المؤلفون: Sritan, Sarawut

المصدر: Journal of Advanced Nursing (John Wiley & Sons, Inc.); Jan2023, Vol. 79 Issue 1, p1-14, 14p

مصطلحات موضوعية: CANCER patient psychology, CINAHL database, ONLINE information services, ENTEROSTOMY nursing, SPIRITUALITY, SYSTEMATIC reviews, BUDDHISM, SELF-perception, COLORECTAL cancer, OSTOMY, CONCEPTUAL structures, ATTITUDES toward illness, QUALITY of life, DESCRIPTIVE statistics, MEDLINE, THEMATIC analysis, SOCIODEMOGRAPHIC factors, NUTRITIONAL status, BODY image

مصطلحات جغرافية: THAILAND

مستخلص: Aim: To appraise and synthesize research investigating the factors contributing to the quality of life (QOL) among Thai patients diagnosed with colorectal cancer (CRC) with a stoma. Design: An integrative review. Data Sources: The scientific databases CINAHL, Medline, PubMed, Web of Science, Google Scholar and ThaiJO were queried for English or Thai research articles published between 2011 and 2021. Review Methods: Included studies were searched utilizing the Preferred Reporting Items for Systematic reviews and Meta‐Analyses (PRISMA) reporting guidelines. The eligible studies were critically appraised by evaluating the study level and quality using the John Hopkins Research Evidence Appraisal Tool. Whittemore and Knafl's five‐stage framework was used to guide this integrative review. Primary data from each suitable study were abstracted, coded and categorized into sub‐themes. Finally, themes were identified based on the review question and objective. Results: Eight articles met the inclusion criteria. Twelve sub‐themes and five significant themes were identified: Sociodemographic and clinical, physiological, psychological, social and spiritual aspects. Conclusion: Factors contributing to QOL among Thai CRC ostomates can be categorized into five domains. The sociodemographic and clinical, physiological and psychological aspects are similar to those in other countries. In the meanwhile, the social and spiritual domains differ from those in other countries, particularly in extended family support and Buddhist belief. Impact By providing the QOL contributing factors, nurses can investigate the significant QOL predictors and create the appropriate interventions for promoting QOL, specifically among Thai CRC adults with a stoma. Likewise, it will be helpful to integrate this result into the nursing curriculum in Thailand and other similar countries to teach nursing students who could give direct holistic care to CRC adults with a stoma. In addition, it will serve as the basis for healthcare policy regarding nursing practice guidelines for assessing the individuals' QOL factors and promoting QOL activities after ostomy surgery. Patient or Public contribution: The ostomy nurses in Thailand are involved in the data analysis stage. They read all the included studies before the meeting. They considered and commented on the generating and synthesizing of codes, subthemes and themes. [ABSTRACT FROM AUTHOR]

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المؤلفون: Tao, Hui, Songwathana, Praneed, Isaramalai, Sang‐arun, Zhang, Ying

المصدر: Journal of Clinical Nursing (John Wiley & Sons, Inc.); May2014, Vol. 23 Issue 9-10, p1186-1200, 15p

مصطلحات موضوعية: RESEARCH evaluation, BEHAVIOR, BODY image, CINAHL database, DECISION making, MEDICAL care, MEDLINE, ONLINE information services, OSTOMATES, PATIENTS, SELF-perception, THEMATIC analysis, OSTOMY, META-synthesis

مستخلص: Aims and objectives To answer how personal awareness and behavioural choices on having a stoma have been described and interpreted in previous qualitative studies. Background Over the past two decades, there has been an accumulation of the qualitative studies concerning the experiences of individuals living with a stoma. Synthesising the findings of these studies would be able to improve the understanding among health providers. Design Qualitative metasynthesis. Methods The literature was obtained through searching CINAHL and Pub Med databases for papers published in English, and China National Knowledge Infrastructure database for papers published in Chinese from 1990-March 2012. Sixteen articles were selected using the predefined criteria. Results Three themes about personal awareness and behavioural choices on having a stoma were identified: altered self, restricted life and overcoming restrictions. The results showed the impacts of having a stoma through the analysis on connections between personal awareness and behavioural choices. Conclusions Having a stoma means that the individuals have to learn to be aware of and accustomed to changes and restrictions in their everyday lives. The individuals take behavioural efforts to overcome these restrictions involving: deciding on whether to reveal or conceal their stomas to others based on the possibility of being accepted or rejected, using internal resources, seeking and receiving external supports. Relevance to clinical practice The description and interpretation on personal awareness and behavioural choices associated with having a stoma is useful for nurses in providing practical, informational and emotional supports to help the individuals successfully adapt to their lives with a stoma. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Clinical Nursing (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)