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ΑΝΑΣΚΟΠIKH ΕΡΓΑΣΙΑ
H ΕΠΙΔΡΑΣΗ ΤΗΣ ΕΚΠΑΙΔΕΥΣΗΣ ΣΤΗΝ ΠΟΙΟΤΗΤΑ ΖΩΗΣ
ΑΣΘΕΝΩΝ ΜΕ ΚΟΛΟΣΤΟΜΙΑ
Παυλίνα Σαμαρά, Γεωργία Φασόη
Μεταπτυχιακό πρόγραμμα: Θεραπεία και Φροντίδα Τραυμάτων και Ελκών, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής
DOI:
Ci e as
Περίληψη
Εισαγωγή: Η διαβίωση με κολοστομία παρουσιάζει διάφορες προκλήσεις, επηρεάζοντας τόσο τη σωματική όσο
και την ψυχολογική ευεξία των ασθενών. Σκοπός της ανασκόπησης ήταν η επίδραση της εκπαίδευσης στην
ποιότητα ζωής των ατόμων με κολοστομία. Μεθοδολογία: Πραγματοποιήθηκε ανασκόπηση στις βάσεις
δεδομένων PubMed, Scopus, Google Schola , χρησιμοποιώντας ειδικές λέξεις-κλειδιά. Αποτελέσματα: Τα
ευρήματα έδειξαν ότι η εκπαίδευση βελτιώνει την ποιότητα ζωής των ασθενών με στομία. Οι εξατομικευμένες
εκπαιδευτικές παρεμβάσεις από εκπαιδευμένους επαγγελματίες υγείας ενδυναμώνουν τους ασθενείς, ενισχύουν
τις ικανότητές τους για αυτοφροντίδα και ανακουφίζουν το άγχος, προωθώντας τελικά την ανεξαρτησία και την
αισιοδοξία όσον αφορά στη διαχείριση της νόσου. Οι χώροι υγειονομικής περίθαλψης πρέπει παρέχουν
προτεραιότητα στην εφαρμογή εκπαιδευτικών προγραμμάτων για την ευημερία των ασθενών με στομία.
Συμπεράσματα: Η εκπαίδευση είναι απαραίτητη για τη βελτίωση της ποιότητας ζωής των ασθενών με
κολοστομία, παρέχοντας τη δυνατότητα να ζήσουν μια ανεξάρτητη ζωή παρά την κατάστασή τους. Η μελλοντική
έρευνα θα πρέπει να διερευνά καινοτόμες εκπαιδευτικές παρεμβάσεις για τη βελτίωση των αποτελεσμάτων και
της ικανοποίησης των ασθενών.
Λέξεις κλειδιά: Κολοστομία, εκπαίδευση ασθενών, ποιότητα ζωής, αυτοφροντίδα.
Υπεύθυνος Αλληλογραφίας: Παυλίνα Σαμαρά, Ηφαίστου 7 Νίκαια, Τηλ.6976820649 e-mail :pa linasama a@ho mail.com
PERIOPERATIVE NURSING (2024), VOLUME 13, ISSUE 2
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REVIEW ARTICLE
THE IMPACT OF EDUCATION ON QUALITY OF LIFE (QOL) OF
PATIENTS WITH COLOSTOMY
Pa lina Sama a, Geo gia Fasoi
Pos g adua e p og am: Wound and Ulce T ea men and Ca e, Depa men o Nu sing, Uni e si y o Wes A ica,
A hens, G eece.
Abs ac
In oduc ion: Li ing wi h colos omia p esen s a ious challenges, a ec ing bo h he physical and psychological well-
being o pa ien s. Pu pose: This e iew explo ed he impac o educa ional in e en ion on quali y o li e (QoL) o
pa ien s wi h colos omy. Me hodology: A e iew was pe o med in elec onic da abases PubMed, Scopus, Google
Schola , using speci ic keywo ds. Resul s: The indings showed ha pa ien educa ion signi ican ly imp o es QoL o
pa ien s wi h a s oma. Indi idualized educa ional in e en ions deli e ed by ained heal h p o essionals empowe pa-
ien s, enhance hei sel -ca e abili ies, and elie e s ess, ul ima ely p omo ing independence and op imism in man-
aging hei disease. Thus, heal hca e se ings should p io i ize he implemen a ion o comp ehensi e educa ional p o-
g ams o suppo he holis ic well-being o os omy pa ien s. Conclusions: Educa ion is essen ial o imp o e QoL o
colos omy pa ien s, enabling hem o li e a sa is ying and independen li e despi e hei condi ion. Fu u e esea ch
should explo e inno a i e educa ional in e en ions o u he imp o e pa ien ou comes and sa is ac ion.
Keywo ds: Colos omy, pa ien educa ion, quali y o li e, sel -ca e, psychological adap a ion
Co esponding au ho : Pa lina Sama a, 7 I es ou S ee , Nikaia, Τηλ.6976820649 e-mail :pa linasama a@ho mail.com
PERIOPERATIVE NURSING (2024), VOLUME 13, ISSUE 2
Sama a e al. 122 www.spnj.g
In oduc ion
Colos omy is he s anda d ea men op ion o Colo-
ec al cance , globally.1 Acco ding o es ima es om
he US and China, app oxima ely 1 million people li e
wi h a s oma in each coun y, and 700,000 people in
Eu ope.2 Da a om UK and Sweden sugges ha 25–
32% o pa ien s unde going su ge y will acqui e a co-
los omy.3,4
Quali y o li e (QoL) is limi ed in pa ien s a e s oma
su ge y.5–7 Pa ien s wi h ec al cance no ha ing a co-
los omy expe ience highe QoL le els compa ed wi h
hose who had.5 Di e ences in QoL be ween pa ien s
wi h and wi hou a colos omy may pe sis o mo e han
2 o 5 yea s.7
QoL is a mul idimensional and subjec i e concep
ha is di icul o be de ined and measu ed. In
heal hca e en i onmen s, he main eason o measu -
ing QoL is o p omo e pa ien -cen e ed ca e, which en-
su es he in eg a ion o hei p e e ences in disease
managemen and pa icipa ion in decision-making.
QoL measu emen p o ide a amewo k o clinical
moni o ing, assessing changes in li e du ing ea men
and explo ing e ec i eness o ea men . 8,9
Pa ien s who a e well educa ed abou he pu pose
o colos omy a e equipped o deal wi h challenges as-
socia ed wi h daily li e changes. As a esul , pa ien s
a e mo e likely o ac i ely engage in hei own well-be-
ing and adhe e o p esc ibed ca e, hus leading o be -
e o e all heal h ou comes. Empowe ing pa ien s
h ough educa ion is a undamen al elemen ha en-
hances hei abili y o adap , manage and li e a ul illing
li e a e colos omy. 10,11
Fu he mo e, educa ion plays a c i ical ole in ad-
d essing he psychosocial impac o colos omy su -
ge y. Mo e in de ail, pa ien s expe ience a ange o
emo ions, including emba assmen and a educed
sense o body image. Educa ion p o ides s a egies o
coping wi h emo ional challenges.11
The aim o his e iew was o explo e he impac o
educa ion on quali y o li e (QoL) o pa ien s wi h a co-
los omy.
Me hodology
A e iew was conduc ed, examining s udies ha we e
ca ied ou mainly in he las i e yea s, on a global
scale, ega ding he issue unde s udy. The e iew was
ca ied ou in he da abases PubMed, Scopus, Google
Schola , using speci ic keywo ds: Colos omy, pa ien
educa ion, quali y o li e, sel -ca e, psychological adap-
a ion.
Resul s
Li ing wi h a s oma is se iously a ec ing pa ien s’ QoL
which is a ibu ed o a ie y o ac o s such as dia -
hea, odo o leakages om he speci ic a ea. Mean-
while, s oma esul s in body image changes, social e-
s ic ions while is igge ing physical and emo ional
bu den.12,13
Fo example, a s udy conduc ed by Zewude e al.,13
in E hiopia among 39 males (60.9%) and 25 emales
(39.1%) wi h mean age 49.3 ±17.5 showed ha mo e
han 50% epo ed eelings o dep ession ollowing
s oma su ge y. App oxima ely, 70% o pa ien s had ad-
jus ed hei die a y s yle due o s oma and only 34%
esumed sexual ac i i y. Fac o s such as ype o
os omy ( empo a y/pe manen ), adjus men in die a y
s yle due o s oma, dep ession, change in die o no
passing gas in public, and change in clo hing s yle had
signi ican e ec s on o e all QoL and i s subscales.
Indeed, pa ien s wi h s oma expe ience physical im-
pai men , de anged body unc ion and emo ional
auma, which u he minimize hei abili y o sel ca e
and limi hei social o sexual li e.14 All he a o emen-
ioned pa ame e s educe QoL di ec ly o indi ec ly and
place educa ion in he o e on o clinical p ac ice.
In Taiwan, he s udy conduc ed by Ko e al.,15
showed ha mul imedia pa ien educa ion deli e ed ia
lap op enhanced sel -ca e skills and QoL in pa ien s
wi h s oma compa ed wi h con en ional educa ion.
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Fu he mo e, no iced he scalabili y o mul imedia in e -
en ions and ecommended hei inclusion in ea ly
pos ope a i e ca e.
The s udy by Heyda i e al.,16 in I an showed ha
p eope a i e educa ion combined wi h pos ope a i e
suppo p og ams imp o es QoL. The s udy used a i-
ous ools and me hods o imp o e QoL o pa ien s wi h
s omas, such as lec u es, p esen a ions and In e ne
ools. The in e en ions we e ailo ed o di e en a ge
g oups, including pa ien s, ca egi e s o bo h, and o-
cused on physical he apies, sel -ca e and psychologi-
cal suppo . In ol ing amily ca egi e s and using ele-
phone o sma communica ion o ollow-up imp o es
pa ien ou comes.
The s udy by Ganjalikhani e al.,12 in I an showed
ha s uc u ed educa ion in os omy ca e educes anx-
ie y and imp o es QoL. The mos signi ican inc ease
was obse ed o psychological, social, and physical
aspec s, and he leas o spi i ual aspec s. S uc u ed
os omy ca e aining, including ace- o- ace educa ion
and pe sonal p ac ice o using os omy equipmen ,
along wi h w i en ma e ial p o ided by os omy nu ses,
may lead o an inc ease in pa ien s’ o e all QoL and a
dec ease in hei anxie y le el. The same esea che s
highligh ed he impo ance o educa ion p o ided by
ained os omy nu ses o add ess he physical, psycho-
logical, and social heal h needs o pa ien s. I is im-
po an o heal hca e se ings o inco po a e comp e-
hensi e educa ional p og ams o os omy pa ien s o
enhance hei well-being.
Simila ly, he esul s o Mohamed e al.,17 showed
ha educa ion exe s a posi i e impac on enhancing
all aspec s o QoL and sel -e icacy dimensions o bo h
adul and adolescen pa ien s wi h colos omy. Educa-
ion a ge s physical, psychological, social and spi i ual
well-being and p o ides de ailed guidance on colos-
omy ca e, physical ac i i y, psychological esilience,
social pa icipa ion and p e en ion o complica ions.
In China, he s udy by Ran e al.,18 indica ed low QoL
among pa ien s wi h colon cance a e colos omy.
Howe e , pa icipan s who a ended sel -ca e cou ses
epo ed imp o emen in he social domain o QoL
compa ed o hose who did no a end. This sugges s
ha sel -ca e educa ional p og ams ailo ed o he
needs and educa ional le el o pa ien s wi h colos omy
may imp o e hei QoL.
In G eece S a opoulou e al.,19 demons a ed ha
pa ien s wi h pe manen colos omies ace signi ican
challenges in hei daily li es, a ec ing hei men al and
social well-being. In pa icula , he s udy demons a es
he ole o nu ses in p o iding educa ion, suppo and
empowe men o pa ien s wi h os omies, hus acili a -
ing hei adap a ion o new way o li ing. Fu he mo e,
i sugges s ha ea ly diagnosis and managemen o
anxie y and o he men al heal h diso de s is c ucial o
imp o e pa ien ca e.
In e es ingly, pe sonalized educa ional in e en ions
p o ided by ained heal h p o essionals empowe pa-
ien s, enhance hei sel -ca e skills, and alle ia e anxi-
e y, ul ima ely p omo ing independence and op imism
in disease managemen . S oma specialis nu ses a e
essen ial o suppo pa ien s h ough he pe iod o ad-
ap a ion o li e wi h a s oma since hey a e in con ac
wi h pa ien s be o e, a e , and du ing he medical p o-
cess. Nu ses ough o p o ide ca e in e en ions ha
ha e signi ican e ec s on pa ien s’ QoL.15
Las bu no leas , p o ision o de ailed in o ma ion has
gained a g owing ecogni ion o QoL issues in pa ien s
wi h ch onic and li e h ea ening disease. F equen ly in-
o ma ion needs include p ac ical p oblems associa ed
wi h e e yday ac i i ies o e en inancial issues. Addi-
ionally, he con en o in o ma ion may a y acco ding
o gende and educa ion le el be o e and a e p oce-
du es. Discha ge planning ha in eg a es in o ma ion is
c i ical in ensu ing bo h he quali y o ca e and pa ien s’
QoL.20,21 Gi en ha colos omy in luences body image,
i is easily unde s andable ha s eng hening sel
concep in hese ulne able g oup o pa ien s may
imp o e hei QoL and help hem adap o ea men
p ocess.22
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Sama a e al. 124 www.spnj.g
The p ima y goal o each educa ional in e en ion is o
help people o adop a mo e posi i e a i ude o he dis-
ease.
Conclusions
Li e a u e e iew highligh s he signi ican impac o pa-
ien educa ion on QoL among pa ien s wi h os omies.
Ac oss s udy designs and popula ions, se e al key
hemes eme ge, highligh ing ha educa ional in e en-
ions may imp o e pa ien ou comes.
Fi s and o emos , s uc u ed educa ion s ands ou
as a co ne s one in add essing mul i ace ed challenges
aced by os omy pa ien s. Whe he deli e ed h ough
mul imedia pla o ms, indi idualized sessions wi h
heal hca e p o essionals, o educa ional guidelines,
hese in e en ions consis en ly lead o imp o ed sel -
ca e knowledge and skills, educed s ess le els, and
imp o ed QoL.
Fu he mo e, he li e a u e highligh s he impo ance
o a holis ic app oach o pa ien educa ion, which in-
cludes no only physical aspec s bu also psychological
and social dimensions. In addi ion, in ol ing amily
ca egi e s a e eme ging as s a egies o expanding
educa ional in e en ions and p omo ing ongoing pa-
ien engagemen .
By equipping pa ien s wi h he necessa y
knowledge and skills o e ec i ely manage hei condi-
ion, heal hca e se ings can acili a e pa ien empow-
e men , au onomy, and ul ima ely a sense o independ-
ence and op imism ega ding he cou se o hei dis-
ease.
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