Graduation Year
2018
Degree Type
Open Access Capstone
Document Type
Capstone
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Department Name when Degree Awarded
Baccalaureate and Graduate Nursing
First Advisor
Donna J. Corley
Department Affiliation
Nursing
Second Advisor
Shannon Shumaker
Department Affiliation
Nursing
Abstract
Approximately one million people in North America are living with an ostomy, and an additional 100,000 will undergo ostomy surgery annually. Persons living with ostomies, often referred to as ostomates, require specialized care and management to sustain physical health and quality of life. Fecal diversion ostomates, when compared to the general population, are more likely to experience psychological disturbance and higher levels of depression. These ostomates have reported increased loneliness, lowered self-esteem, decreased or absent libido, irritability, suicidal ideation, poor self-image, and symptoms of generalized anxiety disorder and social phobia. Being an ostomate has been associated with a reduction in health-related quality of life, increased social isolation, and disruption to work and travel patterns. The aim of this project was to translate existing evidence on psychosocial support groups to the ostomy patient population and explore the effect of ostomate-to-ostomate support on stomal adaptation. Ten ostomy participants provided demographic data and completed a 34-item ostomy adjustment scale, pre- and post-intervention, to measure acceptance of the stoma 90 days postoperatively. A paired sample t-test evaluated the influence of the ostomy support group on the participants’ ostomy adjustment scores. Participants’ mean ostomy adjustment score increased significantly from pre-intervention (125.6 + 27.27) to post-intervention (176.2 + 15.44), t (9) = -9.59, p = .000. The project findings suggest that use of the ostomy support group model improves psychosocial adaptation to stoma.
Copyright
2018 Marjorie C. Summers
Recommended Citation
Summers, Marjorie C., "The Effect of Ostomate-to-Ostomate Support on Psychosocial Adaptation to Stoma" (2018). Doctor of Nursing Practice Projects. 28.
https://encompass.eku.edu/dnpcapstones/28
IRB Approval Number (if applicable)
University of Kentucky 17-0637-P3K