Ostomy Assessment Systematic Integration of Studies (OASIS): Psychosocial Assessment Scoping Review
DOI:
https://doi.org/10.63354/cjwoc.v2i1.17449Keywords:
ostomy, psychosocial functioning, nursing assessment, surgical stomas, scoping reviewAbstract
Background
Living with an ostomy can have a significant impact on psychosocial well-being and quality of life (QoL). These factors should be considered when assessing individuals living with an ostomy to guide support and resources to improve individual well-being.
Methods
The Joanna Briggs Institute (JBI) framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) were used in the development of this scoping review. This manuscript reports on the psychosocial subset of findings from the OASIS study, a large scoping review focused on assessing individuals living with an ostomy. Of 42,059 articles screened across the MEDLINE and CINAHL databases, this scoping review reports on the 114 articles included in the 383-article findings of the OASIS study that discuss psychosocial assessment in individuals living with an ostomy.
Results
This scoping review discusses the many factors that impact the psychosocial well-being of individuals living with an ostomy. Findings are discussed within 6 themes: psychosocial and emotional well-being; sexuality and intimacy; support person and caregiver roles; perioperative ostomy education; self-efficacy and independence, and clinical concerns.
Conclusions
The results of this study outline the multiple factors that affect the psychosocial well-being of individuals living with an ostomy. Consideration should be given to these factors in order to identify opportunities for support and resource allocation to improve the lives of those living with an ostomy.
References
1. Nichols TR. Quality of life in US residents with ostomies assessed via the SF36v2: role-physical, bodily pain, and general health domain. J Wound Ostomy Continence Nurs. 2016;43(3):280-287. doi:10.1097/WON.0000000000000219
2. Pittman J, Colwell J, Mulekar MS. Ostomy complications and quality of life of ostomy support belt/garment wearers: a web-based survey. J Wound Ostomy Continence Nurs. 2022;49(1):60-68. doi:10.1097/WON.0000000000000843
3. Eklöv K, Shiferaw A, Rosen A, et al. Stoma-related complications and quality-of-life assessment: a cross-sectional study with patients from Ethiopia and Sweden. World J Surg. 2024;48:1739-1748. doi:10.1002/wjs.12209
4. Zewude WC, Derese T, Suga Y, Teklewold B. Quality of life in patients living with stoma. Ethiop J Health Sci. 2021;31(5):993-1000. doi:10.4314/ejhs.v31i5.11
5. Heydari A, Manzari ZS, Pouresmail Z. Nursing intervention for quality of life in patients with ostomy: a systematic review. Iran J Nurs Midwifery Res. 2023;28(4):371-383. doi:10.4103/ijnmr.ijnmr_266_22
6. Kovoor JG, Henry J, Stretton B, et al. Depression after stoma surgery: a systematic review and meta-analysis. BMC Psychiatry. 2023;23(1):352. doi:10.1186/s12888-023-04871-0
7. Ayaz-Alkaya S. Overview of psychosocial problems in individuals with stoma: a review of literature. Int Wound J. 2018;16(1):243-249. doi:10.1111/iwj.13018
8. Peters MDJ, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119-2126. doi:10.11124/JBIES-20-00167
9. Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-473. doi:10.7326/M18-0850
10. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-115. doi:10.1111/j.1365-2648.2007.04569.x
11. Bradbury-Jones C, Aveyard H, Herber OR, Isham L, Taylor J, O’Malley L. Scoping reviews: the PAGER framework for improving the quality of reporting. Int J Soc Res Methodol. 2022;25(4):457-470. doi:10.1080/13645579.2021.1899596
12. Heerschap C, Butt B, Franco F, et al. Ostomy Assessment Systematic Integration of Studies (OASIS): assessment tools scoping review. Can J Wound Ostomy Continence. 2026;2(1):13-22. doi:10.63354/cjwoc.v2i1.17439
13. Cheung YL, Molassiotis A, Chang AM. A pilot study on the effect of progressive muscle relaxation training of patients after stoma surgery. Eur J Cancer Care (Engl). 2001;10(2):107-114. doi:10.1046/j.1365-2354.2001.00256.x
14. Saini P, Gaba R, Faridi MS, Agarwal N, Kaur N, Gupta A. Quality of life of patients after temporary ileostomy for ileal perforation- a questionnaire based study. Indian J Surg. 2014;76(1):38-43. doi:10.1007/s12262-012-0547-z
15. Iqbal A, Sakharuk I, Goldstein L, et al. Readmission after elective ileostomy in colorectal surgery is predictable. JSLS. 2018;22(3):e2018.00008. doi:10.4293/JSLS.2018.00008
16. Song L, Han X, Zhang J, Tang L. Body image mediates the effect of stoma status on psychological distress and quality of life in patients with colorectal cancer. Psychooncology. 2020;29(4):796-802. doi:10.1002/pon.5352
17. Cheung YL, Molassiotis A, Chang AM. The effect of progressive muscle relaxation training on anxiety and quality of life after stoma surgery in colorectal cancer patients. Psychooncology. 2003;12(3):254-266. doi:10.1002/pon.638
18. Herrle F, Sandra-Petrescu F, Weiss C, Post S, Runkel N, Kienle P. Quality of life and timing of stoma closure in patients with rectal cancer undergoing low anterior resection with diverting stoma: a multicenter longitudinal observational study. Dis Colon Rectum. 2016;59(4):281-290. doi:10.1097/DCR.0000000000000545
19. Lívia de Oliveira A, Loures Mendes L, Pereira Netto M, Gonçalves Leite IC. Cross-cultural adaptation and validation of the stoma quality of life questionnaire for patients with a colostomy or ileostomy in Brazil: a cross-sectional study. Ostomy Wound Manage. 2017;63(5):34-41.
20. Krainski MM. The role of hardiness in adjustment to an ostomy. Ostomy Wound Manage. 1994;40(4):52-54, 56, 58-60 passim.
21. Çakır S, Özbayır T. Assessment of patient anxiety levels before and after stoma surgery. Turk J Colorectal Dis. 2018;28(4):159-163. doi:10.4274/tjcd.15046
22. Tseng H-C, Wang H-H, Hsu Y-Y, Weng W-C. Factors related to stress in outpatients with permanent colostomies. Kaohsiung J Med Sci. 2004;20(2):70-77. doi:10.1016/S1607-551X(09)70087-7
23. Elshatarat RA, Ebeid IA, Elhenawy KA, Saleh ZT, Raddaha AHA, Aljohani MS. Jordanian ostomates’ health problems and self-care ability to manage their intestinal ostomy: a cross-sectional study. J Res Nurs. 2020;25(8):679-696. doi:10.1177/1744987120941568
24. Camilleri-Brennan J, Steele RJ. Objective assessment of quality of life following panproctocolectomy and ileostomy for ulcerative colitis. Ann R Coll Surg Engl. 2001;83(5):321-324.
25. Randell N, Lynch AC, Anthony A, Dobbs BR, Roake JA, Frizelle FA. Does a colostomy alter quality of life in patients with spinal cord injury? A controlled study. Spinal Cord. 2001;39(5):279-282. doi:10.1038/sj.sc.3101156
26. Augestad KM, Sneve AM, Lindsetmo RO. Telemedicine in postoperative follow-up of STOMa PAtients: a randomized clinical trial (the STOMPA trial). Br J Surg. 2020;107(5):509-518. doi:10.1002/bjs.11491
27. de la Quintana Jiménez P, Pastor Juan C, Prados Herrero I, et al. A prospective, longitudinal, multicenter, cohort quality-of-life evaluation of an intensive follow-up program for patients with a stoma. Ostomy Wound Manage. 2010;56(5):44-52.
28. Liu L, Herrinton LJ, Hornbrook MC, Wendel CS, Grant M, Krouse RS. Early and late complications among long-term colorectal cancer survivors with ostomy or anastomosis. Dis Colon Rectum. 2010;53(2):200-212. doi:10.1007/DCR.0b013e3181bdc408
29. Luther SL, Nelson AL, Harrow JJ, Chen F, Goetz LL. A comparison of patient outcomes and quality of life in persons with neurogenic bowel: standard bowel care program vs colostomy. J Spinal Cord Med. 2005;28(5):387-393. doi:10.1080/10790268.2005.11753838
30. Rosito O, Nino-Murcia M, Wolfe VA, Kiratli BJ, Perkash I. The effects of colostomy on the quality of life in patients with spinal cord injury: a retrospective analysis. J Spinal Cord Med. 2002;25(3):174-183. doi:10.1080/10790268.2002.11753619
31. Branagan G, Tromans A, Finnis D. Effect of stoma formation on bowel care and quality of life in patients with spinal cord injury. Spinal Cord. 2003;41(12):680-683. doi:10.1038/sj.sc.3101529
32. Munck J, Simoens Ch, Thill V, et al. Intestinal stoma in patients with spinal cord injury: a retrospective study of 23 patients. Hepatogastroenterology. 2008;55(88):2125-2129.
33. Coggrave MJ, Ingram RM, Gardner BP, Norton CS. The impact of stoma for bowel management after spinal cord injury. Spinal Cord. 2012;50(11):848-852. doi:10.1038/sc.2012.66
34. Bølling Hansen R, Staun M, Kalhauge A, Langholz E, Biering-Sørensen F. Bowel function and quality of life after colostomy in individuals with spinal cord injury. J Spinal Cord Med. 2016;39(3):281-289. doi:10.1179/2045772315Y.0000000006
35. Cooper EA, Bonne Lee B, Muhlmann M. Outcomes following stoma formation in patients with spinal cord injury. Colorectal Dis. 2019;21(12):1415-1420. doi:10.1111/codi.14753
36. Sjödahl R, Lemon E, Nyström PO, Olaison G. Complications, surgical revision and quality of life with conventional and continent ileostomy. Acta Chir Scand. 1990;156(5):403-407.
37. Tsunoda A, Tsunoda Y, Narita K, Watanabe M, Nakao K, Kusano M. Quality of life after low anterior resection and temporary loop ileostomy. Dis Colon Rectum. 2008;51(2):218-222. doi:10.1007/s10350-007-9101-7
38. Hoch J, Yang M, Yan S, van den Broek N, Xie J, Warusavitarne J. A health-related quality-of-life study comparing Vitala continence control device versus traditional pouch system only in patients with end colostomy. Eur J Gastroenterol Hepatol. 2013;25(6):739-747. doi:10.1097/MEG.0b013e32835d5f3c
39. Colquhoun P, Kaiser R Jr, Efron J, et al. Is the quality of life better in patients with colostomy than patients with fecal incontinence? World J Surg. 2006;30(10):1925-1928. doi:10.1007/s00268-006-0531-5
40. Santos VLCG, Gomboski G, Freitas NO, Grant M. Adaptation of the City of Hope-Quality of Life-Ostomy Questionnaire from English to Brazilian Portuguese: a validation study. J Wound Ostomy Continence Nurs. 2021;48(1):44-51. doi:10.1097/WON.0000000000000727
41. Manderson L. Boundary breaches: the body, sex and sexuality after stoma surgery. Soc Sci Med. 2005;61(2):405-415. doi:10.1016/j.socscimed.2004.11.051
42. de Sousa AFL, Queiroz AAFLN, Mourão LF, de Oliveira LB, Marques ADB, Nascimento LC. Sexuality for the ostomized woman: contribution to nursing care. Rev Pesqui Cuid Fundam Online. 2013;5(6):74-81. doi:10.9789/2175-5361.2013.v5i6.74-81
43. Ferreira ED, Barbosa MH, Sonobe HM, Barichello E. Self-esteem and health-related quality of life in ostomized patients. Rev Bras Enferm. 2017;70(2):271-278. doi:10.1590/0034-7167-2016-0161
44. Klopp AR. Body image and self-concept in persons with stomas. Dissertation. University of Illinois at Chicago, Health Sciences Center;1988.
45. Thomas C, Turner P, Madden F. Coping and the outcome of stoma surgery. J Psychosom Res. 1988;32(4-5):457-467. doi:10.1016/0022-3999(88)90030-x
46. Mahjoubi B, Mohammadsadeghi H, Mohammadipour M, Mirzaei R, Moini R. Evaluation of psychiatric illness in Iranian stoma patients. J Psychosom Res. 2009;66(3):249-253. doi:10.1016/j.jpsychores.2008.10.015
47. Gacci M, Saleh O, Cai T, et al. Quality of life in women undergoing urinary diversion for bladder cancer: results of a multicenter study among long-term disease-free survivors. Health Qual Life Outcomes. 2013;11:43. doi:10.1186/1477-7525-11-43
48. Davidson F. Quality of life, wellbeing and care needs of Irish ostomates. Br J Nurs. 2016;25(17):S4-S12. doi:10.12968/bjon.2016.25.17. S4
49. Notter J, Chalmers F. Living with a colostomy: a pilot study. Gastrointest Nurs. 2012;10(6):16-24. doi:10.12968/gasn.2012.10.6.16
50. Pryse-Phillips W. Follow-up study of patients with colostomies. Am J Surg. 1971;122(1):27-32. doi:10.1016/0002-9610(71)90342-4
51. Thomas C, Madden F, Jehu D. Psychosocial morbidity in the first three months following stoma surgery. J Psychosom Res.1984;28(3):251-257. doi:10.1016/0022-3999(84)90027-8
52. Anseline P. Quality of life after restorative proctocolectomy. Aust N Z J Surg. 1990;60(9):683-688. doi: 10.1111/j.1445-2197.1990.tb07456.x.
53. Martinsson ES, Josefsson M, Ek AC. Working capacity and quality of life after undergoing an ileostomy. J Adv Nurs. 1991;16(9):1035-1041. doi:10.1111/j.1365-2648.1991.tb03363.x
54. Mäkelä JT, Turku PH, Laitinen ST. Analysis of late stomal complications following ostomy surgery. Ann Chir Gynaecol. 1997;86(4):305-310.
55. Gooszen AW, Geelkerken RH, Hermans J, Lagaay MB, Gooszen HG. Quality of life with a temporary stoma: ileostomy vs. colostomy. Dis Colon Rectum. 2000;43(5):650-655. doi:10.1007/BF02235581
56. Carlsson E, Berglund B, Nordgren S. Living with an ostomy and short bowel syndrome: practical aspects and impact on daily life. J Wound Ostomy Continence Nurs. 2001;28(2):96-105. doi:10.1067/mjw.2001.113261
57. Mäkelä JT, Niskasaari M. Stoma care problems after stoma surgery in Northern Finland. Scand J Surg. 2006;95(1):23-27. doi:10.1177/145749690609500105
58. Boraii S. A descriptive study to assess quality of life in Egyptian patients with a stoma. Ostomy Wound Manage. 2017;63(7):28-33.
59. Cengiz B, Bahar Z. Perceived barriers and home care needs when adapting to a fecal ostomy: a phenomenological study. J Wound Ostomy Continence Nurs. 2017;44(1):63-68. doi:10.1097/WON.0000000000000271
60. Kirkpatrick JR, Thompson G, Rogers A. The quality of life after ileostomy: a follow-up study. Front Gastrointest Res. 1979;5:202-207. doi:10.1159/000402331
61. Beeken RJ, Haviland JS, Taylor C, et al. Smoking, alcohol consumption, diet and physical activity following stoma formation surgery, stoma-related concerns, and desire for lifestyle advance: a United Kingdom survey. BMC Public Health. 2019;19(1):574. doi:10.1186/s12889-019-6913-z
62. Nordström GM, Nyman CR. Living with a urostomy. A follow up with special regard to the peristomal-skin complications, psychosocial and sexual life. Scand J Urol Nephrol Suppl. 1991;138:247-251. doi: 10.1080/21681805.1991.12068899
63. Coons SJ, Chongpison Y, Wendel CS, Grant M, Krouse RS. Overall quality of life and difficulty paying for ostomy supplies in the Veterans Affairs ostomy health-related quality of life study: an exploratory analysis. Med Care. 2007;45(9):891-895. doi:10.1097/ MLR.0b013e318074ce9b
64. Youngberg DRM. Individuals with a permanent ostomy: quality of life, preoperative stoma site marking by an ostomy nurse, six peristomal complications, and out-of-pocket financial costs for ostomy management. Dissertation. Teachers College, Columbia University; 2010.
65. Saracco C, Rastelli G, Roveron G, Ferrara F; Italian Association of Stoma Care Operators (AIOSS—Associazione Italiana Operatori Sanitari Stomaterapia). Sexual function in patients with stoma and its consideration among their caregivers: a cross-sectional study. Sex Disabil. 2019;37(3):415-427. doi:10.1007/s11195-019-09574-7
66. Wirsching M, Drüner HU, Herrmann G. Results of psychosocial adjustment to long-term colostomy. Psychother Psychosom. 1975;26(5):245-256. doi:10.1159/000286938
67. Wabrek AJ, Wabrek CJ, Burchell RC. Sexual implications of bowel diversion. Am J Proctol Gastroenterol Colon Rectal Surg. 1980;31(8):23-27.
68. Thomas C, Madden F, Jehu D. Psychological effects of stomas--I. Psychosocial morbidity one year after surgery. J Psychosom Res. 1987;31(3):311-316. doi:10.1016/0022-3999(87)90050-x
69. Borwell B. The psychosexual needs of stoma patients. Prof Nurse. 1997;12(4):250-255.
70. Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD. Quality of life in stoma patients. Dis Colon Rectum. 1999;42(12):1569-1574. doi:10.1007/BF02236209
71. Mahjoubi B, Mirzaei R, Azizi R, Jafarinia M, Zahedi-Shoolami L. A cross-sectional survey of quality of life in colostomates: a report from Iran. Health Qual Life Outcomes. 2012;10:136. doi:10.1186/1477-7525-10-136
72. Näsvall P, Dahlstrand U, Löwenmark T, Rutegård J, Gunnarsson U, Strigård K. Quality of life in patients with a permanent stoma after rectal cancer surgery. Qual Life Res. 2017;26(1):55-64. doi:10.1007/s11136-016-1367-6
73. Zhu X, Chen Y, Tang X, et al. Sexual experiences of Chinese patients living with an ostomy. J Wound Ostomy Continence Nurs. 2017;44(5):469-474. doi:10.1097/WON.0000000000000357
74. Charúa-Guindic L, Benavides-León CJ, Villanueva-Herrero JA, Jiménez-Bobadilla B, Abdo-Francis JM, Hernández-Labra E. Quality of life in ostomized patients. Cir Cir. 2011;79(2):149-155.
75. Krouse RS, Mohler MJ, Wendel CS, et al. The VA Ostomy Health-Related Quality of Life Study: objectives, methods, and patient sample. Curr Med Res Opin. 2006;22(4):781-791. doi:10.1185/030079906X96380
76. Gloeckner MR. Perceptions of sexual attractiveness following ostomy surgery. Res Nurs Health. 1984;7(2):87-92. doi:10.1002/nur.4770070204
77. Anaraki F, Vafaie M, Behboo R, Maghsoodi N, Esmaeilpour S, Safaee A. Quality of life outcomes in patients living with stoma. Indian J Palliat Care. 2012;18(3):176-180. doi:10.4103/0973-1075.105687
78. 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. doi:10.1111/jocn.14876
79. Macêdo LM, Cavalcante VMV, Coelho MMF, et al. The perception of ostomized patients with colorectal cancer regarding their quality of life. Rev Rene. 2020;21:e43946. doi:10.15253/2175-6783.20202143946
80. Polidano K, Chew-Graham CA, Farmer AD, Saunders B. Access to psychological support for young people following stoma surgery: exploring patients’ and clinicians’ perspectives. Qual Health Res. 2021;31(3):535-549. doi:10.1177/1049732320972338
81. Bulkley J, McMullen CK, Hornbrook MC, et al. Spiritual well-being in long-term colorectal cancer survivors with ostomies. Psychooncology. 2013;22(11):2513-2521. doi:10.1002/pon.3318
82. Ayik C, Özden D, Cenan D. Relationships among spiritual well-being, adjustment, and quality of life in patients with a stoma: a cross-sectional, descriptive study. Wound Manag Prev. 2019;65(5):40-47.
83. Nichols T. Health utility, social interactivity, and peristomal skin status: a cross-sectional study. J Wound Ostomy Continence Nurs. 2018;45(5):438-443. doi:10.1097/WON.0000000000000457
84. Nam KH, Kim HY, Kim JH, Kang K-N, Na SY, Han BH. Effects of social support and self-efficacy on the psychosocial adjustment of Korean ostomy patients. Int Wound J. 2019;16(Suppl 1):13-20. doi:10.1111/iwj.13038
85. Cengiz B, Bahar Z, Canda AE. The effects of patient care results of applied nursing intervention to individuals with stoma according to the health belief model. Cancer Nurs. 2020;43(2):E87-E96. doi:10.1097/ NCC.0000000000000678
86. Coca C, Fernández de Larrinoa I, Serrano R, García-Llana H. The impact of specialty practice nursing care on health-related quality of life in persons with ostomies. J Wound Ostomy Continence Nurs. 2015;42(3):257-263. doi:10.1097/WON.0000000000000126
87. Herlufsen P, Brødsgaard A. The lived experiences of persons hospitalized for construction of an urgent fecal ostomy. J Wound Ostomy Continence Nurs. 2017;44(6):557-561. doi:10.1097/WON.0000000000000382
88. Leyk M, Ksiaz˙ek J, Habel A, Dobosz M, Kruk A, Terech S. The influence of social support from the family on health related-quality of life in persons with a colostomy. J Wound Ostomy Continence Nurs. 2014;41(6):581-588. doi:10.1097/WON.0000000000000086
89. Walsh BA, Grunert BK, Telford GL, Otterson MF. Multidisciplinary management of altered body image in the patient with an ostomy. J Wound Ostomy Continence Nurs. 1995;22(5):227-236. doi:10.1097/00152192-199509000-00010
90. Reynaud SN, Meeker BJ. Coping styles of older adults with ostomies. J Gerontol Nurs. 2002;28(5):30-36. doi:10.3928/0098-9134-20020501-08
91. Nichols T, Goldstine J, Inglese G. A multinational evaluation assessing the relationship between peristomal skin health and health utility. Br J Nurs. 2019;28(5):S14-S19. doi:10.12968/bjon.2019.28.5.S14
92. Nybaek H, Knudsen DB, Laursen TN, Karlsmark T, Jemec GB. Quality of life assessment among patients with peristomal skin disease. Eur J Gastroenterol Hepatol. 2010;22(2):139-143. doi:10.1097/MEG. 0b013e32832ca054
93. Scarpa M, Barollo M, Polese L, Keighley MRB. Quality of life in patients with an ileostomy. Minerva Chir. 2004;59(1):23-29.
94. Pittman J, Rawl SM, Schmidt CM, et al. Demographic and clinical factors related to ostomy complications and quality of life in veterans with an ostomy. J Wound Ostomy Continence Nurs. 2008;35(5):493-503. doi:10.1097/01.WON.0000335961.68113.cb
95. Lo S-F, Wang Y-T, Wu L-Y, Hsu M-Y, Chang S-C, Hayter M. Multimedia education programme for patients with a stoma: effectiveness evaluation. J Adv Nurs. 2011;67(1):68-76. doi:10.1111/j.1365-2648.2010.05455.x
96. Cheng F, Meng A-F, Yang L-F, Zhang Y-N. 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.
97. Lim SH, Chan SWC, He H-G. Patients’ experiences of performing self-care of stomas in the initial postoperative period. Cancer Nurs. 2015;38(3):185-193. doi:10.1097/NCC.0000000000000158
98. Seo H-W. 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. doi:10.1111/iwj.13047
99. Chadwick DJ, Stower MJ. Life with urostomy. Br J Urol. 1990;65(2):189-191. doi:10.1111/j.1464-410x.1990.tb14697.x
100. Yilmazer T, Tüzer H, Akyüz S. Effect of Information-motivation-behavioral skills model-based intervention on quality of life of ostomy patients. Turkiye Klinikleri J Nurs Sci. 2020;12(2):182-189. doi:10.5336/nurses.2019-72070
101. Lim SH, Chan SWC, Lai JH, He H-G. A qualitative evaluation of the STOMA psychosocial intervention programme for colorectal cancer patients with stoma. J Adv Nurs. 2019;75(1):108-118. doi:10.1111/jan.13821
102. Persson E, Gustavsson B, Hellström AL, Lappas G, Hultén L. Ostomy patients’ perceptions of quality of care. J Adv Nurs. 2005;49(1):51-58. doi:10.1111/j.1365-2648.2004.03263.x
103. Peller CA, Froymovich O, Tartter PI. The true cost of protective loop colostomy. Am J Gastroenterol. 1989;84(9):1034-1037.
104. McMullen CK, Wasserman J, Altschuler A, et al. Untreated peristomal skin complications among long-term colorectal cancer survivors with ostomies. Clin J Oncol Nurs. 2011;15(6):644-650. doi:10.1188/11.CJON.644-650
105. Konjevoda V, Zelić M, Samarin RM, Petek D. City of Hope Quality of Life-Ostomy Questionnaire validity and reliability assessment on a Croatian sample. Int J Environ Res Public Health. 2020;17(3):768. doi:10.3390/ijerph17030768
106. Person B, Ifargan R, Lachter J, Duek SD, Kluger Y, Assalia A. The impact of preoperative stoma site marking on the incidence of complications, quality of life, and patient’s independence. Dis Colon Rectum. 2012;55(7):783-787. doi:10.1097/DCR.0b013e31825763f0
107. Erwin-Toth P, Thompson SJ, Davis JS. Factors impacting the quality of life of people with an ostomy in North America: results from the Dialogue Study. J Wound Ostomy Continence Nurs. 2012;39(4):417-424. doi:10.1097/WON.0b013e318259c441
108. Szewczyk MT, Majewska G, Cabral MV, Hölzel-Piontek K. The effects of using a moldable skin barrier on peristomal skin condition in persons with an ostomy: results of a prospective, observational, multinational study. Ostomy Wound Manage. 2014;60(12):16-26.
109. Maydick DR. Individuals with a permanent ostomy: quality of life and out-of-pocket financial costs for ostomy management. Nurs Economic$. 2014;32(4):204-210, 218.
110. Celik SS, Tuna Z, Yildirim M. The experience of urostomists who do not have access to pre-operative and post-operative stoma care nursing intervention. Int J Urol Nurs. 2014;9(2):101-107. doi:10.1111/ijun.12068
111. Simmons KL, Smith JA, Bobb K-A, Liles LLM. Adjustment to colostomy: stoma acceptance, stoma care self-efficacy and interpersonal relationships. J Adv Nurs. 2007;60(6):627-635. doi:10.1111/j.1365-2648.2007.04446.x
112. Bekkers MJ, van Knippenberg FC, van den Borne HW, van Berge-Henegouwen GP. Prospective evaluation of psychosocial adaptation to stoma surgery: the role of self-efficacy. Psychosom Med. 1996;58(2):183-191. doi:10.1097/00006842-199603000-00013
113. Wu HK-M, Chau JP-C, Twinn S. Self-efficacy and quality of life among stoma patients in Hong Kong. Cancer Nurs. 2007;30(3):186-193. doi:10.1097/01.NCC.0000270704.34296.86
114. Baykara ZG, Demir S, Karadag A. Family functioning, perceived social support, and adaptation to a stoma: a descriptive, cross-sectional survey. Wound Manag Prev. 2020;66(1):30-38. doi:10.25270/wmp.2020.1.3038
115. Braumann C, Müller V, Knies M, Aufmesser B, Schwenk W, Koplin G. Quality of life and need for care in patients with an ostomy: a survey of 2647 patients of the Berlin OStomy-Study (BOSS). Langenbecks Arch Surg. 2016;401(8):1191-1201. doi:10.1007/s00423-016-1507-z
116. Maydick-Youngberg D. A descriptive study to explore the effect of peristomal skin complications on quality of life of adults with a permanent ostomy. Ostomy Wound Manage. 2017;63(5):10-23.
117. Schiergens TS, Hoffmann V, Schobel TN, et al. Long-term quality of life of patients with permanent end ileostomy: results of a nationwide cross-sectional survey. Dis Colon Rectum. 2017;60(1):51-60. doi:10.1097/DCR.0000000000000732
118. Davis JS, Svavarsdóttir MH, Pudło M, Arena R, Lee Y, Jensen MK. Factors impairing quality of life for people with an ostomy. Gastrointest Nurs. 2011;9(Suppl 2):14-18. doi:10.12968/gasn.2011.9.sup2.14
119. Vargas-Escudero A, Moya-Muñoz N, Capilla-Díaz C, Sánchez-Crisol I, Hueso-Montoro C. Altered body image in stoma patients: evaluation through classification of nursing outcomes. Gastrointest Nurs. 2019;17(Sup5):S24-S30. doi:10.12968/gasn.2019.17.Sup5.S24
120. Ito N, Ishiguro M, Tanaka M, Tokunaga K, Sugihara K, Kazuma K. Response shift in quality-of-life assessment in patients undergoing curative surgery with permanent colostomy: a preliminary study. Gastroenterol Nurs. 2010;33(6):408-412. doi:10.1097/SGA.0b013e318200bf30
121. Counsell PB, Lockhart-Mummery HE. Ileostomy; assessment of disability; management. Lancet. 1954;266(6803):113-119. doi:10.1016/s0140-6736(54)90977-0
122. Karadag A, Baykara ZG. Colostomy irrigation: an important issue for Muslim individuals. Asian Pac J Cancer Prev. 2009;10(6):1189-1190.
123. Carlsson E, Berndtsson I, Hallen A, Lindholm E, Persson E. Concerns and quality of life before and during the recovery period in patients with rectal cancer and an ostomy. J Wound Ostomy Continence Nurs. 2010;37(6):654-661. doi:10.1097/WON.0b013e3181f90f0c
124. Haughey S, McGroggan G. Living well with a stoma: a descriptive evaluation. Gastrointest Nurs. 2017;15(7):41-48. doi:10.12968/gasn.2017.15.7.41
125. Harputlu D, Özsoy SA. A prospective, experimental study to assess the effectiveness of home care nursing on the healing of peristomal skin complications and quality of life. Ostomy Wound Manage. 2018;64(10):18-30.
126. Goldstine J, van Hees R, van de Vorst D, Skountrianos G, Nichols T. Factors influencing health-related quality of life of those in the Netherlands living with an ostomy. Br J Nurs. 2019;28(22):S10-S17. doi:10.12968/bjon.2019.28.22.S10
127. Heerschap C, Duff V. The lived experience of patients with an ostomy: a pilot study on the effect of ostomy pouch opacity. Adv Skin Wound Care. 2021;34(12):662-666. doi:10.1097/01.ASW.0000797944.99019.4d
128. LeBlanc K, Heerschap C, Martins L, Butt B, Wiesenfeld S, Woo K. The financial impact of living in Canada with an ostomy: a cross-sectional survey. J Wound Ostomy Continence Nurs. 2019;46(6):505-512. doi:10.1097/WON.0000000000000590
129. Vural F, Harputlu D, Karayurt O, et al. The impact of an ostomy on the sexual lives of persons with stomas: a phenomenological study. J Wound Ostomy Continence Nurs. 2016;43(4):381-384. doi:10.1097/WON.0000000000000236
130. Tan Z, Jiang L, Lu A, He X, Zuo Y, Yang J. Living with a permanent ostomy: a descriptive phenomenological study on postsurgical experiences in patients with colorectal cancer. BMJ Open. 2024;14(11):e87959. doi:10.1136/bmjopen-2024-087959
131. Lin L, Lin H, Lin N, Yan M, Xie J, Lin R. The effect of a nurse-led health education model for patients with temporary stomas: a randomized controlled trial. Eur J Oncol Nurs. 2025;76:102861. doi:10.1016/j.ejon.2025.102861
132. Özden ZM, Kiliç M. The effect of self-efficacy levels of patients with intestinal stoma on stoma adaptation. Support Care Cancer. 2023;31(5):252. doi:10.1007/s00520-023-07702-w
133. Osborne W, White M, Aibibula M, Boisen EB, Ainsworth R, Vestergaard M. Prevalence of leakage and its negative impact on quality of life in people living with a stoma in the UK. Br J Nurs. 2022;31(16):S24-S38. doi:10.12968/bjon.2022.31.16.S24
134. Dobrescu AI, Nussbaumer-Streit B, Klerings I, et al. Restricting evidence syntheses of interventions to English-language publications is a viable methodological shortcut for most medical topics: a systematic review. J Clin Epidemiol. 2021;137(3):209-217. doi:10.1016/j.jclinepi.2021.04.012
135. Nussbaumer-Streit B, Klerings I, Dobrescu AI, et al. Excluding non-English publications from evidence-syntheses did not change conclusions: a meta-epidemiological study. J Clin Epidemiol. 2020;118:42-54. doi:10.1016/j.jclinepi.2019.10.011
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Canadian Journal of Wound, Ostomy and Continence

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