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Erschienen in: International Journal of Colorectal Disease 12/2013

01.12.2013 | Review

Spouses of patients with a stoma lack information and support and are restricted in their social and sexual life: a systematic review

verfasst von: Anne Kjaergaard Danielsen, Jakob Burcharth, Jacob Rosenberg

Erschienen in: International Journal of Colorectal Disease | Ausgabe 12/2013

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Abstract

Purpose

A permanent stoma has a large impact on everyday life with several physical, mental, and social impairments for the individual. It seems obvious that if persons with stomas are affected socially by the stoma creation, it is likely that the family and/or relatives will be affected as well.
The objective of this systematic review was to explore how stoma creation may affect spouses of patients with stomas.

Methods

A systematic review was undertaken based on database searches including studies published from 1950 to 2012. We applied a method of synthesis based on narrative summaries of both qualitative and quantitative results being assessed in parallel processes and finally included in a joint synthesis of results on a study level.

Results

We identified 17 studies and included 6 studies. Spouses wanted to be more involved in the stoma education and specifically wanted more focus on the psychosocial aspects of stoma creation. Furthermore, spouses' sexual life was seriously affected, and their social life was restricted. In general, spouses wished for more support from the health care sector as well as from family and friends.

Conclusions

There is a need for further research focusing on spouses or relatives. Talking about worries and concerns regarding the new life situation may alleviate suffering and reduce uncertainty. Stoma nurses and other health professionals play an important role in the care of patients as well as spouses, and a greater insight into the worries and concerns affecting spouses is warranted to improve postoperative counseling and education.
Literatur
1.
Zurück zum Zitat Brown H, Randle J (2005) Living with a stoma: a review of the literature. J Clin Nurs 14:74–81CrossRefPubMed Brown H, Randle J (2005) Living with a stoma: a review of the literature. J Clin Nurs 14:74–81CrossRefPubMed
2.
Zurück zum Zitat Gooszen AW, Geelkerken RH, Hermans J, Lagaay MB, Gooszen HG (2000) Quality of life with a temporary stoma: ileostomy vs. colostomy. Dis Colon Rectum 43:650–655CrossRefPubMed Gooszen AW, Geelkerken RH, Hermans J, Lagaay MB, Gooszen HG (2000) Quality of life with a temporary stoma: ileostomy vs. colostomy. Dis Colon Rectum 43:650–655CrossRefPubMed
3.
Zurück zum Zitat Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD (1999) Quality of life in stoma patients. Dis Colon Rectum 42:1569–1574CrossRefPubMed Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD (1999) Quality of life in stoma patients. Dis Colon Rectum 42:1569–1574CrossRefPubMed
4.
Zurück zum Zitat Ma N, Harvey J, Stewart J, Andrews L, Hill AG (2007) The effect of age on the quality of life of patients living with stomas: a pilot study. ANZ J Surg 77:883–885CrossRefPubMed Ma N, Harvey J, Stewart J, Andrews L, Hill AG (2007) The effect of age on the quality of life of patients living with stomas: a pilot study. ANZ J Surg 77:883–885CrossRefPubMed
5.
Zurück zum Zitat Holzer B, Matzel K, Schiedeck T, Christiansen J, Christensen P et al (2005) Do geographic and educational factors influence the quality of life in rectal cancer patients with a permanent colostomy? Dis Colon Rectum 48:2209–2216CrossRefPubMed Holzer B, Matzel K, Schiedeck T, Christiansen J, Christensen P et al (2005) Do geographic and educational factors influence the quality of life in rectal cancer patients with a permanent colostomy? Dis Colon Rectum 48:2209–2216CrossRefPubMed
6.
Zurück zum Zitat Pittman J, Rawl SM, Schmidt CM, Grant M, Ko CY et al (2008) Demographic and clinical factors related to ostomy complications and quality of life in veterans with an ostomy. J Wound Ostomy Continence Nurs 35:493–503CrossRefPubMed Pittman J, Rawl SM, Schmidt CM, Grant M, Ko CY et al (2008) Demographic and clinical factors related to ostomy complications and quality of life in veterans with an ostomy. J Wound Ostomy Continence Nurs 35:493–503CrossRefPubMed
7.
Zurück zum Zitat Sprangers M, Taal BG, Aaronson NK, te Velde A (1995) Quality of life in colorectal cancer. Stoma vs. nonstoma patients. Dis Colon Rectum 38:361–369CrossRefPubMed Sprangers M, Taal BG, Aaronson NK, te Velde A (1995) Quality of life in colorectal cancer. Stoma vs. nonstoma patients. Dis Colon Rectum 38:361–369CrossRefPubMed
8.
Zurück zum Zitat Krouse R, Grant M, Ferrell B, Dean G, Nelson R et al (2007) Quality of life outcomes in 599 cancer and noncancer patients with colostomies. J Surg Res 138:79–87CrossRefPubMed Krouse R, Grant M, Ferrell B, Dean G, Nelson R et al (2007) Quality of life outcomes in 599 cancer and noncancer patients with colostomies. J Surg Res 138:79–87CrossRefPubMed
9.
Zurück zum Zitat Luszczynska A, Boehmer S, Knoll N, Schulz U, Schwarzer R (2007) Emotional support for men and women with cancer: do patients receive what their partners provide? Int J Behav Med 14:156–163CrossRefPubMed Luszczynska A, Boehmer S, Knoll N, Schulz U, Schwarzer R (2007) Emotional support for men and women with cancer: do patients receive what their partners provide? Int J Behav Med 14:156–163CrossRefPubMed
10.
Zurück zum Zitat Altschuler A, Ramirez M, Grant M, Wendel C, Hornbrook MC et al (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 36:299–305CrossRefPubMed Altschuler A, Ramirez M, Grant M, Wendel C, Hornbrook MC et al (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 36:299–305CrossRefPubMed
11.
Zurück zum Zitat Piwonka MA, Merino JM (1999) A multidimensional modeling of predictors influencing the adjustment to a colostomy. J Wound Ostomy Continence Nurs 26:298–305PubMed Piwonka MA, Merino JM (1999) A multidimensional modeling of predictors influencing the adjustment to a colostomy. J Wound Ostomy Continence Nurs 26:298–305PubMed
12.
Zurück zum Zitat Houldin AD (2007) A qualitative study of caregivers' experiences with newly diagnosed advanced colorectal cancer. Oncol Nurs Forum 34:323–330CrossRefPubMed Houldin AD (2007) A qualitative study of caregivers' experiences with newly diagnosed advanced colorectal cancer. Oncol Nurs Forum 34:323–330CrossRefPubMed
13.
Zurück zum Zitat Cotrim H, Pereira G (2008) Impact of colorectal cancer on patient and family: implications for care. Eur J Oncol Nurs 12:217–226CrossRefPubMed Cotrim H, Pereira G (2008) Impact of colorectal cancer on patient and family: implications for care. Eur J Oncol Nurs 12:217–226CrossRefPubMed
14.
Zurück zum Zitat Northouse L, Mood D, Templin T, Mellon S, George T (2000) Couples patterns of adjustment to colon cancer. Soc Sci Med 50:271–284CrossRefPubMed Northouse L, Mood D, Templin T, Mellon S, George T (2000) Couples patterns of adjustment to colon cancer. Soc Sci Med 50:271–284CrossRefPubMed
15.
Zurück zum Zitat Baanders AN, Heijmans MJWM (2008) The impact of chronic diseases: the partner's perspective. Fam Commun Health 30:305–317CrossRef Baanders AN, Heijmans MJWM (2008) The impact of chronic diseases: the partner's perspective. Fam Commun Health 30:305–317CrossRef
16.
Zurück zum Zitat Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A (2005) Synthesizing qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy 10:45–53CrossRefPubMed Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A (2005) Synthesizing qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy 10:45–53CrossRefPubMed
17.
Zurück zum Zitat Greenhalgh T (2002) Integrating qualitative research into evidence based practice. Endocrinol Metab Clin North Am 31:583–601CrossRefPubMed Greenhalgh T (2002) Integrating qualitative research into evidence based practice. Endocrinol Metab Clin North Am 31:583–601CrossRefPubMed
19.
Zurück zum Zitat Goldsmith MR, Bankhead CR, Austoker J (2007) Synthesizing quantitative and qualitative research in evidence-based patient information. J Epidemiol Commun Health 61:262–270CrossRef Goldsmith MR, Bankhead CR, Austoker J (2007) Synthesizing quantitative and qualitative research in evidence-based patient information. J Epidemiol Commun Health 61:262–270CrossRef
20.
Zurück zum Zitat Greenhalgh T, Peacock R (2005) Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources. BMJ 331:1064–1065CrossRefPubMed Greenhalgh T, Peacock R (2005) Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources. BMJ 331:1064–1065CrossRefPubMed
21.
Zurück zum Zitat Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6:1–6CrossRef Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6:1–6CrossRef
22.
Zurück zum Zitat Dyk RB, Sutherland AM (1956) Adaptation of the spouse and other family members to the colostomy patient. Cancer 9:123–138CrossRefPubMed Dyk RB, Sutherland AM (1956) Adaptation of the spouse and other family members to the colostomy patient. Cancer 9:123–138CrossRefPubMed
23.
Zurück zum Zitat Oberst MT, Scott DW (1988) Postdischarge distress in surgically treated cancer patients and their spouses. Res Nurs Health 11:223–233CrossRefPubMed Oberst MT, Scott DW (1988) Postdischarge distress in surgically treated cancer patients and their spouses. Res Nurs Health 11:223–233CrossRefPubMed
24.
Zurück zum Zitat Malett J (1993) Caring for the caretakers: the patient's family. J ET Nurs 20:78–81PubMed Malett J (1993) Caring for the caretakers: the patient's family. J ET Nurs 20:78–81PubMed
25.
Zurück zum Zitat Nijboer C, Triemstra M, Tempelaar R, Mulder M, Sanderman R et al (2000) Patterns of caregiver experiences among partners of cancer patients. Gerontologist 40:738–746CrossRefPubMed Nijboer C, Triemstra M, Tempelaar R, Mulder M, Sanderman R et al (2000) Patterns of caregiver experiences among partners of cancer patients. Gerontologist 40:738–746CrossRefPubMed
26.
Zurück zum Zitat Gloeckner MR (1983) Partner reaction following ostomy surgery. J Sex Marital Ther 9:182–190CrossRefPubMed Gloeckner MR (1983) Partner reaction following ostomy surgery. J Sex Marital Ther 9:182–190CrossRefPubMed
27.
Zurück zum Zitat Sjövall K, Attner B, Lithman T, Noreen D, Gunnars B et al (2009) Influence on the health of the partner affected by tumor disease in the wife or husband based on a population-based register study of cancer in Sweden. J Clin Oncol 27:4781–4786CrossRefPubMed Sjövall K, Attner B, Lithman T, Noreen D, Gunnars B et al (2009) Influence on the health of the partner affected by tumor disease in the wife or husband based on a population-based register study of cancer in Sweden. J Clin Oncol 27:4781–4786CrossRefPubMed
28.
Zurück zum Zitat Hodges LJ, Humphris GM, Macfarlane G (2005) A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Soc Sci Med 60:1–12CrossRefPubMed Hodges LJ, Humphris GM, Macfarlane G (2005) A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Soc Sci Med 60:1–12CrossRefPubMed
29.
Zurück zum Zitat Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19:349–357CrossRefPubMed Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19:349–357CrossRefPubMed
30.
Zurück zum Zitat Staquet M, Berzon R, Osoba D, Machin D (1996) Guidelines for reporting results of quality of life assessments in clinical trials. Qual Life Res 5:496–502CrossRefPubMed Staquet M, Berzon R, Osoba D, Machin D (1996) Guidelines for reporting results of quality of life assessments in clinical trials. Qual Life Res 5:496–502CrossRefPubMed
31.
Zurück zum Zitat Mays N, Pope C, Popay J (2005) Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy 10(1):6–20CrossRefPubMed Mays N, Pope C, Popay J (2005) Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy 10(1):6–20CrossRefPubMed
32.
Zurück zum Zitat Kobza L (1983) Impact of ostomy upon the spouse. J Enterostomal Ther 10:54–57PubMed Kobza L (1983) Impact of ostomy upon the spouse. J Enterostomal Ther 10:54–57PubMed
33.
Zurück zum Zitat Persson E, Gustavsson B, Hellström A-L, Hultén L, Fridstedt G et al (2005) Information to the relatives of people with ostomies is it satisfactory and adequate? J Wound Ostomy Continence Nurs 32:238–245CrossRefPubMed Persson E, Gustavsson B, Hellström A-L, Hultén L, Fridstedt G et al (2005) Information to the relatives of people with ostomies is it satisfactory and adequate? J Wound Ostomy Continence Nurs 32:238–245CrossRefPubMed
34.
Zurück zum Zitat Northouse LL, Schafer JA, Tipton J, Metivier L (1999) The concerns of patients and spouses after the diagnosis of colon cancer: a qualitative analysis. J Wound Ostomy Continence Nurs 26:8–17PubMed Northouse LL, Schafer JA, Tipton J, Metivier L (1999) The concerns of patients and spouses after the diagnosis of colon cancer: a qualitative analysis. J Wound Ostomy Continence Nurs 26:8–17PubMed
35.
Zurück zum Zitat Persson E, Severinsson E, Hellström A-L (2004) Spouses' perceptions of and reactions to living with a partner who has undergone surgery for rectal cancer resulting in a stoma. Cancer Nurs 27:85–91CrossRefPubMed Persson E, Severinsson E, Hellström A-L (2004) Spouses' perceptions of and reactions to living with a partner who has undergone surgery for rectal cancer resulting in a stoma. Cancer Nurs 27:85–91CrossRefPubMed
36.
Zurück zum Zitat Cakmak A, Aylaz G, Kuzu MA (2010) Permanent stoma not only affects patients' quality of life but also that of their spouses. World J Surg Oncol 34:2872–2876CrossRef Cakmak A, Aylaz G, Kuzu MA (2010) Permanent stoma not only affects patients' quality of life but also that of their spouses. World J Surg Oncol 34:2872–2876CrossRef
37.
38.
Zurück zum Zitat Persson E, Hellström A-L (2002) Experiences of Swedish men and women 6 to 12 weeks after ostomy surgery. J Wound Ostomy Continence Nurs 29:103–108PubMed Persson E, Hellström A-L (2002) Experiences of Swedish men and women 6 to 12 weeks after ostomy surgery. J Wound Ostomy Continence Nurs 29:103–108PubMed
39.
Zurück zum Zitat Simmons KL, Smith JA, Bobb K-A, Liles LLM (2007) Adjustment to colostomy: stoma acceptance, stoma care self-efficacy, and interpersonal relationships. J Adv Nurs 60:627–635CrossRefPubMed Simmons KL, Smith JA, Bobb K-A, Liles LLM (2007) Adjustment to colostomy: stoma acceptance, stoma care self-efficacy, and interpersonal relationships. J Adv Nurs 60:627–635CrossRefPubMed
40.
Zurück zum Zitat McMullen CK, Hornbrook MC, Grant M, Baldwin CM, Wendel CS et al (2008) The greatest challenges reported by long-term colorectal cancer survivors with stomas. J Support Oncol 6:175–182PubMed McMullen CK, Hornbrook MC, Grant M, Baldwin CM, Wendel CS et al (2008) The greatest challenges reported by long-term colorectal cancer survivors with stomas. J Support Oncol 6:175–182PubMed
41.
Zurück zum Zitat Smith DM, Loewenstein G, Rozin P, Sherriff RL, Ubel PA (2007) Sensitivity to disgust, stigma, and adjustment to life with a colostomy. J Res Pers 41:787–803CrossRefPubMed Smith DM, Loewenstein G, Rozin P, Sherriff RL, Ubel PA (2007) Sensitivity to disgust, stigma, and adjustment to life with a colostomy. J Res Pers 41:787–803CrossRefPubMed
42.
Zurück zum Zitat Carlsson E, Berndtsson I, Hallén A-M, Lindholm E, Persson E (2010) Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and an ostomy. J Wound Ostomy Continence Nurs 37:654–661CrossRefPubMed Carlsson E, Berndtsson I, Hallén A-M, Lindholm E, Persson E (2010) Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and an ostomy. J Wound Ostomy Continence Nurs 37:654–661CrossRefPubMed
43.
Zurück zum Zitat Manderson L (2005) Boundary breaches: the body, sex, and sexuality after stoma surgery. Soc Sci Med 61:405–415CrossRefPubMed Manderson L (2005) Boundary breaches: the body, sex, and sexuality after stoma surgery. Soc Sci Med 61:405–415CrossRefPubMed
44.
Zurück zum Zitat Popek S, Grant M, Gemmill R, Wendel CS, Mohler MJ et al (2010) Overcoming challenges: life with an ostomy. Am J Surg 200:640–645CrossRefPubMed Popek S, Grant M, Gemmill R, Wendel CS, Mohler MJ et al (2010) Overcoming challenges: life with an ostomy. Am J Surg 200:640–645CrossRefPubMed
45.
Zurück zum Zitat Böhm G, Kirschner-Hermanns R, Decius A, Heussen N, Schumpelick V et al (2008) Anorectal, bladder, and sexual function in females following colorectal surgery for carcinoma. Int J Colorectal Dis 23:893–900CrossRefPubMed Böhm G, Kirschner-Hermanns R, Decius A, Heussen N, Schumpelick V et al (2008) Anorectal, bladder, and sexual function in females following colorectal surgery for carcinoma. Int J Colorectal Dis 23:893–900CrossRefPubMed
46.
Zurück zum Zitat Goldzweig G, Hubert A, Walach N, Brenner B, Perry S et al (2009) Gender and psychological distress among middle- and older-aged colorectal cancer patients and their spouses: an unexpected outcome. Crit Rev Oncol Hematol 70:71–82CrossRefPubMed Goldzweig G, Hubert A, Walach N, Brenner B, Perry S et al (2009) Gender and psychological distress among middle- and older-aged colorectal cancer patients and their spouses: an unexpected outcome. Crit Rev Oncol Hematol 70:71–82CrossRefPubMed
Metadaten
Titel
Spouses of patients with a stoma lack information and support and are restricted in their social and sexual life: a systematic review
verfasst von
Anne Kjaergaard Danielsen
Jakob Burcharth
Jacob Rosenberg
Publikationsdatum
01.12.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
International Journal of Colorectal Disease / Ausgabe 12/2013
Print ISSN: 0179-1958
Elektronische ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-013-1749-y

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