Improving the Hope and Happiness of Patients With an Ostomy: Effects of Group Cognitive Therapy.

ABSTRACT

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.