Medical, social, and personal factors as correlates of quality of life among older cancer patients with permanent stoma
The vast majority of cancer patients experience a substantial reduction in their quality of life (QOL) following a stoma procedure. There is a paucity of studies that examine QOL of patients with stoma and only a small percentage of these studies focuses on older patients. This study assesses the le...
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| Veröffentlicht in: | European journal of oncology nursing : the official journal of European Oncology Nursing Society 2019-02, Vol.38 (38), p.50-56 |
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| container_title | European journal of oncology nursing : the official journal of European Oncology Nursing Society |
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| creator | Ayalon, Ravit Bachner, Yaacov G. |
| description | The vast majority of cancer patients experience a substantial reduction in their quality of life (QOL) following a stoma procedure. There is a paucity of studies that examine QOL of patients with stoma and only a small percentage of these studies focuses on older patients. This study assesses the level of QOL of older patients with a permanent stoma; and examines the associations between three categories of variables -personal, medical, and social -and QOL.
This was a cross-sectional study. Seventy-five older cancer patients (M = 75.1 SD = 8.6) with permanent stoma participated in the study. Participants were recruited by their physicians from hospitals and clinics in the central region of Israel. All study measures were valid and reliable.
Participants reported a moderate mean level of QOL. Men's QOL scores were higher than those of women. Positive correlations were found between perceived body image, self-care, self-efficacy, social support and QOL. A negative correlation was found between anxiety and QOL. Three variables emerged as significant predictors of QOL: self-efficacy (β = 0.41, P |
| doi_str_mv | 10.1016/j.ejon.2018.11.010 |
| format | Article |
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This was a cross-sectional study. Seventy-five older cancer patients (M = 75.1 SD = 8.6) with permanent stoma participated in the study. Participants were recruited by their physicians from hospitals and clinics in the central region of Israel. All study measures were valid and reliable.
Participants reported a moderate mean level of QOL. Men's QOL scores were higher than those of women. Positive correlations were found between perceived body image, self-care, self-efficacy, social support and QOL. A negative correlation was found between anxiety and QOL. Three variables emerged as significant predictors of QOL: self-efficacy (β = 0.41, P < .001), perceived body image (β = 0.41, P < .001), and gender (β = −0.14, P < .05). The model explained a variance of 73.6%.
Self-efficacy, perceived body image, and gender are the most important factors for QOL of older patients with stoma in this study. These three personal variables are more significant to QOL than either the medical or the social variables. The personal variables need to be considered by nurses when developing intervention programs aimed at increasing QOL among older cancer patients with permanent stoma.</description><identifier>ISSN: 1462-3889</identifier><identifier>EISSN: 1532-2122</identifier><identifier>DOI: 10.1016/j.ejon.2018.11.010</identifier><identifier>PMID: 30717936</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Body Image ; Cancer ; Cross-Sectional Studies ; Factors ; Female ; Humans ; Israel ; Male ; Medical ; Middle Aged ; Neoplasms - complications ; Neoplasms - psychology ; Neoplasms - therapy ; Nursing ; Older patients ; Personal ; Quality of Life ; Self Efficacy ; Social ; Social Support ; Stoma ; Surgical Stomas</subject><ispartof>European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2019-02, Vol.38 (38), p.50-56</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-b163a61719efa55e3dbe1d50cc9ec5992fe19583748993f337b44a950779595d3</citedby><cites>FETCH-LOGICAL-c380t-b163a61719efa55e3dbe1d50cc9ec5992fe19583748993f337b44a950779595d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejon.2018.11.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.sciencedirect.com/science/article/pii/S1462388918301534$$D View full text (Access may be restricted)$$Hfree_for_read</backlink><backlink>$$Uhttp://igdc.huji.ac.il/home/Maagar/Details.aspx?AN=12263$$D View record in IGDC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30717936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ayalon, Ravit</creatorcontrib><creatorcontrib>Bachner, Yaacov G.</creatorcontrib><title>Medical, social, and personal factors as correlates of quality of life among older cancer patients with permanent stoma</title><title>European journal of oncology nursing : the official journal of European Oncology Nursing Society</title><addtitle>Eur J Oncol Nurs</addtitle><description>The vast majority of cancer patients experience a substantial reduction in their quality of life (QOL) following a stoma procedure. There is a paucity of studies that examine QOL of patients with stoma and only a small percentage of these studies focuses on older patients. This study assesses the level of QOL of older patients with a permanent stoma; and examines the associations between three categories of variables -personal, medical, and social -and QOL.
This was a cross-sectional study. Seventy-five older cancer patients (M = 75.1 SD = 8.6) with permanent stoma participated in the study. Participants were recruited by their physicians from hospitals and clinics in the central region of Israel. All study measures were valid and reliable.
Participants reported a moderate mean level of QOL. Men's QOL scores were higher than those of women. Positive correlations were found between perceived body image, self-care, self-efficacy, social support and QOL. A negative correlation was found between anxiety and QOL. Three variables emerged as significant predictors of QOL: self-efficacy (β = 0.41, P < .001), perceived body image (β = 0.41, P < .001), and gender (β = −0.14, P < .05). The model explained a variance of 73.6%.
Self-efficacy, perceived body image, and gender are the most important factors for QOL of older patients with stoma in this study. These three personal variables are more significant to QOL than either the medical or the social variables. The personal variables need to be considered by nurses when developing intervention programs aimed at increasing QOL among older cancer patients with permanent stoma.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Image</subject><subject>Cancer</subject><subject>Cross-Sectional Studies</subject><subject>Factors</subject><subject>Female</subject><subject>Humans</subject><subject>Israel</subject><subject>Male</subject><subject>Medical</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - therapy</subject><subject>Nursing</subject><subject>Older patients</subject><subject>Personal</subject><subject>Quality of Life</subject><subject>Self Efficacy</subject><subject>Social</subject><subject>Social Support</subject><subject>Stoma</subject><subject>Surgical Stomas</subject><issn>1462-3889</issn><issn>1532-2122</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0Eoh_wBziAjxxI8NjrJJa4VBUUpCIucLYce7L1yolT20vVf4-jLRw5zYz0zKvRM4S8AdYCg-7jocVDXFrOYGgBWgbsGTkHKXjDgfPntd91vBHDoM7IRc4HxpgS_fCSnAnWQ69Ed04evqPz1oQPNEfrt2oWR1dMOS4m0MnYElOmJlMbU8JgCmYaJ3p_NMGXx60NfkJq5rjsaQwOE7VmsbWspnhcSqYPvtxtkbNZ6kxzibN5RV5MJmR8_VQvya8vn39ef21uf9x8u766bawYWGlG6ITpoAeFk5EShRsRnGTWKrRSKT4hKDmIfjcoJSYh-nG3M0qyvldSSScuyftT7pri_RFz0bPPFkOot8Rj1rx6kEIp2VWUn1CbYs4JJ70mP5v0qIHpTbg-6E243oRrAF2F16W3T_nHcUb3b-Wv4Qq8OwF-76we_Rh83Cez3nmr65c6UYlPJwKrh98ek862irP1MQlt0S76_13wB4ibnRE</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Ayalon, Ravit</creator><creator>Bachner, Yaacov G.</creator><general>Elsevier Ltd</general><scope>AGDVQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20190201</creationdate><title>Medical, social, and personal factors as correlates of quality of life among older cancer patients with permanent stoma</title><author>Ayalon, Ravit ; Bachner, Yaacov G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-b163a61719efa55e3dbe1d50cc9ec5992fe19583748993f337b44a950779595d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Image</topic><topic>Cancer</topic><topic>Cross-Sectional Studies</topic><topic>Factors</topic><topic>Female</topic><topic>Humans</topic><topic>Israel</topic><topic>Male</topic><topic>Medical</topic><topic>Middle Aged</topic><topic>Neoplasms - complications</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - therapy</topic><topic>Nursing</topic><topic>Older patients</topic><topic>Personal</topic><topic>Quality of Life</topic><topic>Self Efficacy</topic><topic>Social</topic><topic>Social Support</topic><topic>Stoma</topic><topic>Surgical Stomas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ayalon, Ravit</creatorcontrib><creatorcontrib>Bachner, Yaacov G.</creatorcontrib><collection>IGDC Bibliographic Database - מאגר לחקר ההזדקנות</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of oncology nursing : the official journal of European Oncology Nursing Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ayalon, Ravit</au><au>Bachner, Yaacov G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medical, social, and personal factors as correlates of quality of life among older cancer patients with permanent stoma</atitle><jtitle>European journal of oncology nursing : the official journal of European Oncology Nursing Society</jtitle><addtitle>Eur J Oncol Nurs</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>38</volume><issue>38</issue><spage>50</spage><epage>56</epage><pages>50-56</pages><issn>1462-3889</issn><eissn>1532-2122</eissn><abstract>The vast majority of cancer patients experience a substantial reduction in their quality of life (QOL) following a stoma procedure. There is a paucity of studies that examine QOL of patients with stoma and only a small percentage of these studies focuses on older patients. This study assesses the level of QOL of older patients with a permanent stoma; and examines the associations between three categories of variables -personal, medical, and social -and QOL.
This was a cross-sectional study. Seventy-five older cancer patients (M = 75.1 SD = 8.6) with permanent stoma participated in the study. Participants were recruited by their physicians from hospitals and clinics in the central region of Israel. All study measures were valid and reliable.
Participants reported a moderate mean level of QOL. Men's QOL scores were higher than those of women. Positive correlations were found between perceived body image, self-care, self-efficacy, social support and QOL. A negative correlation was found between anxiety and QOL. Three variables emerged as significant predictors of QOL: self-efficacy (β = 0.41, P < .001), perceived body image (β = 0.41, P < .001), and gender (β = −0.14, P < .05). The model explained a variance of 73.6%.
Self-efficacy, perceived body image, and gender are the most important factors for QOL of older patients with stoma in this study. These three personal variables are more significant to QOL than either the medical or the social variables. The personal variables need to be considered by nurses when developing intervention programs aimed at increasing QOL among older cancer patients with permanent stoma.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>30717936</pmid><doi>10.1016/j.ejon.2018.11.010</doi><tpages>7</tpages></addata></record> |
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| subjects | Age Factors Aged Aged, 80 and over Body Image Cancer Cross-Sectional Studies Factors Female Humans Israel Male Medical Middle Aged Neoplasms - complications Neoplasms - psychology Neoplasms - therapy Nursing Older patients Personal Quality of Life Self Efficacy Social Social Support Stoma Surgical Stomas |
| title | Medical, social, and personal factors as correlates of quality of life among older cancer patients with permanent stoma |
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