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dc.contributor.authorKAHRAMAN, AYŞE
dc.contributor.authorAltinsoy, Meral
dc.contributor.authorToyluk, Eylem
dc.contributor.authorKaradag, Ayise
dc.contributor.authorKarabulut, Hatice
dc.contributor.authorKaradag, Sercan
dc.contributor.authorAkil, Yasemin
dc.contributor.authorHin, Aysel Oren
dc.contributor.authorUlusoy, Birgul
dc.contributor.authorBAYKARA, ZEHRA GÖÇMEN
dc.contributor.authorHarputlu, Deniz
dc.contributor.authorLeventoglu, Sezai
dc.date.accessioned2021-03-03T13:06:15Z
dc.date.available2021-03-03T13:06:15Z
dc.date.issued2015
dc.identifier.citationKaradag A., Karabulut H., BAYKARA Z. G. , Harputlu D., Toyluk E., Ulusoy B., Karadag S., KAHRAMAN A., Hin A. O. , Altinsoy M., et al., "A Prospective, Multicentered Study to Assess Social Adjustment in Patients With an Intestinal Stoma in Turkey", OSTOMY WOUND MANAGEMENT, cilt.61, sa.10, ss.16-29, 2015
dc.identifier.issn0889-5899
dc.identifier.otherav_32040793-43f9-47c8-baa6-edfa3907c680
dc.identifier.othervv_1032021
dc.identifier.urihttp://hdl.handle.net/20.500.12627/37979
dc.description.abstractPatients with a stoma undergo physiological, psychological, and social adjustment to their new life situation. A descriptive, prospective study was conducted to assess adaptation among patients > 18 years of age with a new temporary or permanent colostomy or ileostomy living in Turkey and receiving care at a participating stomatherapy unit. The study took place between September 1, 2011, and September 1, 2012. During hospitalization and following discharge, patients with a stoma received training and counseling according to their individual characteristics and their physiological, psychological, and social needs. Each participant completed the 19-item "Identification Form for Patients with a Stoma" at the beginning of the study to document sociodemographic and stoma characteristics. To assess adjustment to the stoma, The Ostomy Assessment Inventory (OAI-23) was administered 2 times - he first within 1 month and the second within 6 months after surgery or when a temporary stoma was closed (whichever came first). This instrument comprised 23 items regarding adaptation to the stoma using Likert-type response options (0-4 range). Total scores ranged from 10 to 92, with higher scores indicating better adjustment. The instruments were completed by stoma and wound care nurses during face-to-face interviews. Data were analyzed using the Kruskal-Wallis, Mann-Whitney, and Wilcoxon tests. Of the 135 participants, the majority (77, 57.0%) were male; 73 (54.1%) had a colostomy, and 106 (78.5%) had a temporary stoma. The primary reason for stoma creation was cancer (89, 65.9%). Mean total OAI-23 scores were 48.63 +/- 13.75 at the first administration and 50.59 +/- 13.89 for the second. In terms of sociodemographic factors, significant increases in mean scores from the first to the second survey time were noted among patients in the 50-69 age group, women, married persons, and unemployed persons (P < 0.05). With regard to stoma characteristics, the OAI-23 scores of patients with planned stoma operations and persons with permanent stomas increased significantly (P < 0.05) between assessments. Significant increases in OAI-23 scores also were noted among persons who did not receive information before the operation, patients whose stoma site was not marked, and patients who had experienced a complication (P < 0.05). Postoperatively, it is important to consider sociodemographic and stoma characteristics as well as preoperative variables that may influence adaptation to stoma. Additional larger, multicentered studies with extended patient follow-up are warranted.
dc.language.isoeng
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectCerrahi Tıp Bilimleri
dc.subjectCERRAHİ
dc.titleA Prospective, Multicentered Study to Assess Social Adjustment in Patients With an Intestinal Stoma in Turkey
dc.typeMakale
dc.relation.journalOSTOMY WOUND MANAGEMENT
dc.contributor.departmentİstanbul Üniversitesi , ,
dc.identifier.volume61
dc.identifier.issue10
dc.identifier.startpage16
dc.identifier.endpage29
dc.contributor.firstauthorID225292


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