Selected Factors Related to Adaptation among Colorectal Cancer Older Adults with Colostomy

Main Article Content

Penny Ratchasan
Supreeda Monkong
Suparb Aree-Ue

Abstract

OBJECTIVES: To examine the adaptation among colorectal cancer older adults with colostomy and the correlations between selected factors and adaptation to colostomy.
MATERIAL AND METHODS: This correlational descriptive study included 100 older adults with colorectal cancer who had undergone colostomy for one month after being discharged from the hospital. Five questionnaires were used to collect the data. Data were analyzed using descriptive statistics, Pearson’s product moment statistics, Spearman’s rank order statistics, Kruskal-Wallis statistics, Independent t-test statistics, and One-way ANOVA statistics.
RESULT: The majority of participants were young-old adults and their age ranged from 60-88 years old (70.82 ± 8.23). Most participants had a high score of adaptation (153.98 ± 17.04). Ostomy self-care ability and adaptation had a moderate level of correlation with statistical significance of (r = 0.37, p < 0.05). However, age group, functional ability, the type of colostomy, complications related to the colostomy, and social support had no statistically significant correlations with adaptation.
CONCLUSION: The findings from this study benefit nurses and healthcare providers to understand adaptation among colorectal cancer older adults with a colostomy. These findings can be used as information to assess the ability to perform ostomy self-care in colorectal cancer older adults with a colostomy. However, promoting ostomy self-care is a concern in the old-old adults (aged 85 and above). They might need help from caregivers.

Article Details

How to Cite
1.
Ratchasan P, Monkong S, Aree-Ue S. Selected Factors Related to Adaptation among Colorectal Cancer Older Adults with Colostomy. BKK Med J [Internet]. 2020 Feb. 25 [cited 2024 Dec. 22];16(1):57. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/239979
Section
Original Article

References

Merlin F, Prochilo T, Tondulli L, et al. Colorectal cancer treatment in elderly patients: an update on recent clinical studies. Clin Colorectal Cancer 2008;7(6):357-63.

Retornaz F, Cécile M, Bergman H. Rational approach to cancer in the elderly. In: Tan KY, editor. Colorectal cancer in the elderly. New York: Springer Heidelberg; 2013.

National Cancer Institute: Hospital-based cancer registry annual report 2017. Bangkok: Pornsup Printing Company; 2017. [In Thai]

American Cancer Society. (Accessed January, 31, 2019, at https://www.cancer.org ).

Jivapaisarnpong, P. Colostomy/ Ileostomy. Bangkok: Bangkok medical publisher; 2012. [In Thai]

Campos KD, Bot LHB, Petroianu A, et al. The impact of colostomy on the patient’s life. JCOL (Rio de Janeiro) 2017;37(3):205-10.

Salvadalena GD. The incidence of stoma and peristomal complications during the first 3 months after ostomy creation. JWOCN 2013;40(4):400-6.

Li CC, Rew L, Hwang SL. The relationship between spiritual well-being and psychosocial adjustment in Taiwanese patients with colorectal cancer and a colostomy. JWOCN 2012;39(2): 161-9.

Silva NM, Santos MAD, Rosado SR, et al. Psychological aspects of patients with intestinal stoma: integrative review. Rev Latino-Am Enfermagem 2017;25:e2950.

Thongcharoen V. Psychosocial and psychological change and adaptation in aging people. In: Thongcheroen V, editor. Art and science in gerontological nursing care. Bangkok: N P Press; 2015. [In Thai]

World Health Organization. (Accessed July 14, 2019, at https://www.who.int/healthinfo/survey/ageingdefnolder/en/ ).

Nybæk H, Knudsen DB, Laursen TN, et al. Skin problems in ostomy patients: a case-control study of risk factors. Acta Derm Venereol 2009;89(1):64-7.

Franklyn J, Varghese G, Mittal R, et al. A prospective randomized controlled trial comparing early postoperative complications in patients undergoing loop colostomy with and without a stoma rod. Colorectal Dis 2017;19(7):675-80.

Smith DM, Loewenstein G, Jankovic A, et al. Happily hopeless: adaptation to a permanent, but not to a temporary, disability. Health Psychol 2009;28(6):787-91.

Andrews HA, Roy SC. Essentials of the Roy adaptation model. Appleton-Century-Crofts, Norwalk, CT;1986.

Faul F, Erdfelder E, Buchner A, et al. Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behav Res 2009;41(4):1149-60.

Sampoo J, Kimpee S, Kaewchantr M, et al. Adaptation in role functions of women with permanent colostomy [thesis]. Bangkok: Mahidol University, 1997. [In Thai]

Borson S, Scanlan J, Brush M, et al. The Mini-Cog: a cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry2000;15(11):1021-7.

Trongsakul S, Lambert R, Clark A, et al. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int 2015;15(5):594-600.

Mahoney FI, Barthel DW. Functional evaluation: The Barthel Index. Md State Med J 1965;14: 56-61.

Jitapunkul S, Kamolratanakul P, Ebrahim S. The meaning of activities of daily living in a Thai elderly population: development of a new index. Age Ageing 1994;23(2):97-101.

Lonil A, Srimoragot P, Suradom S. Nursing case management to develop self-care agency in colorectal cancer patients. J Nurs Sci 2009;27(2):59-67. [InThai]

Teerathongdee K, Ronnaritthivichi C, Thongchareon V, et al. Factors predicting quality of life in aged patients with colorectal cancer after stomal surgery. Thai Cancer Journal 2014;34(2): 68-78. [InThai]

Schaefer C, Coyne JC, Lazarus RS. The health-related functions of social support. J Behav Med 1981;4(4):381-406.

Kaveevivitchai C, Hanucharurnkul S, Kanjanapanjapol S. Relationships among selected factor, uncertainty in illness, social support, and adaptation in breast cancer women receiving chemotherapy [thesis]. Bangkok: Mahidol University; 1993. [In Thai]

Jayarajah U, Samarasekara AM, Samarasekera DN. A study of long-term complications associated with enteral ostomy and their contributory factors. BMC Res Notes 2016;9(1):500.