Department of Global Clinical Research, Hollister Incorporated, Libertyville, IL 60048, USA.
J Wound Ostomy Continence Nurs. 2011 Jan-Feb;38(1):63-8. doi: 10.1097/won.0b013e318202a804.
This purpose of this study is to characterize the prevalence of social isolation and determine the impact of influencing factors in a sample of adults with ostomies.
Five hundred sixty adults with an ostomy, residing in North America and the United Kingdom, less than 24 months postsurgery, participated in the study.
Data were extracted from the Ostomy Comprehensive Health and Life Assessment (Hollister Incorporated, Libertyville, Illinois) electronic database. Data collection began in 2004; the database included approximately 3000 persons with an ostomy. This was a cross-sectional survey and not a clinical investigation. All survey respondents were provided complete anonymity. No identifying data were incorporated into the database, or held as a matter of record. We defined 2 groups characterized as polar opposites. They are (1) adults whose responses indicate they are very socially isolated or experience low levels of social support and display dissatisfaction or low levels of life satisfaction; and (2) adults whose responses indicate they are socially connected and displaying moderate or high levels of life satisfaction. I hypothesized that life-influencing differences exist within the gradient from high satisfaction and social connectivity to dissatisfaction and social isolation, and that these differences would be most evident in these 2 groups.
Study findings support the hypothesis that social isolation and social connectivity are associated with different levels of life satisfaction. Statistically significant correlations between social isolation, emotional support, and life satisfaction are demonstrated. Furthermore, assessment of body image perception between the groups indicates statistically significant differences in perception. In addition, analysis reveals that pre- and postoperative nursing intervention significantly influences these outcomes.
The study provides evidence that social isolation exists in some adults with ostomies, which is associated with low levels of life satisfaction and emotional support. A lack of social connectivity is identifiable and WOC nurses and other clinicians may incorporate counseling into their treatment regimens to facilitate its negative impact on life satisfaction following ostomy surgery.
本研究旨在描述造口患者社会隔离的流行情况，并确定影响因素对该人群的影响。
本研究共纳入 560 名北美和英国的造口术后<24 个月的成年人。
从 Hollister 公司（伊利诺伊州利伯蒂维尔）的造口综合健康和生活评估（Ostomy Comprehensive Health and Life Assessment，OCHLA）电子数据库中提取数据。该数据库于 2004 年开始收集数据，包含约 3000 名造口患者。本研究为横断面调查，而非临床研究。所有调查对象均被提供完全匿名。数据库中未包含任何可识别数据，也未对此类数据进行记录。我们将两组定义为截然相反的极端情况。一组是（1）社会隔离程度高或社会支持度低，表现出不满或生活满意度低的患者；另一组是（2）社会联系紧密，生活满意度中等或较高的患者。我们假设在从高满意度和社会联系到不满和社会隔离的梯度中存在影响生活的差异，并且这些差异在这两组中最为明显。
研究结果支持社会隔离和社会联系与不同生活满意度水平相关的假设。社会隔离、情感支持与生活满意度之间存在显著相关性。此外，两组之间的体像感知评估表明，在感知方面存在显著差异。此外，分析显示术前和术后护理干预对这些结果有显著影响。
本研究表明，一些造口患者存在社会隔离，这与生活满意度和情感支持降低有关。社会联系缺失是可以识别的，伤口造口护士和其他临床医生可以将咨询纳入其治疗方案中，以减轻其对造口术后生活满意度的负面影响。
