lancet, 2020,395(10222):417-426.
[4]Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J]. CA Cancer J Clin, 2021,71(3):209 -249.
[5]Verweij NM, Bonhof CS, Schiphorst A, et al. Quality of life in elderly patients with an ostomy - a study from the population-based PROFILES registry[J]. Colorectal Dis, 2018,20(4):O92- O102.
[6]Cressey BD, Belum VR, Scheinman P, et al. Stoma care products represent a common and previously underreported source of peristomal contact dermatitis[J]. Contact Dermatitis, 2017,76(1):27-33.
[7]Colwell JC, McNichol L, Boarini J. North America Wound, Ostomy, and Continence and Enterostomal Therapy Nurses Current Ostomy Care Practice Related to Peristomal Skin Issues[J]. Journal of Wound, Ostomy & Continence Nursing, 2017,44(3): 257-261.
[8]Rivet E B. Ostomy Management[J]. Surgical Clinics of North America, 2019,99(5):885-898.
[9]Wu Yuexiang, Wu Wanqiu, Pu Youfang, et al. Analysis of factors affecting quality of life in patients with permanent enterostomy [J]. General Nursing, 2020,18(33):4652-4655.
[10]Ayaz Alkaya S. Overview of psychosocial problems in individuals with stomach: A review of literature[J]. International Wound Journal, 2018,16(1):243-249.
[11]Brown H, Randle J. Living with a stomach: a review of the literature[J]. J Clin Nurs, 2005,14(1):74-81.
[12]Wang Lei, Yan Yuanyuan, Zhao Xiaoyan, et al. Summary of the best evidence on the nursing role and practice of stoma therapists [J]. Nursing Research, 2022,36(12):2086-2092.
[13]Abcarian H, Pearl R K. Stomas[J]. Surg Clin North Am, 1988,68(6):1295-1305.
[14]Wang Yuna, Huang Ping, Wang Jiaxiang, et al. Current status and influencing factors of family resilience in patients with rectal cancer with permanent colostomy [J]. Journal of Wannan Medical College, 2022,41(02):196-199.
[15]Walsh F. The concept of family resilience: crisis and challenge[J]. Fam Process, 1996,35(3):261-281.
[16]Hao Hongli, Feng Lixia. Analysis of current situation and influencing factors of family resilience in young breast cancer patients [J]. Journal of Nurses Training, 2021,36(23):2201-2204.
[17]Li Limei, Yang Li, Rong Fei, et al. Influencing factors of family resilience in patients with permanent enterostomy after radical resection of rectal cancer [J]. Nursing of Integrated Traditional Chinese and Western Medicine (Chinese and English), 2022,8(05):160-162.
[18]Zhan Yuji, Wu Sijun, Zeng Wenfeng, et al. Research progress on family resilience [J]. Occupation and Health, 2022,38(14):2007-2010.
[19]Yu Lingling. The impact of perceived stress and dualistic coping on the quality of life of couples with permanent enterostomy patients and their spouses [D]. Yanbian University, 2021.
[20]Sun Haiyan, Qin Yang, Xu Yirong, et al. Research on the subject-object interdependence model of binary coping and psychological resilience in cancer patients and their spouses [J]. Journal of Nursing, 2022,29(06):60-64.
[21]Bodenmann G, Meuwly N, Germann J, et al. Effects of Stress on the Social Support Provided by Men and Women in Intimate Relationships[J]. Psychol Sci, 2015,26(10):1584-1594.
[22]Karademas EC, Giannousi Z. Representations of control and psychological symptoms in couples dealing with cancer: a dyadic-regulation approach[J]. Psychol Health, 2013,28(1):67-83.
[23]Zhang Y, Xian H, Yang Y, et al. Relationship between psychosocial adaptation and health-related quality of life of patients with stomach: A descriptive, cross-sectional study[J]. Journal of Clinical Nursing, 2019, 28 (15-16):2880-2888.
[24]Zhu Na, Cui Jing. Nursing effect of dual coping model in patients with rectal cancer enterostomy [J]. Chinese Cancer Clinic and Rehabilitation, 2022,29(09):1122-1126.
[25]Kong Panpan. Study on the impact of dual coping model on the quality of life of patients with enterostomy and the burden of caregivers [J]. Colorectal and Anal Surgery, 2021,27(03):289-294.
[26]Li Yanyan. Observation and Nursing Care of Enterostomy and Incision Infection with Moist Healing Dressing After Enterostomy [J]. Clinical Research, 2020,28(08):187-188.
[27]Zhang Huan, Yan Rong, Cheng Fangfang, et al. Research on the Binary Relationship Between Coping Strategies and Depression Status in Permanent Enterostomy Patients and Their Spouses [J]. General Nursing, 2021,19(22):3121-3124.

Copyright © 2023 Jing Fang, Chun Yu, Xiaocui Zou, Tingting Yuan, Jing Zhang

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License