فهرست مطالب محدثه هادی

Stoma surgery is a life-changing experience that poses many challenges in the patients' life. Accordingly, these people have to adjust with the new lifestyle for better management of their conditions. Therefore, the present study was conducted to assess the adjustment of patients with ostomy and the related factors.

In this descriptive - correlational study, 130 ostomy patients who referred to 4 educational hospital of Isfahan University of Medical Sciences, were selected through convenience sampling. The data were collected by Simmons Ostomy Adjustment Inventory-23 (OAI-23) and a demographic-medical information form and then analyzed with using descriptive (frequency, percent, mean and standard deviation) and inferential statistics (independent t-test, ANOVA and regression analysis) by SPSS (v.15). The significance level of the tests was considered 0.05.

The mean score of adjustment with ostomy was 47.83 ± 17.211. Among the different dimensions of adjustment, the highest and lowest mean score were related “acceptance” and “anger”, respectively. Also, based on our findings the relationship between adjustment with ostomy and some of demographic-medical factor include gender (P = 0.022), marital status (P = 0.005), living status (P = 0.000), education level (P = 0.019), and Job (P = 0.001), duration of having stoma (0.032) were statistically significant.

According to the moderate level of adjustment in these patients, it is need to conduct further investigations to identifying other related factors as well as appropriate psychosocial interventions to improve their adjustment with the ostomy.

Ostomy has a profound effect on patients' quality of life. Spiritual well-being can improve the quality of life of these people. This study was performed to examine the spiritual well-being and the related medical-demographic factors in ostomates.

This Cross sectional descriptive-analytical study was conducted in ostomy patients with simple sampling methodology. Information collected through a questionnaire with two parts: medical- demographic information and Palutzian & Ellison SWB questionnaire .The data was analyzed by descriptive and analytical statistics (ANOVA, independent t-Test, Pearson correlation coefficient test) with using SPSSv17 software.

The majority (61.5%) of the study participants had a moderate level of spiritual health. Mean and standard deviation of spiritual health score was 97.40 ±14.81 (from 120). There was a significant relationship between spiritual health and some medical-demographic variables including age, marital status, educational level, occupation, type of ostomy and duration of ostomy (P <0.05).

The spiritual health of the majority of participants was moderate. Whereas spiritual attitude and well-being are positively correlated with different aspects of quality of life in ostomates; nurses can play an important role in improving the quality of life of these patients by designing and implementing appropriate spiritual care.