Predicting factors of quality of life in colorectal cancer with colostomy
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Abstract
This predictive research aims to study the quality of life and factors predicting
quality of life in colorectal cancer (CRC) patients with colostomy who received
services at the ostomy and wound nursing care clinic, Ubon Ratchathani Cancer
Hospital between October 2022 and September 2023 resulting. The study
included 96 participants selected through simple random sampling. The research
instruments comprised patients’ demographic data, the quality of life index of
Padilla and Grant, CRC with colostomy knowledge assessment and self-care
assessment scale of CRC patients with colostomy and reliability was tested by
using cronbach’s alpha coefficient obtained at 0.93, 0.88, 0.94 and 0.86
respectively. Descriptive quantitative statistics and stepwise multiple regression
analysis.
The results present as following of CRC with colostomy had moderate level of
quality of life (x̄=54.34, S.D.=15.77 The highest mean score was in the self-image
perception (x̄=76.82, S.D.=11.26), while the lowest mean score was in the
response to diagnosis and nutritional treatment (x̄=44.63, S.D.=8.21). Significant
factors predicting QOL were self-care (β=0.69, p=<0.001), followed by
comorbidities (β=-0.33, p=0.010), age (β=0.21, p=0.014), and knowledge about
CRC with colostomy (β=0.18, p=0.025). All variables together predicted 77.5%
of quality of life (R²=0.600, p<.05).
The recommendations for patient care should include promoting self-care
abilities, managing comorbid conditions, adjusting care plans to suit different age
groups, and providing education about the disease and colostomy care.
Additionally, emphasis should be placed on developing appropriate nutritional
guidelines for this patient group, as this factor significantly impacts their quality of life
Article Details
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
References
World Health Organization (WHO). Cancer today Data visualization tools for exploring the global cancer burden in 2020 [Internet]. 2021 [cited 2021 Sep 13]. Available from: https://www.gco.iarc.fr/ today/home
Rojanamatin J, Ukranun W, Supaattagorn P, Chiawiriyabunya I, Wongsena M, Chaiwerawattana A. et al. Cancer in Thailand Volume X 2016-2018 [Internet]. 2021 [cited 2021 Sep 13]. Available from: https://www.nci.go.th/ e_book/ cit_x/index.html. (in Thai)
National Cancer Institute (Thailand), Ministry of Public Health. Definition of Indicators of Service Plan Cancer Field 2561-2565 [Internet]. 2021 [cited 2021 Sep 13]. Available from: http://tcb. nci.go.th/CWEB/cwebBase.do?mode =inquiryCancerPopulation. (in Thai)
Ubon Ratchathani Cancer Hospital, Cancer Registry Unit. Cancer statistics, Ubon Ratchathani Cancer Hospital (hospital-based cancer registry) 2022. Ubon Ratchathani: Siritham Offset Printing; 2022. (in Thai)
Thai Society of Gastrointestinal Surgeons. Clinical practice guideline for the management of colorectal cancer, revised edition 2022. Bangkok: Royal College of Surgeons of Thailand; 2022. (in Thai)
Prasangsit C, Rungsangchan K. Nursing care for patients with intestinal and abdominal stoma: experiences from experts. 2nd ed. Bangkok: P.A. Living Co., Ltd.; 2019. (in Thai)
United Ostomy Associations of America: UOAA. Living with an ostomy [Internet]. [cited 2022 May 1]. Available from: www.ostomy.org/living-with-an-ostomy
World Health Organization. Quality of life assessment: International perspectives. Geneva: WHO; 1993.
Padilla GV, Grant MM. Quality of life as a cancer nursing outcome variable. ANS Adv Nurs Sci. 1985;8(1):45-60.
Attaphinan C, Lueboonthavatchai P. Quality of life and related factors among colorectal cancer patients with stoma at King Chulalongkorn Memorial Hospital, the Thai Red Cross Society. J Contemp Med. 2017;61(3):386-400. (in Thai)
Liao C, Qin Y. Factors associated with stoma quality of life among stoma patients. CA: a cancer journal for clinicians. 2014;1(2):196-201. doi:10. 1016/j. ijnss.2014.05.007
Zhang Y, Xian H, Yang Y, Zhang X, Wang X. Relationship between psychosocial adaptation and health-related quality of life of patients with stoma: A descriptive, cross-sectional study. Journal of clinical nursing. 2017;28(15-16):2880-8.
Sarfati D, Koczwara B, Jackson C. The impact of comorbidity on cancer and its treatment. CA Cancer J Clin. 2016;66(4): 337-50. doi:10.3322/caac.21342
Techa W, Naweecharoen R. Predictive factors of quality of life in colorectal cancer patients with stoma receiving chemotherapy. Kuakarun J Nurs. 2016;23(1):133-46. (in Thai)
Chutikamol N, Naweecharoen R, Losiriwat R. Predictive factors of quality of life in adult colorectal cancer patients with stoma. Royal Thai Navy Med J. 2017;44(3):103-16. (in Thai)
Hanan G, El-Gamil A. Study to identify the level of knowledge and self care performance of the colostomy patients and its effects on their quality of life. J Med. 2008;38(5):63-73.
Teerathongdee K, Ronritwivai C. Predictive factors of quality of life among elderly colorectal cancer patients with colostomy [master’s thesis]. Nakhon Pathom: Mahidol University; 2014. doi:10.14457/MU.the. 2014.108. (in Thai)
Ministry of Public Health. Service plan for cancer 2022–2027. Nonthaburi: Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health; 2022. (in Thai)
Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.
Yu M. Social support and quality of life of Chinese chronic obstructive pulmonary disease patients [master’s thesis]. Chiang Mai: Chiang Mai University; 1997. (in Thai)
Thanasin S, Thapthong U. Effect of a self-efficacy promotion program on quality of life among colorectal cancer patients receiving chemotherapy. Chulalongkorn Univ Nurs J. 2010;22 (Spec No):54-66. (in Thai)
Pithiyanuwat S, Chantasonthi U. Measurement and evaluation in the classroom: from theory to practice. In: Statistics, research, and educational evaluation units 1–5. Bangkok: Sukhothai Thammathirat Open University; 1994. (in Thai)
Evers GCM. Appraisal of self-care agency ASA-scale: reliabity and validity testing of Dutch version of the ASA-scale measuring Orem's concept self-ca. Assen/ Maastricht: Van Gorcum and Comp BV; 1989.
Best JW. Research in Education. 3rd ed. Englewood Cliffs: Prentice-Hall; 1977.
