Discipline of Nursing, RMIT University, Melbourne, VIC, Australia.
Chiropractic and Exercise Sciences Department, RMIT University, Melbourne, VIC, Australia.
J Clin Nurs. 2021 Nov;30(21-22):3111-3123. doi: 10.1111/jocn.15840. Epub 2021 May 12.
This study aims to identify and summarise factors related to ostomy patients' experiences and how these impact the perceived quality of life for those patients.
Ostomy formation is a common therapeutic technique used to treat different colorectal diseases such as colorectal cancer. Although surgical intervention and ostomy formation may prolong a patient's life, it may cause many problems in their daily lifestyle and affect their quality of life. The surgical creation of an ostomy has a significant impacts on a patient's quality of life from multiple perspectives, including physical, psychological, social and spiritual aspects.
A narrative literature review, using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline).
This review analysis of search filters was conducted in the following databases: PubMed (MEDLINE), CINAHL, Embase, ProQuest, Science Direct, Scopus, and PsycINFO. A validation data set of 283 research articles between January 2000 and December 2019 were used to identify the impact of stoma surgery on patients' quality of life.
Thirty-seven studies were identified as suitable for inclusion in this literature review. The results of the review indicate that quality of life (QoL) in patients who have an ostomy is influenced by many modifiable factors. Exercise, preoperative stoma site identification, family support, maintenance of social networks, education, spirituality and financial stability are all potentially modifiable factors that can improve the QOL for ostomy patients.
This review has identified multiple challenges that ostomy patients experience, which were clustered according to physical, psychological, social and spiritual challenges.
This study identifies issues associated with stoma creation and can help in planning and providing the required nursing care which may assist in the reduction of predictable challenges. Recommendations for future research related to nursing practice are stated.
本研究旨在确定和总结与造口患者体验相关的因素，以及这些因素如何影响患者的生活质量感知。
造口术是一种常见的治疗技术，用于治疗结直肠疾病，如结直肠癌。虽然手术干预和造口术的形成可以延长患者的生命，但它可能会在他们的日常生活方式中引起许多问题，并影响他们的生活质量。从多个角度来看，包括身体、心理、社会和精神方面，造口术的手术创建对患者的生活质量有重大影响。
使用 PRISMA（系统评价和荟萃分析的首选报告项目）进行叙述性文献综述。
在以下数据库中进行了搜索过滤器的分析：PubMed（MEDLINE）、CINAHL、Embase、ProQuest、Science Direct、Scopus 和 PsycINFO。使用 2000 年 1 月至 2019 年 12 月期间的 283 篇研究文章验证数据集，以确定造口术对患者生活质量的影响。
确定了 37 项适合纳入本文献综述的研究。该综述的结果表明，造口患者的生活质量（QoL）受到许多可改变因素的影响。锻炼、术前造口部位识别、家庭支持、保持社交网络、教育、精神和财务稳定都是可以改善造口患者生活质量的潜在可改变因素。
本综述确定了造口患者所经历的多个挑战，这些挑战根据身体、心理、社会和精神挑战进行了分类。
本研究确定了与造口术相关的问题，并有助于规划和提供所需的护理，这可能有助于减少可预测的挑战。还提出了与护理实践相关的未来研究建议。
