Skip to main content
Erschienen in: Journal of Cancer Education 1/2013

01.03.2013

Development of a Chronic Care Ostomy Self-Management Program

verfasst von: Marcia Grant, Ruth McCorkle, Mark C. Hornbrook, Christopher S. Wendel, Robert Krouse

Erschienen in: Journal of Cancer Education | Ausgabe 1/2013

Einloggen, um Zugang zu erhalten

Abstract

Each year a percentage of the 1.2 million men and women in the United States with a new diagnosis of colorectal cancer join the 700,000 people who have an ostomy. Education targeting the long-term, chronic care of this population is lacking. This report describes the development of a Chronic Care Ostomy Self-Management Program, which was informed by (1) evidence on published quality-of-life changes for cancer patients with ostomies, (2) educational suggestions from patients with ostomies, and (3) examination of the usual care of new ostomates to illustrate areas for continued educational emphases and areas for needed education and support. Using these materials, the Chronic Care Ostomy Self-Management Program was developed by a team of multi-disciplinary researchers accompanied by experienced ostomy nurses. Testing of the program is in process. Pilot study participants reported high satisfaction with the program syllabus, ostomy nurse leaders, and ostomate peer buddies.
Literatur
1.
Zurück zum Zitat Altschuler A, Ramirez M, Grant M, Wendel C, Hornbrook MC, Herrinton L, Krouse RS (2009) The influence of husbands' or male partners' support on women's psychosocial adjustment to having an ostomy resulting from colorectal cancer. J Wound Ostomy Continence Nurs 36(3):299–305. doi:10.1097/WON.0b013e3181a1a1dc PubMedCrossRef Altschuler A, Ramirez M, Grant M, Wendel C, Hornbrook MC, Herrinton L, Krouse RS (2009) The influence of husbands' or male partners' support on women's psychosocial adjustment to having an ostomy resulting from colorectal cancer. J Wound Ostomy Continence Nurs 36(3):299–305. doi:10.​1097/​WON.​0b013e3181a1a1dc​ PubMedCrossRef
2.
Zurück zum Zitat American Cancer Society (2012) Cancer facts and figures 2012. American Cancer Society, Atlanta American Cancer Society (2012) Cancer facts and figures 2012. American Cancer Society, Atlanta
3.
Zurück zum Zitat Baldwin CM, Grant M, Wendel C, Hornbrook MC, Herrinton LJ, McMullen C, Krouse RS (2009) Gender differences in sleep disruption and fatigue on quality of life among persons with ostomies. J Clin Sleep Med 5(4):335–343PubMed Baldwin CM, Grant M, Wendel C, Hornbrook MC, Herrinton LJ, McMullen C, Krouse RS (2009) Gender differences in sleep disruption and fatigue on quality of life among persons with ostomies. J Clin Sleep Med 5(4):335–343PubMed
4.
Zurück zum Zitat Baldwin CM, Grant M, Wendel C, Rawl S, Schmidt CM, Ko C, Krouse RS (2008) Influence of intestinal stoma on spiritual quality of life of U.S. veterans. J Holist Nurs 26(3):185–194. doi:10.1177/0898010108315185, discussion 195–186; quiz 197–189PubMedCrossRef Baldwin CM, Grant M, Wendel C, Rawl S, Schmidt CM, Ko C, Krouse RS (2008) Influence of intestinal stoma on spiritual quality of life of U.S. veterans. J Holist Nurs 26(3):185–194. doi:10.​1177/​0898010108315185​, discussion 195–186; quiz 197–189PubMedCrossRef
5.
Zurück zum Zitat Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84:119–215CrossRef Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84:119–215CrossRef
6.
Zurück zum Zitat Barrie B (1997) Second act: Life after colostomy and other adventures. Scribner, New York Barrie B (1997) Second act: Life after colostomy and other adventures. Scribner, New York
7.
Zurück zum Zitat Coons SJ, Chongpison Y, Wendel CS, Grant M, Krouse RS (2007) Overall quality of life and difficulty paying for ostomy supplies in the Veterans Affairs ostomy health-related quality of life study: an exploratory analysis. Med Care 45(9):891–895PubMedCrossRef Coons SJ, Chongpison Y, Wendel CS, Grant M, Krouse RS (2007) Overall quality of life and difficulty paying for ostomy supplies in the Veterans Affairs ostomy health-related quality of life study: an exploratory analysis. Med Care 45(9):891–895PubMedCrossRef
8.
Zurück zum Zitat de Gouveia Santos VLC, Chaves EC, Kimura M (2006) Quality of life and coping of persons with temporary and permanent stomas. J Wound Ostomy Continence Nurs 33(5):503–509PubMedCrossRef de Gouveia Santos VLC, Chaves EC, Kimura M (2006) Quality of life and coping of persons with temporary and permanent stomas. J Wound Ostomy Continence Nurs 33(5):503–509PubMedCrossRef
10.
Zurück zum Zitat Grant M (1999) Quality of life issues in colorectal cancer. Dev Support Cancer Care 3(1):4–9 Grant M (1999) Quality of life issues in colorectal cancer. Dev Support Cancer Care 3(1):4–9
11.
Zurück zum Zitat Grant M, Ferrell B, Dean G, Uman G, Chu D, Krouse R (2004) Revision and psychometric testing of the City of Hope Quality of Life-Ostomy Questionnaire. Qual Life Res 13(8):1445–1457PubMedCrossRef Grant M, Ferrell B, Dean G, Uman G, Chu D, Krouse R (2004) Revision and psychometric testing of the City of Hope Quality of Life-Ostomy Questionnaire. Qual Life Res 13(8):1445–1457PubMedCrossRef
12.
Zurück zum Zitat Grant M, McMullen CK, Altschuler A, Hornbrook MC, Herrinton LJ, Wendel CS, Baldwin CM, Krouse RS (2012) Irrigation practices in long-term survivors of colorectal cancer (CRC) with colostomies. Clin J Oncol Nurs 16(5):514-519 Grant M, McMullen CK, Altschuler A, Hornbrook MC, Herrinton LJ, Wendel CS, Baldwin CM, Krouse RS (2012) Irrigation practices in long-term survivors of colorectal cancer (CRC) with colostomies. Clin J Oncol Nurs 16(5):514-519
13.
Zurück zum Zitat Grant M, McMullen CK, Altschuler A, Mohler MJ, Hornbrook MC, Herrinton LJ, Wendel CS, Baldwin CM, Krouse RS (2011) Gender differences in quality of life among long-term colorectal cancer survivors with ostomies. Oncol Nurs Forum 38(5):587–596. doi:10.1188/11.ONF.587-596 PubMedCrossRef Grant M, McMullen CK, Altschuler A, Mohler MJ, Hornbrook MC, Herrinton LJ, Wendel CS, Baldwin CM, Krouse RS (2011) Gender differences in quality of life among long-term colorectal cancer survivors with ostomies. Oncol Nurs Forum 38(5):587–596. doi:10.​1188/​11.​ONF.​587-596 PubMedCrossRef
14.
Zurück zum Zitat Grant M, Krouse R, McMullen C, Hornbrook M, Baldwin CM, Herrinton L, Ramirez M, Altschuler A, Mohler MJ (2007) Dietary adjustments reported by colorectal cancer (CRC) survivors with permanent ostomies. J Cancer Educ Suppl 22(4):33 Grant M, Krouse R, McMullen C, Hornbrook M, Baldwin CM, Herrinton L, Ramirez M, Altschuler A, Mohler MJ (2007) Dietary adjustments reported by colorectal cancer (CRC) survivors with permanent ostomies. J Cancer Educ Suppl 22(4):33
17.
20.
21.
Zurück zum Zitat Krouse R, Grant M, Ferrell B, Dean G, Nelson R, Chu D (2007) Quality of life outcomes in 599 cancer and non-cancer patients with colostomies. J Surg Res 138(1):79–87PubMedCrossRef Krouse R, Grant M, Ferrell B, Dean G, Nelson R, Chu D (2007) Quality of life outcomes in 599 cancer and non-cancer patients with colostomies. J Surg Res 138(1):79–87PubMedCrossRef
23.
Zurück zum Zitat Krouse RS, Grant M, Wendel CS, Mohler MJ, Rawl SM, Baldwin CM, Coons SJ, McCorkle R, Ko CY, Schmidt CM (2007) A mixed-methods evaluation of health-related quality of life for male veterans with and without intestinal stomas. Dis Colon Rectum 50(12):2054–2066. doi:10.1007/s10350-007-9004-7 PubMedCrossRef Krouse RS, Grant M, Wendel CS, Mohler MJ, Rawl SM, Baldwin CM, Coons SJ, McCorkle R, Ko CY, Schmidt CM (2007) A mixed-methods evaluation of health-related quality of life for male veterans with and without intestinal stomas. Dis Colon Rectum 50(12):2054–2066. doi:10.​1007/​s10350-007-9004-7 PubMedCrossRef
24.
Zurück zum Zitat Krouse RS, Herrinton LJ, Grant M, Wendel CS, Green SB, Mohler MJ, Baldwin CM et al (2009) Health-related quality of life among long-term rectal cancer survivors with an ostomy: manifestations by sex. J Clin Oncol 27(28):4664–4670. doi:10.1200/JCO.2008.20.9502 PubMedCrossRef Krouse RS, Herrinton LJ, Grant M, Wendel CS, Green SB, Mohler MJ, Baldwin CM et al (2009) Health-related quality of life among long-term rectal cancer survivors with an ostomy: manifestations by sex. J Clin Oncol 27(28):4664–4670. doi:10.​1200/​JCO.​2008.​20.​9502 PubMedCrossRef
25.
Zurück zum Zitat Krouse RS, Mohler MJ, Wendel CS, Grant M, Baldwin CM, Rawl SM, McCorkle R et al (2006) The VA ostomy health-related quality of life study: objectives, methods, and patient sample. Curr Med Res Opin 22(4):781–791. doi:10.1185/030079906X96380 PubMedCrossRef Krouse RS, Mohler MJ, Wendel CS, Grant M, Baldwin CM, Rawl SM, McCorkle R et al (2006) The VA ostomy health-related quality of life study: objectives, methods, and patient sample. Curr Med Res Opin 22(4):781–791. doi:10.​1185/​030079906X96380 PubMedCrossRef
27.
Zurück zum Zitat Lorig K, Holman H (1998) Arthritis self-efficacy scales measure self-efficacy. Arthritis Care Res Off J Arthritis Health Prof Assoc 11(3):155–157CrossRef Lorig K, Holman H (1998) Arthritis self-efficacy scales measure self-efficacy. Arthritis Care Res Off J Arthritis Health Prof Assoc 11(3):155–157CrossRef
28.
Zurück zum Zitat Lorig K, Laurin J, Holman HR (1984) Arthritis self-management: a study of the effectiveness of patient education for the elderly. Gerontologist 24(5):455–457PubMedCrossRef Lorig K, Laurin J, Holman HR (1984) Arthritis self-management: a study of the effectiveness of patient education for the elderly. Gerontologist 24(5):455–457PubMedCrossRef
29.
Zurück zum Zitat Lorig K, Mazonson PD, Holman HR (1993) Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis Rheum 36(4):439–446PubMedCrossRef Lorig K, Mazonson PD, Holman HR (1993) Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis Rheum 36(4):439–446PubMedCrossRef
30.
Zurück zum Zitat Lorig KR, Sobel DS, Stewart AL et al (1999) Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care 37(1):5–14PubMedCrossRef Lorig KR, Sobel DS, Stewart AL et al (1999) Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care 37(1):5–14PubMedCrossRef
31.
Zurück zum Zitat Lundy JJ, Coons SJ, Wendel C, Hornbrook MC, Herrinton L, Grant M, Krouse RS (2009) Exploring household income as a predictor of psychological well-being among long-term colorectal cancer survivors. Qual Life Res 18(2):157–161. doi:10.1007/s11136-008-9432-4 PubMedCrossRef Lundy JJ, Coons SJ, Wendel C, Hornbrook MC, Herrinton L, Grant M, Krouse RS (2009) Exploring household income as a predictor of psychological well-being among long-term colorectal cancer survivors. Qual Life Res 18(2):157–161. doi:10.​1007/​s11136-008-9432-4 PubMedCrossRef
32.
Zurück zum Zitat Manderson L (2005) Boundary breaches: the body, sex and sexuality after stoma surgery. Soc Sci Med 61(2):405–415PubMedCrossRef Manderson L (2005) Boundary breaches: the body, sex and sexuality after stoma surgery. Soc Sci Med 61(2):405–415PubMedCrossRef
33.
Zurück zum Zitat McMullen CK, Hornbrook MC, Grant M, Baldwin CM, Wendel CS, Mohler MJ, Altschuler A, Ramirez M, Krouse RS (2008) The greatest challenges reported by long-term colorectal cancer survivors with stomas. J Support Oncol 6(4):175–182PubMed McMullen CK, Hornbrook MC, Grant M, Baldwin CM, Wendel CS, Mohler MJ, Altschuler A, Ramirez M, Krouse RS (2008) The greatest challenges reported by long-term colorectal cancer survivors with stomas. J Support Oncol 6(4):175–182PubMed
34.
Zurück zum Zitat McMullen CK, Mark C, Hornbrook LJ, Herrinton AA, Grant M, Wendel C, Coons SJ et al (2010) Improving survivorship care for long-term colorectal cancer survivors: key findings of a 5-year study. Clin Med Res 8(1):32–33 McMullen CK, Mark C, Hornbrook LJ, Herrinton AA, Grant M, Wendel C, Coons SJ et al (2010) Improving survivorship care for long-term colorectal cancer survivors: key findings of a 5-year study. Clin Med Res 8(1):32–33
35.
Zurück zum Zitat Mitchell KA, Rawl SM, Max Schmidt C, Grant M, Ko CY, Baldwin CM, Wendel C, Krouse RS (2007) Demographic, clinical, and quality of life variables related to embarrassment in veterans living with an intestinal stoma. J Wound Ostomy Continence Nurs 34(5):524–532, September/OctoberPubMedCrossRef Mitchell KA, Rawl SM, Max Schmidt C, Grant M, Ko CY, Baldwin CM, Wendel C, Krouse RS (2007) Demographic, clinical, and quality of life variables related to embarrassment in veterans living with an intestinal stoma. J Wound Ostomy Continence Nurs 34(5):524–532, September/OctoberPubMedCrossRef
36.
Zurück zum Zitat Mohler MJ, Coons SJ, Hornbrook MC, Herrinton LJ, Wendel CS, Grant M, Krouse RS (2008) The health-related quality of life in long-term colorectal cancer survivors study: objectives, methods and patient sample. Curr Med Res Opin 24(7):2059–2070. doi:10.1185/03007990802118360 PubMedCrossRef Mohler MJ, Coons SJ, Hornbrook MC, Herrinton LJ, Wendel CS, Grant M, Krouse RS (2008) The health-related quality of life in long-term colorectal cancer survivors study: objectives, methods and patient sample. Curr Med Res Opin 24(7):2059–2070. doi:10.​1185/​0300799080211836​0 PubMedCrossRef
37.
Zurück zum Zitat Mowdy S (1998) The role of the WOC nurse in an Ostomy Support Group. J Wound Ostomy Cont Nurs 25(1):51–54 Mowdy S (1998) The role of the WOC nurse in an Ostomy Support Group. J Wound Ostomy Cont Nurs 25(1):51–54
38.
39.
Zurück zum Zitat Piwonka MA, Merino JM (1999) A multidimensional modeling of predictors influencing the adjustment to a colostomy. J Wound Ostomy Cont Nurs 26(6):298–305 Piwonka MA, Merino JM (1999) A multidimensional modeling of predictors influencing the adjustment to a colostomy. J Wound Ostomy Cont Nurs 26(6):298–305
41.
Zurück zum Zitat Ramirez M, McMullen C, Grant M, Altschuler A, Hornbrook MC, Krouse RS (2009) Figuring out sex in a reconfigured body: experiences of female colorectal cancer survivors with ostomies. Women Health 49(8):608–624. doi:10.1080/03630240903496093 PubMed Ramirez M, McMullen C, Grant M, Altschuler A, Hornbrook MC, Krouse RS (2009) Figuring out sex in a reconfigured body: experiences of female colorectal cancer survivors with ostomies. Women Health 49(8):608–624. doi:10.​1080/​0363024090349609​3 PubMed
42.
Zurück zum Zitat Sun V, Grant M, McMullen CK, Altschuler A, Mohler MJ, Hornbrook MC, Herrinton LJ, Baldwin CM, Krouse RS (2012) Surviving colorectal cancer: long-term, persistent ostomy-specific concerns and adaptations. J Wound Ostomy Cont Nurs (in press) Sun V, Grant M, McMullen CK, Altschuler A, Mohler MJ, Hornbrook MC, Herrinton LJ, Baldwin CM, Krouse RS (2012) Surviving colorectal cancer: long-term, persistent ostomy-specific concerns and adaptations. J Wound Ostomy Cont Nurs (in press)
48.
Zurück zum Zitat Wagner EH, Bennett SM, Austin BT, Greene SM, Schaefer JK, Vonkorff M (2005) Finding common ground: patient-centeredness and evidence-based chronic illness care. J Altern Complement Med 11(Suppl 1):S7–S15PubMed Wagner EH, Bennett SM, Austin BT, Greene SM, Schaefer JK, Vonkorff M (2005) Finding common ground: patient-centeredness and evidence-based chronic illness care. J Altern Complement Med 11(Suppl 1):S7–S15PubMed
49.
Zurück zum Zitat Wells RJ (1991) Sexuality: an unknown word for patients with a stoma? Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer 121:115–120 Wells RJ (1991) Sexuality: an unknown word for patients with a stoma? Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer 121:115–120
50.
51.
Zurück zum Zitat Yanez-Cadena D, Sarria-Santamera A, Garcia-Lizana F (2006) Can we improve management and control of chronic diseases? Aten Primaria 37(4):221–230PubMedCrossRef Yanez-Cadena D, Sarria-Santamera A, Garcia-Lizana F (2006) Can we improve management and control of chronic diseases? Aten Primaria 37(4):221–230PubMedCrossRef
Metadaten
Titel
Development of a Chronic Care Ostomy Self-Management Program
verfasst von
Marcia Grant
Ruth McCorkle
Mark C. Hornbrook
Christopher S. Wendel
Robert Krouse
Publikationsdatum
01.03.2013
Verlag
Springer-Verlag
Erschienen in
Journal of Cancer Education / Ausgabe 1/2013
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-012-0433-1

Weitere Artikel der Ausgabe 1/2013

Journal of Cancer Education 1/2013 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.