คุณภาพชีวิตของผู้ป่วยที่มีทวารใหม่ชนิดถาวร: ประเด็นท้าทายบทบาทพยาบาล
คำสำคัญ:
ทวารใหม่ชนิดถาวร, คุณภาพชีวิต, บทบาทพยาบาลบทคัดย่อ
การมีทวารใหม่ชนิดถาวรเป็นการเปลี่ยนแปลงโครงสร้างและหน้าที่ในการขับถ่ายอุจจาระตลอดชีวิต เนื่องจากผู้ป่วยต้องระบายอุจจาระผ่านทวารใหม่ทางหน้าท้องแทนการขับถ่ายทางทวารหนักตามปกติ ทำให้เกิดผลกระทบต่อคุณภาพชีวิตทั้งด้านร่างกาย จิตใจและสังคม อย่างไรก็ตามหากผู้ป่วยสามารถปรับตัวต่อการมีทวารใหม่ชนิดถาวรได้ จะส่งผลให้สามารถดำรงชีวิตประจำวันได้ตามปกติ และใช้ชีวิตอยู่กับทวารใหม่อย่างมีความสุข ดังนั้นจึงเป็นประเด็นท้าท้ายสำหรับพยาบาลในการส่งเสริมให้ผู้ป่วยยอมรับและปรับตัวต่อการมีทวารใหม่ชนิดถาวรทางหน้าท้อง เพื่อให้สามารถดำเนินชีวิตขณะมีทวารใหม่ได้ตามปกติหรือใกล้เคียงปกติมากที่สุด บทความนี้จึงนำเสนอเกี่ยวกับทวารใหม่ชนิดถาวร
ผลกระทบของทวารใหม่ชนิดถาวรต่อคุณภาพชีวิต และบทบาทพยาบาลในการส่งเสริมคุณภาพชีวิตผู้ป่วยที่มีทวารใหม่ชนิดถาวร เพื่อให้พยาบาลสามารถดูแลผู้ป่วยและผู้ดูแลได้อย่างเหมาะสม อันจะส่งผลให้ผู้ป่วยมีคุณภาพชีวิตที่ดี
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References
1.Grant M, McCorkle R, Hornbrook MC, Wendel CS, Krouse R. Development of a chronic care ostomy
self-management program. J Cancer Educ 2013;28(1):70-8.
2.Jayarajah U, Samarasekera DN. Psychological adaptation to alteration of body image among stoma patients: a descriptive study. Indian J Psychol Med 2017;39(1):63-8.31
3.Juul K, Prieto L. Quality of life with an intestinal stoma. Semin Colon Rectal Surg 2008;167-73.
4. Wanwong S. Stoma care. In: Boonpipattanapong T,Wanwong S, Editors. Wound and stoma care. Songkhla: Chanmuangkanpim; 2010. p. 55-76.(in Thai)
5. ChaleoykittiS,PoonchaiS,SawangchitS,Bandansin J. The way of life among patients with colostomy.The Royal Thai Army Nurses 2013;14(3):31-8. (in Thai)
6. Andersson G, Engström Å, Söderberg S. A change of live: women’s experiences of living with a colostomy after rectal cancer surgery. Int J Nurs Pract 2010;16:603-8.
7. Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD. Quality of life in stoma patients. Dis Colon Rectum 1999;42:1569-74.
8.Maneesin S, Sampatanukulb P, Lertmaharitc S, Na Nagarad C, Prasopsantie K. Health-related quality of life of patients living with ostomy in Thailand and costimplications.AsianBiomed2012:6(2);235-43.
9. Teerathongdee K, Ronnarithivichai C, Thongchareon V, Pongthavornkamol K. Factors predicting quality of life in older adult patients with colorectal cancer poststomalsurgery.ThaiCancerJ2014;34(2):68- 78. (in Thai)
10.Herlufsen P, Olsen AG, Carlsen B, Nybaek H, Karlsmark T, Laursen TN, et al. Study of peristomal skin disorders in patients with permanent stomas. Br J Nurs 2006;15(16):854-62.
11.Anaraki F, Vafaie M, Behboo R, Maghsoodi N,Esmaeilpour S, Safaee A. Clinical profle and postoperative lifestyle changes in cancer and non-cancer patients with ostomy. Gastroenterol Hepatol Bed Bench 2012;5(Suppl 1):S26-30.
12.Dabirian A, Yaghmaei F, Rassouli M, Tafreshi MZ. Quality of life in ostomy patients: a qualitative study. Patient Prefer Adherence 2011;5:1-5.
13.Roshini AP, Sunny A, Rozario AP. Quality of life assessment in stoma patients in a tertiary care hospital in South India: a cross-sectional study. Int Surg J 2017;4(6):2037-41.
14.Sairtung C. Humanized care for ostomate. In: Boonpipattanapong T, Wanwong S, Editors. Wound and stoma care. Songkhla: Chanmuangkanpim; 2010. p. 77-90. (in Thai)
15.Muangngern Y. Body image and sexuality of ostomate. In: Prasangsit C, Rungsangchan K, Editors. Enterostomal nursing care: experience from experts. Bangkok: Quality Development Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University; 2015. p. 159-70. (in Thai)
16.Siripanyawat S. Diffcult care in rectal cancer patients: ostomy and dehiscence wound. In: Prasangsit C, Rungsangchan K, Editors. Ostomy and wound nursing within the 21st century. Bangkok: Pumtong; 2013. p. 113-30. (in Thai)
17.Pine J, Stevenson L. Intestinal stomas. Surgery 2016;35(3):165-70.
18.Pongprasopchai S. Palliative care in colon cancer. In: Pongprasopchai S, Phisespongsa K, Kitiyagon T, Phirsontarangkur O, Editors. Colorectal cancer. Bangkok: Krungthephwechchasan; 2015. p. 273- 92. (in Thai)
19.Toth PE. Ostomy care and rehabilitation in colorectal cancer. Semin Oncol Nurs 2006;22(3):174-7.
20.Prasangsit C. Nursing care of patient with colorectal cancer. In: Prasangsit C, Rungsangchan K, Editors. Enterostomal nursing care: experience from experts.32 Bangkok: Quality Development Nursing Division,
Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University; 2015. p. 1-12. (in Thai)
21.Jeanyu N. Pre-Postoperative nursing care for ostomy surgery in adult patients. In: Prasangsit C, Rungsangchan K, Editors. Enterostomal nursing care: experience from experts. Bangkok: Quality Development Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University; 2015. p. 13-28. (in Thai)
22.Chaithat B. Caring for colorectal cancer patients undergoing ostomies: roles of enterostomal therapy nurses. The Thai Red Cross College of Nursing 2016;9(1):19-33. (in Thai)
23.Wanrukjareang N. Nursing care of stomal and peristomal skin complication. In: Prasangsit C, Rungsangchan K, Editors. Enterostomal nursing care: experience from experts. Bangkok: Quality Development Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University; 2015. p. 61-80. (in Thai)
24.Burch J, Sica J. Common peristomal skin problems and potential treatment options. Br J Nurs 2008;17 (17):S4-S11.
25.Aktas D, Gocman Baykara Z. Body image perception of persons with a stoma and their partners: a descriptive, cross-sectional study. Ostomy Wound Manage 2015;61(5):26-40.
26.Boosayajaru R. Improvement of quality of life among patients with a stoma participating in an ostomate helpgroup.VajiraNursingJournal2014;16(2):82-6. (in Thai)
27.Lumdubwong A, Sirapo-ngam Y, Arpananthikul M, Viwatwongkasem C, Redeker NS. A comparative study of friendship therapy groups for Thais with colorectal cancer and colostomies. Pacifc Rim International Journal of Nursing Research 2014;18 (2):138-51.
28.Ercolano E, Grant M, McCorkle R, Tallman NJ, CobbMD,WendelC,KrouseR.Applyingthechronic care model to support ostomy self-managements: implications for oncology nursing practice. Clin J
Oncol Nurs 2016;20(3):269-74.
1.Grant M, McCorkle R, Hornbrook MC, Wendel CS, Krouse R. Development of a chronic care ostomy
self-management program. J Cancer Educ 2013;28(1):70-8.
2.Jayarajah U, Samarasekera DN. Psychological adaptation to alteration of body image among stoma patients: a descriptive study. Indian J Psychol Med 2017;39(1):63-8.31
3.Juul K, Prieto L. Quality of life with an intestinal stoma. Semin Colon Rectal Surg 2008;167-73.
4. Wanwong S. Stoma care. In: Boonpipattanapong T,Wanwong S, Editors. Wound and stoma care. Songkhla: Chanmuangkanpim; 2010. p. 55-76.(in Thai)
5. ChaleoykittiS,PoonchaiS,SawangchitS,Bandansin J. The way of life among patients with colostomy.The Royal Thai Army Nurses 2013;14(3):31-8. (in Thai)
6. Andersson G, Engström Å, Söderberg S. A change of live: women’s experiences of living with a colostomy after rectal cancer surgery. Int J Nurs Pract 2010;16:603-8.
7. Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD. Quality of life in stoma patients. Dis Colon Rectum 1999;42:1569-74.
8.Maneesin S, Sampatanukulb P, Lertmaharitc S, Na Nagarad C, Prasopsantie K. Health-related quality of life of patients living with ostomy in Thailand and costimplications.AsianBiomed2012:6(2);235-43.
9. Teerathongdee K, Ronnarithivichai C, Thongchareon V, Pongthavornkamol K. Factors predicting quality of life in older adult patients with colorectal cancer poststomalsurgery.ThaiCancerJ2014;34(2):68- 78. (in Thai)
10.Herlufsen P, Olsen AG, Carlsen B, Nybaek H, Karlsmark T, Laursen TN, et al. Study of peristomal skin disorders in patients with permanent stomas. Br J Nurs 2006;15(16):854-62.
11.Anaraki F, Vafaie M, Behboo R, Maghsoodi N,Esmaeilpour S, Safaee A. Clinical profle and postoperative lifestyle changes in cancer and non-cancer patients with ostomy. Gastroenterol Hepatol Bed Bench 2012;5(Suppl 1):S26-30.
12.Dabirian A, Yaghmaei F, Rassouli M, Tafreshi MZ. Quality of life in ostomy patients: a qualitative study. Patient Prefer Adherence 2011;5:1-5.
13.Roshini AP, Sunny A, Rozario AP. Quality of life assessment in stoma patients in a tertiary care hospital in South India: a cross-sectional study. Int Surg J 2017;4(6):2037-41.
14.Sairtung C. Humanized care for ostomate. In: Boonpipattanapong T, Wanwong S, Editors. Wound and stoma care. Songkhla: Chanmuangkanpim; 2010. p. 77-90. (in Thai)
15.Muangngern Y. Body image and sexuality of ostomate. In: Prasangsit C, Rungsangchan K, Editors. Enterostomal nursing care: experience from experts. Bangkok: Quality Development Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University; 2015. p. 159-70. (in Thai)
16.Siripanyawat S. Diffcult care in rectal cancer patients: ostomy and dehiscence wound. In: Prasangsit C, Rungsangchan K, Editors. Ostomy and wound nursing within the 21st century. Bangkok: Pumtong; 2013. p. 113-30. (in Thai)
17.Pine J, Stevenson L. Intestinal stomas. Surgery 2016;35(3):165-70.
18.Pongprasopchai S. Palliative care in colon cancer. In: Pongprasopchai S, Phisespongsa K, Kitiyagon T, Phirsontarangkur O, Editors. Colorectal cancer. Bangkok: Krungthephwechchasan; 2015. p. 273- 92. (in Thai)
19.Toth PE. Ostomy care and rehabilitation in colorectal cancer. Semin Oncol Nurs 2006;22(3):174-7.
20.Prasangsit C. Nursing care of patient with colorectal cancer. In: Prasangsit C, Rungsangchan K, Editors. Enterostomal nursing care: experience from experts.32 Bangkok: Quality Development Nursing Division,
Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University; 2015. p. 1-12. (in Thai)
21.Jeanyu N. Pre-Postoperative nursing care for ostomy surgery in adult patients. In: Prasangsit C, Rungsangchan K, Editors. Enterostomal nursing care: experience from experts. Bangkok: Quality Development Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University; 2015. p. 13-28. (in Thai)
22.Chaithat B. Caring for colorectal cancer patients undergoing ostomies: roles of enterostomal therapy nurses. The Thai Red Cross College of Nursing 2016;9(1):19-33. (in Thai)
23.Wanrukjareang N. Nursing care of stomal and peristomal skin complication. In: Prasangsit C, Rungsangchan K, Editors. Enterostomal nursing care: experience from experts. Bangkok: Quality Development Nursing Division, Department of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University; 2015. p. 61-80. (in Thai)
24.Burch J, Sica J. Common peristomal skin problems and potential treatment options. Br J Nurs 2008;17 (17):S4-S11.
25.Aktas D, Gocman Baykara Z. Body image perception of persons with a stoma and their partners: a descriptive, cross-sectional study. Ostomy Wound Manage 2015;61(5):26-40.
26.Boosayajaru R. Improvement of quality of life among patients with a stoma participating in an ostomate helpgroup.VajiraNursingJournal2014;16(2):82-6. (in Thai)
27.Lumdubwong A, Sirapo-ngam Y, Arpananthikul M, Viwatwongkasem C, Redeker NS. A comparative study of friendship therapy groups for Thais with colorectal cancer and colostomies. Pacifc Rim International Journal of Nursing Research 2014;18 (2):138-51.
28.Ercolano E, Grant M, McCorkle R, Tallman NJ, CobbMD,WendelC,KrouseR.Applyingthechronic care model to support ostomy self-managements: implications for oncology nursing practice. Clin J
Oncol Nurs 2016;20(3):269-74.
ดาวน์โหลด
เผยแพร่แล้ว
2018-12-25
รูปแบบการอ้างอิง
1.
ภมรพล ศ. คุณภาพชีวิตของผู้ป่วยที่มีทวารใหม่ชนิดถาวร: ประเด็นท้าทายบทบาทพยาบาล. J Thai Nurse Midwife Counc [อินเทอร์เน็ต]. 25 ธันวาคม 2018 [อ้างถึง 31 ธันวาคม 2025];33(4):19-32. available at: https://he02.tci-thaijo.org/index.php/TJONC/article/view/118763
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