Improving the Hope and Happiness of Patients With an Ostomy: Effects of Group Cognitive Therapy
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Zakieh Farmitani1,2,3,4,5, Jamileh Farokhzadian1,2,3,4,5, Mansooreh Azizzadeh Forouzi1,2,3,4,5
1Zakieh Farmitani, MSc, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Purpose:
The purpose of this study was to evaluate the effectiveness of group cognitive therapy (GCT) on hope and happiness in patients with ostomy.
Design:
A single-group before-after study.
Subjects And Setting:
The sample comprised 30 patients living with an ostomy for at least 30 days. Their mean age was 64.5 (SD 10.5) years; most were male (66.7%, n = 20).
Methods:
The study setting was a large ostomy care center in the city of Kerman, located in southeastern Iran. The intervention was 12 GCT sessions, each lasted 90 minutes. Data were collected before and 1 month after GCT sessions using a questionnaire designed for purposes of this study. The questionnaire queried demographic and pertinent clinical data, and incorporated 2 validated instruments: the Miller Hope Scale and the Oxford Happiness Inventory.
Results:
The mean pretest score on the Miller Hope Scale was 121.9 (SD 16.7) and the mean score on the Oxford Happiness Scale was 31.9 (SD 7.8); posttest mean scores were 180.4 (SD 12.1) and 53.4 (SD 8.3), respectively. Scores on both instruments significantly increased in patients living with an ostomy following 3 GCT sessions (P = .0001).
Conclusion:
Findings suggest that GCT enhances hope and happiness in persons living with an ostomy.
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Related Concept Videos
Group Therapy
Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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