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Bağırsak stomalı hastaların stomaya uyumlarını etkileyen faktörler: ilişkisel çalışma

Amaç: Bu çalışma, bağırsak stoması olan hastaların stomalarına uyumlarının tanımlayıcı, hastalık ve cerrahi özellikleriyle olan ilişkisini değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntem: Çukurova Üniversitesi Balcalı Hastanesi Stomaterapi ünitesine başvuran bağırsak stoması olan 128 hasta ile yürütülen çalışma tanımlayıcı-ilişkisel tiptedir. Araştırma verileri Bağırsak Stoması Olan Bireylere Yönelik Soru Formu, Ostomili Bireylere Yönelik Uyum Ölçeği ve Başa Çıkma Yolları Envanteri ile toplanmıştır. Bulgular: Stomalı hastaların Ostomili Bireylere Yönelik Uyum Ölçeği (OBYUÖ) toplam, kabul etme, kaygı/endişe, sosyal uyum, öfke alt boyutlarından sırasıyla 58.61±14.12, 23.98 ±8.43, 15.84±3.44, 12.53±4.73, 6.25±2,077 puan almışlardır. Stepwise Multıble Doğrusal Regresyonda ileostomisi olma, kadın olma, ileri yaşta olma, bekar olma, stoma sonrası çalışma yaşamına dönme, sorunları ile baş etmede duygusal baş etme yollarını kullanma ve kendi stoma bakımını yapamamama durumu ile yetersiz-kötü stoma uyum sürecinin ilişkili olduğu belirlendi. Sonuç: Stomalı hastaların stomaya uyum puanlarının düşük ve stomaya uyum sağlama destekleyici yöntemlere gereksinimleri olduğu sonucuna ulaşılmıştır.

Anahtar Kelimeler:

Kolostomi, ileostomi, stomaya uyum, stomaya uyum.

Factors affecting adaptation of patients with intestinal stoma: a relational study

Purpose: The aim of this study was to evaluate the relationship between descriptive, disease and surgical characteristics of patients with intestinal stoma.Materials and Methods: This descriptive-relational study was conducted with 128 patients with intestinal stoma who applied to the stomatotherapy unit of Balcalı Hospital, Çukurova University. The research data were collected with Questionnaire for Individuals with Bowel Stoma, Adaptation Scale for Individuals with Ostomy and Inventory of Coping Ways.Results: The Ostomy Adapted Scale for Individuals (ADSS) of the patients with stomata scored 58.61 ± 14.12, 23.98 ± 8.43, 15.84 ± 3.44, 12.53 ± 4.73, 6.25 ± 2.077 from total, acceptance, anxiety / anxiety, social adjustment, and anger subscales. Stepwise Multiple Linear Regression was found to be associated with the status of having ileostomy, being a woman, being older, being single, returning to work after stoma, using emotional coping ways to cope with problems, and inability to perform self-stoma care.Conclusion: Stomata compliance scores of patients with stoma were found to be low and they needed methods to support stomata adaptation.

Keywords:

Colostomy, ileostomy, adaptation to the stoma,

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