Self-management goals of cancer survivors with an ostomy.

Autor: Ercolano E; Yale University, New Haven, CT, USA. elizabethercolano@sbcglobal.net., Grant M; Department of Population Sciences, City of Hope, Duarte, CA, USA., Sun V; Department of Population Sciences, City of Hope, Duarte, CA, USA.; Department of Surgery, City of Hope, Duarte, CA, USA., Tallman N; Unaffiliated, Wound, Ostomy, and Continence Nurse, Tucson, AZ, USA., Mo J; Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA., Pitcher P; Patient Stakeholder, New Haven, CT, USA., Hornbrook MC; Kaiser Permanente Center for Health Research, Portland, OR, USA., Yonsetto P; Arizona Telemedicine Program, University of Arizona, Tucson, AZ, USA., Bojorquez O; University of Pennsylvania, Philadelphia, PA, USA., Raza S; University of Pennsylvania, Philadelphia, PA, USA., McCorkle R; Yale University, New Haven, CT, USA., Krouse RS; Department of Surgery, City of Hope, Duarte, CA, USA.
Jazyk: angličtina
Zdroj: Journal of cancer survivorship : research and practice [J Cancer Surviv] 2023 Oct; Vol. 17 (5), pp. 1480-1487. Date of Electronic Publication: 2022 May 06.
DOI: 10.1007/s11764-022-01164-5
Abstrakt: Objectives: Ostomies due to cancer surgery impose complex and enduring care challenges that necessitate cancer survivors" self-management. The objective of this analysis is to evaluate ostomates' self- management goals using a qualitative approach.
Methods: A multi-site randomized controlled trial testing the Ostomy Self-Management Training program (OSMT) was delivered via telehealth to a group of cancer survivors with an ostomy randomized to either the OSMT program with goal setting or usual care (UC), without goal setting. Goals were classified by type and frequency according to a modified City of Hope Health-Related Quality of Life framework (physical, psychological, social, spiritual, ostomy-specific, and healthcare quality domains), using a directed and systematic content analysis approach.
Results: The 524 self-management goals analyzed by domain frequencies physical (29.4%), ostomy specific (29.0%) and social well-being (25.0%) were predominant. Managing other health issues (7.6%), psychological issues (6.0%), and spiritual well-being issues (3.0%) were next. Common self-management themes were ostomy care independence (87.5%), handling cancer-related issues (62.5%), achieving acceptance (56.2%), resuming physical activity (43.0%), and maintaining fluid/diet balance (43.0%).
Discussion/conclusion: Goal-setting offers insights into self-management concerns of cancer survivors with ostomies. Results demonstrate the broad aspects of self-management ostomates face.
Practice Implications: Self-management training with patient goal-setting may be used to help ostomates with cancer and their health care providers identify areas for needed education and support.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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