Self-management goals of cancer survivors with an ostomy.
J Cancer Surviv
; 17(5): 1480-1487, 2023 10.
Article
in En
| MEDLINE
| ID: mdl-35522352
ABSTRACT
OBJECTIVES:
Ostomies due to cancer surgery impose complex and enduring care challenges that necessitate cancer survivors" self-management. The objective of this analysis is to evaluate ostomates' self- management goals using a qualitative approach.METHODS:
A multi-site randomized controlled trial testing the Ostomy Self-Management Training program (OSMT) was delivered via telehealth to a group of cancer survivors with an ostomy randomized to either the OSMT program with goal setting or usual care (UC), without goal setting. Goals were classified by type and frequency according to a modified City of Hope Health-Related Quality of Life framework (physical, psychological, social, spiritual, ostomy-specific, and healthcare quality domains), using a directed and systematic content analysis approach.RESULTS:
The 524 self-management goals analyzed by domain frequencies physical (29.4%), ostomy specific (29.0%) and social well-being (25.0%) were predominant. Managing other health issues (7.6%), psychological issues (6.0%), and spiritual well-being issues (3.0%) were next. Common self-management themes were ostomy care independence (87.5%), handling cancer-related issues (62.5%), achieving acceptance (56.2%), resuming physical activity (43.0%), and maintaining fluid/diet balance (43.0%). DISCUSSION/CONCLUSION:
Goal-setting offers insights into self-management concerns of cancer survivors with ostomies. Results demonstrate the broad aspects of self-management ostomates face. PRACTICE IMPLICATIONS Self-management training with patient goal-setting may be used to help ostomates with cancer and their health care providers identify areas for needed education and support.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ostomy
/
Cancer Survivors
/
Self-Management
/
Neoplasms
Type of study:
Clinical_trials
/
Qualitative_research
Aspects:
Patient_preference
Limits:
Humans
Language:
En
Journal:
J Cancer Surviv
Year:
2023
Document type:
Article
Affiliation country:
United States