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Does Resilience Predict Ostomy Adjustment in Patients With Permanent Ostomy?
Batool Tirgari1,2,3,4, Mansooreh Azizzadeh Forouzi1,2,3,4, Azam Heidarzadeh1,2,3,4
1Batool Tirgari, PhD, Professor of Nursing, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Summary
This study found that higher resilience levels are associated with better ostomy adjustment in patients with permanent ostomies. Resilience may be a key factor in helping individuals adapt to life with an ostomy.
Area of Science:
- Psychological adaptation
- Health outcomes research
- Ostomy care
Background:
- Permanent ostomies significantly impact patients' quality of life.
- Understanding factors influencing ostomy adjustment is crucial for patient care.
- Resilience is a psychological resource that may aid adaptation to chronic health conditions.
Purpose of the Study:
- To evaluate the association between resilience and ostomy adjustment.
- To identify potential psychological factors that support adaptation to a permanent ostomy.
Main Methods:
- A descriptive, correlational study was conducted with 100 participants with permanent ostomies.
- Data were collected through interviews using a questionnaire including demographic, clinical characteristics, the Resilience Scale, and the Ostomy Adjustment Inventory-23 (OAI-23).
- Statistical analyses included t tests, ANOVA, Pearson correlation, and linear regression.
Main Results:
- Participants reported suboptimal ostomy adjustment (mean OAI-23 score = 43.37).
- A majority of participants exhibited low resilience (mean Resilience Scale score = 104.56).
- Resilience showed a weak but significant positive association with ostomy adjustment (r = 0.32, P = .006) and was the strongest predictor (P = .004).
Conclusions:
- Higher resilience levels appear to facilitate better adjustment to permanent ostomy.
- Nurses should consider resilience assessment and interventions to improve ostomy adjustment.
- Developing programs focused on enhancing resilience may support patients living with ostomies.
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