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Pre-surgery information and psychological adjustment to enterostomy
M Fioravanti1, F Di Cesare, L Ramelli
1Istituto di Psicologia, Facoltà di Medicina e Chirurgia, Università La Sapienza, Roma.
The Italian Journal of Surgical Sciences
|January 1, 1988
Summary
Adequate pre-surgery information significantly improves psychological adjustment to enterostomy. Patients receiving insufficient information showed poorer adjustment, highlighting the importance of patient education for recovery.
Area of Science:
- Medical Psychology
- Surgical Patient Care
Background:
- Enterostomy surgery requires significant psychological adjustment.
- Patient understanding of the procedure and its consequences varies widely.
Purpose of the Study:
- To examine the impact of pre-operative information on post-surgery psychological adjustment to enterostomy.
- To compare adjustment patterns between adequately and inadequately informed patient groups.
Main Methods:
- Longitudinal study of 120 enterostomy patients.
- Interviews conducted at multiple post-surgery intervals (immediate, 1 year, >1 year).
- Patients categorized as Adequately Informed (AI) or Not Adequately Informed (NAI) based on pre-operative information received.
Main Results:
- 42% of patients reported low understanding of enterostomy.
- NAI patients consistently showed poorer emotional, cognitive, behavioral, and social adjustment.
- AI patients demonstrated more favorable adjustment throughout the follow-up period.
Conclusions:
- Adequate information is crucial for optimal psychological recovery after enterostomy.
- Patient education is a necessary component of care for enterostomy patients.
- Improved pre-operative communication enhances functional and psychological outcomes.