investigation of intestinal irrigation through the colostomy in ostomy patients and effects on quality of life a scoping review
Article Sidebar
Main Article Content
Abstract
BACKGROUND
Ostomy creation, which involves bowel incontinence, has a significant impact on the QoL (Quality of Life) of colostomised patients. The rehabilitative practice of retrograde colostomy irrigation could ensure a better QoL for patients with descending colostomy and sigmoidostomy.
OBJECTIVES
This paper aims to map the literature and synthesize evidence on this procedure used in care practice as well as to examine its relationship with quality of life so as to promote its diffusion.
METHODS
A scoping review was conducted between June and September 2023 according to the methodology proposed by Arksey and O'Malley, Levac et al. and the PRISMA-ScR (Preferred Reporting Items for Systematic review and Meta-analysis extension-Scoping Reviews) guidelines.
RESULTS
Six papers (five primary studies and one secondary study) were included. They were published from 2010 to 2021, mainly in Australia and Europe. Two papers adopted a mixed methods approach, providing both quantitative and qualitative data. Fifty per cent of the studies investigated the QoL with the use of rating scales and the attribution of a score; furthermore, the physical dimension was the most analysed dimension (80%), followed by the social dimension (70%) and the psychological dimension (50%). Patients perceive an improvement in body image and a reduction in anxiety about the possible detachment of the device and fear of soiling. The reduction in the use of collection devices, with an increase in comfort, is also reported.
In addition, the investigation revealed the critical aspects associated with CI (Colostomy Irrigation) and the difficulties in promoting this procedure.
DISCUSSION AND CONCLUSIONS
CI is an evidence-based procedure. Scientific evidence allows the quality of nursing care to be strengthened and the QoL of colostomised patients to be increased. However, further studies are needed to explore specific aspects related to the lack of knowledge and dissemination of this practice.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Saiani L, Brugnolli A. Trattato di cure infermieristiche. 3a ed. Napoli: Idelson-Gnocchi; 2020.
Alenezi A, McGrath I, Kimpton A, Livesay K. Quality of life among ostomy patients: a narrative literature review. J Clin Nurs. 2021. https://doi.org/10.1111/jocn.15840
Mitchell KA, Rawl SM, Schmidt CM, et al. Demographic, clinical, and quality of life variables related to embarrassment in veterans living with an intestinal stoma. J Wound Ostomy Cont Nurs. 2007. https://doi.org/10.1097/01.won.0000290732.15947.9e
Danielsen AK, Rosenberg J. Health related quality of life may increase when patients with a stoma attend patient education – A case-control study. PLoS ONE. 2014; 9(3):e90354. https://doi.org/10.1371/journal.pone.0090354
Zanotti R, Giorato E, Rastelli G. Colplast. Misurare la Qualità di vita. https://www.coloplast.it/Global/Italy/Stomia/Stoma_QoL.pdf
Saiani L, Brugnolli A. Trattato di cure infermieristiche. 3a ed. Napoli: Idelson-Gnocchi; 2020.
Alenezi A, McGrath I, Kimpton A, Livesay K. Quality of life among ostomy patients: a narrative literature review. J Clin Nurs. 2021. https://doi.org/10.1111/jocn.15840
Mitchell KA, Rawl SM, Schmidt CM, et al. Demographic, clinical, and quality of life variables related to embarrassment in veterans living with an intestinal stoma. J Wound Ostomy Cont Nurs. 2007. https://doi.org/10.1097/01.won.0000290732.15947.9e
Danielsen AK, Rosenberg J. Health related quality of life may increase when patients with a stoma attend patient education – A case-control study. PLoS ONE. 2014; 9(3):e90354. https://doi.org/10.1371/journal.pone.0090354
Zanotti R, Giorato E, Rastelli G. Colplast. Misurare la Qualità di vita. https://www.coloplast.it/Global/Italy/Stomia/Stoma_QoL.pdf
Prieto L, Thorsen H, Juul K. Development and validation of a quality of life questionnaire for patients with colostomy or ileostomy. Health Qual Life Outcomes. 2005;3(1):62. https://doi.org/10.1186/1477-7525-3-62
Canova C, Giorato E, Roveron G, et al. Validation of a stoma-specific quality of life questionnaire in a sample of patients with colostomy or ileostomy. Colorectal Dis. 2013;15(11):e692-e698. https://doi.org/10.1111/codi.12324
Safaee A, Grant M, Anaraki F, et al. The city of hope-quality of life-ostomy questionnaire: persian translation and validation. Ann Med Health Sci Res. 2014; 4(4):634. https://doi.org/10.4103/2141-9248.139355
Grant M, Ferrell B, Dean G, et al. Revision and psychometric testing of the city of hope quality of life–ostomy questionnaire. Qual Life Res. 2004;13(8):1445-57. https://doi.org/10.1023/b:qure.0000040784.65830.9f
Konjevoda V, Zelic M, Munjas Samarin R, Petek D. City of hope quality of life-ostomy questionnaire validity and reliability assessment on a croatian sample. Int J Environ Res Public Health. 2020;17(3):768. https://doi.org/10.3390/ijerph17030768
Boutry E, Bertrand MM, Ripoche J, et al. Quality of life in colostomy patients practicing colonic irrigation: an observational study. J Visc Surg. 2020. https://doi.org/10.1016/j.jviscsurg.2020.07.003
Cesaretti IU, Santos VL, Vianna LA. Qualidade de vida de pessoas colostomizadas com e sem uso de métodos de controle intestinal. Rev Bras Enferm. 2010;63(1):16-21. https://doi.org/10.1590/s0034-71672010000100003
Barbierato M. Linee guida sulla gestione del paziente adulto con stomia enterale o urinaria. AIOSS; 2021. https://www.aioss.it/linee-guida-sulla-gestione-del-paziente-adulto-con-stoma-enterale-o-urinario/.
Osborne W, Swash C, White M, et al. Association of Stoma Care Nurses UK. National clinical guidelines; 2016. https://ascnuk.com/_userfiles/pages/files/resources/ascn_uk_national_guidelines_phase_1_3.pdf
Cobb MD, Grant M, Tallman NJ, et al. Colostomy irrigation. J Wound Ostomy Cont Nurs. 2015;42(1):65-70. https://doi.org/10.1097/won.0000000000000075
Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. https://doi.org/10.1080/1364557032000119616
Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5(1). https://doi.org/10.1186/1748-5908-5-69
Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (prisma-scr): checklist and explanation. Ann Intern Med. 2018;169(7):467. https://doi.org/10.7326/m18-0850
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021:n71. https://doi.org/10.1136/bmj.n71
Grant M, McMullen CK, Altschuler A, Hornbrook MC, Herrinton LJ, Wendel CS, Baldwin CM, Krouse RS. Irrigation practices in long-term survivors of colorectal cancer with colostomies. Clin J Oncol Nurs. 2012;16(5):514-9. https://doi.org/10.1188/12.cjon.514-519
Carlsson E, Gylin M, Nilsson L, Svensson K, Alverslid I, Persson E. Positive and negative aspects of colostomy irrigation. J Wound Ostomy Cont Nurs. 2010 ;37(5):511-6. https://doi.org/10.1097/won.0b013e3181edaf84
Cuzner J. Colostomy irrigation: a client’s story about regaining control over her body. J Stomal Ther Aust. 2019 ;39(4). https://doi.org/10.33235/jsta.39.4.18-22
Whiteley I, Lyons AM, Riccardi R. A qualitative interpretation of the relevance of colostomy irrigation today. J Stomal Therapy Australia. 2012;32(3):6-20.
Kent DJ, Long MA, Bauer C. Does colostomy irrigation affect functional outcomes and quality of life in persons with a colostomy? J Wound Ostomy Cont Nurs. 2015;42(2):155-61. https://doi.org/10.1097/won.0000000000000121