Psychological assistance to ostomate patients. Proposal of intervention protocol (Perrotta-Guerrieri Psychological Care for Ostomy Patients, PCOP) and clinical questionnaire (Perrotta-Guerrieri Psychological Care for Ostomy Patients Questionnaire – first version, PCOP-Q1)
- 30 March 2022
- journal article
- Published by Peertechz Publications Private Limited in Archives of Community Medicine and Public Health
- Vol. 8 (1), 041-051
- https://doi.org/10.17352/2455-5479.000172
Abstract
Ostomy patients are subject to significant negative psychological impact, affecting their quality of life in all respects (physical, psychological, social, economic, and spiritual), especially if they are not properly constructed or if there are complications during the recovery phase. In the light of published research and studies, the main problems are as follows: a) alteration of body image; loss of sphincter control; b) odor, leakage, and complications related to the stoma; c) impairment of sexuality; d) alteration of nutrition and sleep; e) anxiety, depression, and loneliness; embarrassment and shame; f) loss of control of the situation; drop in self-esteem; g) rejection; h) stigmatization; i) disinvestment in social activities; l) abandonment of work and sports activities; isolation; m) difficulties in couple relationships and social contacts. The psychological problems caused by ostomy can be avoided, or at least contained, by comprehensive care of the patient, both before and after the operation. In addition to purely technical care, teaching, accompaniment and constant support are the main components of care that can make a difference to how the patient will accept his or her ostomy. Setting the care only on the management of the physical dimension will hardly allow the person to integrate the ostomy into his life. The present work proposes a specific protocol of psychological intervention (Perrotta-Guerrieri Psychological Care for Ostomy Patients, PCOP), for all the clinical phases (pre-operative, operative, post-operative, follow-up) and a specific questionnaire (Perrotta-Guerrieri Psychological Care for Ostomy Patients Questionnaire - first version, PCOP-Q1) to be submitted to the patient which investigates the 9 subjective functions (physical, psychological, sexual, emotional, sentimental, work, family and social), in 45 items with a response on L1-5 scale, for the study of quality of life in the ostomised patient.Keywords
This publication has 62 references indexed in Scilit:
- Telephone follow-up for patients returning home with colostomies: Views and experiences of patients and enterostomal nursesEuropean Journal of Oncology Nursing, 2013
- Small intestine and microbiotaCurrent Opinion in Gastroenterology, 2011
- Assessing peristomal skin changes in ostomy patients: validation of the Ostomy Skin ToolBritish Journal of Dermatology, 2011
- Quality of life in ostomy patients: a qualitative studyPatient Preference and Adherence, 2010
- Quality of Life for Patients Living With OstomiesJournal of Wound, Ostomy & Continence Nursing, 2010
- Impact of colorectal cancer on patient and family: Implications for careEuropean Journal of Oncology Nursing, 2008
- Adjustment to colostomy: stoma acceptance, stoma care self‐efficacy and interpersonal relationshipsJournal of Advanced Nursing, 2007
- Sensitivity to disgust, stigma, and adjustment to life with a colostomyJournal of Research in Personality, 2007
- Living with a stoma: a review of the literatureJournal of Clinical Nursing, 2005
- Quality of life in colorectal cancerDiseases of the Colon & Rectum, 1995