Self-management intervention model for optimizing psychological well-being in patients with colorectal stoma
-
Published: December 30, 2023
-
Page: 349-360
Abstract
A stoma can increase life expectancy and support health recovery but brings several physical and psychosocial issues. Psychosocial resilience is critical in dealing with these changes. This study aims to provide new insights into the interaction between self-management and psychosocial resilience in colorectal cancer stoma patients. This research employs a qualitative design with a case study approach. The study involves colorectal cancer patients with completed primary cancer-related therapies, totaling eight individuals. The informants also include family members of the patients (eight individuals) and volunteer nurses within the community (three individuals). The research instrument is an interview guide structured around five themes. Data analysis follows qualitative stages, encompassing reduction, presentation, and conclusion. Triangulation techniques are utilized to ensure the validity of the findings. The findings suggest that collaboration between family, community, and nurses can provide comprehensive support. However, a structured and focused self-management intervention model is needed to improve psychosocial consistency and resilience. Three models were proposed, namely Family Therapy, Online Community Support, and Nurse Integration in Self-Management, hoping to provide more specific guidance and support for patients. This study provides a basis for developing more varied intervention models and a comprehensive understanding of self-management of colorectal cancer stoma patients.Keywords
- Stoma Stoma Patient Adaptation Colorectal cancer Psychosocial resilience Online Community Support
References
- Ab Rahman, Z., Mohd Noor, A. Y., Kashim, M., Saari, C. Z., Hasan, A. Z., Pa’ad, N. S., Ridzuan, A. R., Md Sham, F., & Mohammed, A. F. (2020). Critical review of the relationship between resilience, self-esteem and religiosity among the tabligh during the fight of COVID-19. Journal of Critical Review, 7(5), 1136–1144.
- Abdelkader, H. A., Belal, F. B., Mahdy, N. E.-S., & Mohammed, M. A. Elr. (2023). Effectiveness of an Educational Program on Self-Care Management of Colostomy Patients. Port Said Scientific Journal of Nursing, 10(4), 334–361.
- Abedizadeh, R., Majidi, F., Khorasani, H. R., Abedi, H., & Sabour, D. (2023). Colorectal cancer: a comprehensive review of carcinogenesis, diagnosis, and novel strategies for classified treatments. Cancer and Metastasis Reviews. https://doi.org/10.1007/s10555-023-10158-3
- Alenezi, A., McGrath, I., Kimpton, A., & Livesay, karen. (2021). Quality of life among ostomy patients: A narrative literature review. Journal of Clinical Nursing, 30(21–22), 3111–3123. https://doi.org/10.1111/jocn.15840
- Applebaum, A. J., Stein, E. M., Lord‐Bessen, J., Pessin, H., Rosenfeld, B., & Breitbart, W. (2014). Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho‐oncology, 23(3), 299–306.
- Arber, A., & Odelius, A. (2018). Experiences of oncology and palliative care nurses when supporting parents who have cancer and dependent children. Cancer Nursing, 41(3), 248–254.
- Ayaz‐Alkaya, S. (2019). Overview of psychosocial problems in individuals with stoma: a review of literature. International Wound Journal, 16(1), 243–249.
- Bafandeh Zendeh, M., Hemmati Maslakpak, M., & Jasemi, M. (2022). Nurses' perceptions of their supportive role for cancer patients: A qualitative study. Nursing Open, 9(1), 646–654.
- Changyai, K., Kongvattananon, P., & Somprasert, C. (2020). The experiences of colorectal cancer patients in postoperative recovery: integrative review. Journal of Health Research, 34(3), 259–269.
- Cohen, S., & McKay, G. (2020). Social support, stress and the buffering hypothesis: A theoretical analysis. In Handbook of psychology and health, Volume IV (pp. 253–267). Routledge.
- Corvese, F., Giordano, V., Alvaro, R., Vellone, E., & Villa, G. (2020). Sociodemographic characteristics and self-care management knowledge of patients with an ostomy. British Journal of Nursing, 29(22), S20–S26.
- De Corte, K. G. P., Van Parys, H., Pauwels, G., Aendekerk, V., Steeman, K., Van Lierde, E., Jespers, I., Vandewiele, H., & Lemmens, G. M. D. (2023). Family involvement in psychiatry: beyond implementing family interventions. Journal of Family Therapy, 45(3), 311–330.
- de Haan, S. (2021). Bio-psycho-social interaction: an enactive perspective. International Review of Psychiatry, 33(5), 471–477.
- fen Song, Q., Yin, G., Guo, X., Lv, X., Yu, K., & Liu, C. (2021). Effects of a self-management program for patients with colorectal cancer and a colostomy: a nonrandomized clinical trial. Journal of Wound Ostomy & Continence Nursing, 48(4), 311–317.
- García-Rodríguez, M. T., Barreiro-Trillo, A., Seijo-Bestilleiro, R., & González-Martin, C. (2021). Sexual dysfunction in ostomized patients: a systematized review. Healthcare, 9(5), 520.
- Geng, Z., Howell, D., Xu, H., & Yuan, C. (2017). Quality of life in Chinese persons living with an ostomy. Journal of Wound, Ostomy and Continence Nursing, 44(3), 249–256.
- Giordano, V., Nicolotti, M., Corvese, F., Vellone, E., Alvaro, R., & Villa, G. (2020). Describing self‐care and its associated variables in ostomy patients. Journal of Advanced Nursing, 76(11), 2982–2992.
- Grady, P. A., & Gough, L. L. (2014). Self-Management: A Comprehensive Approach to Management of Chronic Conditions. American Journal of Public Health, 104(8), e25–e31. https://doi.org/10.2105/AJPH.2014.302041
- Hämel, K., Röhnsch, G., Heumann, M., Backes, D. S., Toso, B. R. G. de O., & Giovanella, L. (2022). How do nurses support chronically ill clients' participation and self-management in primary care? A cross-country qualitative study. BMC Primary Care, 23(1), 1–12.
- Harvey, J., & Boynton, K. (2021). Self-disclosure and psychological resilience: The mediating roles of self-esteem and self-compassion. Interpersona: An International Journal on Personal Relationships, 15(1), 90–104.
- Hong, J., Song, Y., Liu, J., Wang, W., & Wang, W. (2014). Perception and fulfillment of cancer patients' nursing professional social support needs: from the health care personnel point of view. Supportive Care in Cancer, 22, 1049–1058.
- Hosseini, F., Alavi, N. M., Mohammadi, E., & Sadat, Z. (2021). Motivation for healing in cancer patients: a qualitative study. Iranian Journal of Nursing and Midwifery Research, 26(6), 555.
- Ketterer, S. N., Leach, M. J., & Fraser, C. (2021). Factors associated with quality of life among people living with a stoma in nonmetropolitan areas. Nursing Research, 70(4), 281.
- Koc, M. A., Akyol, C., Gokmen, D., Aydin, D., Erkek, A. B., & Kuzu, M. A. (2023). Effect of Prehabilitation on Stoma Self-Care, Anxiety, Depression, and Quality of Life in Patients With Stomas: A Randomized Controlled Trial. Diseases of the Colon & Rectum, 66(1). https://journals.lww.com/dcrjournal/fulltext/2023/01000/effect_of_prehabilitation_on_stoma_self_care,.18.aspx
- Kovoor, J. G., Jacobsen, J. H. W., Stretton, B., Bacchi, S., Gupta, A. K., Claridge, B., Steen, M. V, Bhanushali, A., Bartholomeusz, L., & Edwards, S. (2023). Depression after stoma surgery: a systematic review and meta-analysis. BMC Psychiatry, 23(1), 1–20.
- Leech, N. L., & Onwuegbuzie, A. J. (2007). An array of qualitative data analysis tools: A call for data analysis triangulation. School Psychology Quarterly, 22(4), 557.
- Li, M.-Y., Yang, Y.-L., Liu, L., & Wang, L. (2016). Effects of social support, hope and resilience on quality of life among Chinese bladder cancer patients: a cross-sectional study. Health and Quality of Life Outcomes, 14, 1–9.
- Liao, C., & Qin, Y. (2014). Factors associated with stoma quality of life among stoma patients. International Journal of Nursing Sciences, 1(2), 196–201.
- Lim, S. H., Chan, S. W. C., Lai, J. H., & He, H. G. (2019). A qualitative evaluation of the STOMA psychosocial intervention programme for colorectal cancer patients with stoma. Journal of Advanced Nursing, 75(1), 108–118. https://doi.org/10.1111/jan.13821
- Link, E., Reifegerste, D., & Klimmt, C. (2020). Family involvement in the context of chronic diseases: The role of social support in treatment decision-making for surgical procedures. Journal of Family Research, 32(1), 45–71.
- Liu, H., Zhu, X., Yu, J., He, P., Shen, B., Tang, X., Xu, X., Wei, D., Chen, Y., & Li, X. (2021). The Quality of Life of Patients with Colorectal Cancer and a Stoma in China: A Quantitative Cross-sectional Study. Advances in Skin and Wound Care, 34(6), 302–309. https://doi.org/10.1097/01.asw.0000744348.32773.b9
- Liu, Y., Wang, L., & Zhu, L. (2023). The impact of stoma management education on the self-care abilities of individuals with an intestinal stoma. Gastrointestinal Nursing, 21(Sup4), S14–S21.
- Mo, J., Thomson, C. A., Sun, V., Wendel, C. S., Hornbrook, M. C., Weinstein, R. S., Ercolano, E., Grant, M., Cidav, Z., & McCorkle, R. C. (2021). Healthy behaviors are associated with positive outcomes for cancer survivors with ostomies: A cross-sectional study. Journal of Cancer Survivorship, 15, 461–469.
- Mohamed, S. S., Mohamed, G. S., & Mohamed, H. A. (2017). Effect of Self-care Management Program on Self-efficacy among Patients with Colostomy. American Journal of Nursing Research, 5(5), 191–199. https://doi.org/10.12691/ajnr-5-5-5
- Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020). The role of empathy in health and social care professionals. Healthcare, 8(1), 26.
- Petersén, C., & Carlsson, E. (2021). Life with a stoma—coping with daily life: Experiences from focus group interviews. Journal of Clinical Nursing, 30(15–16), 2309–2319.
- Priya, A. (2021). Case study methodology of qualitative research: Key attributes and navigating the conundrums in its application. Sociological Bulletin, 70(1), 94–110.
- Rojas, M., Nussbaum, M., Guerrero, O., Chiuminatto, P., Greiff, S., Del Rio, R., & Alvares, D. (2022). Integrating a collaboration script and group awareness to support group regulation and emotions towards collaborative problem solving. International Journal of Computer-Supported Collaborative Learning, 17(1), 135–168.
- Ryff, C. D., & Keyes, C. L. M. (1995). The Structure of Psychological Well-Being Revisited. Journal of Personality and Social Psychology, 69(4), 719–727. https://doi.org/10.1037/0022-3514.69.4.719
- Sisto, A., Vicinanza, F., Campanozzi, L. L., Ricci, G., Tartaglini, D., & Tambone, V. (2019). Towards a transversal definition of psychological resilience: A literature review. Medicina, 55(11), 745.
- Sun, V., Bojorquez, O., Grant, M., Wendel, C. S., Weinstein, R., & Krouse, R. S. (2020). Cancer survivors' challenges with ostomy appliances and self-management: A qualitative analysis. Supportive Care in Cancer, 28, 1551–1554.
- Szanton, S. L., Han, H., Campbell, J., Reynolds, N., Dennison‐Himmelfarb, C. R., Perrin, N., & Davidson, P. M. (2020). Shifting paradigms to build resilience among patients and families experiencing multiple chronic conditions. Journal of Clinical Nursing, 29(19–20), 3591.
- Traudt, T., Liaschenko, J., & Peden-McAlpine, C. (2016). Moral agency, moral imagination, and moral community: antidotes to moral distress. The Journal of Clinical Ethics, 27(3), 201–213.
- Vrontaras, N. (2018). Cancer Patients' Views on the Family Changes and the Family Social Support. Journal of European Psychology Students, 9(1).
- Wang, C., Chen, J., Wang, Y., Xu, W., Xie, M., Wu, Y., & Hu, R. (2021). Effects of family participatory dignity therapy on the psychological well-being and family function of patients with haematologic malignancies and their family caregivers: a randomised controlled trial. International Journal of Nursing Studies, 118, 103922.
- Wang, W., Shukla, P., & Shi, G. (2021). Digitalized social support in the healthcare environment: Effects of the types and sources of social support on psychological well-being. Technological Forecasting and Social Change, 164, 120503.
- WHO. (2020). Cancer Incident in Indonesia.Int Agency Res Cancer.