Self-esteem and health-related quality of life in ostomized patients

cross sectional research with a quantitative approach. Three instruments were used for data collection: one instrument containing sociodemographic and clinical data, Rosenberg's Self-Esteem Scale, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.

Results:

SE and HRQoL were considered satisfactory. Significant statistical difference was found in the social function domain and marital status, ostomy duration, location, and time; global health scale and ostomy type; cognitive function and pain in the ostomy site. There was a correlation between self-esteem and all the functional scales and the global health scale.

Conclusion:

knowing SE and HRQoL levels, in addition to the variables that influence them, supports ostomized patients' care planning, rehabilitation, and social autonomy.

Descriptors:
Ostomy; Colorectal Neoplasms; Self Concept; Quality of Life; Oncology Nursing

Scales and symptoms	Mean	Standard deviation	Cronbach's alpha
Global Health Status (GHS)	77.77	23.82	0.76
Physical function (PF)	72.40	24.02	0.73
Role playing (RP)	60.64	36.91	0.68
Emotional function (EF)	62.69	31.92	0.77
Cognitive function (CF)	77.28	27.69	0.43
Social function (SF)	71.78	32.25	0.69
Fatigue (FAT)	19.98	28.32	0.71
Nausea and vomiting (NAV)	4.61	10.91	0.19
Pain (Pain)	19.44	30.93	0.74
Dyspnea (DYS)	7.39	24.03	-
Insomnia (INS)	37.08	41.29	-
Appetite loss (APL)	21.33	34.94	-
Constipation (CON)	10.19	25.01	-
Diarrhea (DIA)	8.31	18.48	-
Financial difficulty (FID)	31.47	40.61	-

Scale	Sociodemographic and clinical data	Variable	Mean	Standard deviation	p value
Social function	Marital status	With spouse	57.95	36.09	0.01
		Without spouse	87.24	18.15
Financial difficulty	Marital status	With spouse	45.58	43.37	0.03
		Without spouse	15.71	31.49
Global Health Status	Ostomy type	Colostomy	80.04	23.19	0.04
		Ileostomy	52.78	17.36
Social function	Time of stoma	Temporary	53.85	35.98	0.01
		Permanent	81.91	25.52
Cognitive function	Location of stoma	Right quadrant	61.46	24.98	0.04
		Left quadrant	86.22	25.45
Social function	Location of stoma	Right quadrant	53.85	33.37	0.01
		Left quadrant	81.91	27.39
Pain	Location of stoma	Right quadrant Left quadrant	39.69 8.00	40.49 15.78	0.02

	Age		Schooling		Time of ostomy		Self-esteem score
Scale	r^* * Pearson's correlation;	p^ Significance level (p<0.05)	r^* * Pearson's correlation;	p^ Significance level (p<0.05)	r^* * Pearson's correlation;	p^ Significance level (p<0.05)	r^* * Pearson's correlation;	p^ Significance level (p<0.05)
Global Health Status	0.35	0.03	-0.10	0.53	0.19	0.24	-0.64	<0.001
Physical function	0.20	0.22	-0.93	0.58	0.07	0.65	-0.56	<0.001
Role playing	0.32	0.05	-0.13	0.41	0.41	0.01	-0.55	0.001
Emotional function	0.29	0.07	-0.05	0.74	0.24	0.15	-0.63	<0.001
Cognitive function	-0.05	0.75	-0.05	0.76	0.22	0.18	-0.5	<0.001
Social function	0.15	0.35	0.09	0.59	0.32	0.05	-0.51	0.001
Fatigue	-0.34	0.04	0.19	0.26	-0.19	0.26	0.67	<0.001
Nausea and vomiting	-0.21	0.21	0.08	0.64	-0.29	0.08	0.14	0.01
Pain	-0.19	0.24	-0.07	0.66	-0.21	0.20	0.52	0.001
Dyspnea	-0.25	0.13	0.06	0.71	-0.15	0.35	0.26	0.11
Insomnia	-0.29	0.08	0.05	0.76	-0.41	0.01	0.53	0.001
Appetite loss	0.008	0.96	-0.08	0.63	-0.31	0.06	0.39	0.01
Constipation	0.01	0.94	-0.06	0.68	-0.04	0.77	0.17	0.29
Diarrhea	0.01	0.93	-0.09	0.58	0.01	0.92	0.25	0.12
Financial difficulty	-0.17	0.29	-0.18	0.28	-0.17	0.30	0.37	0.02

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR Elizabeth Barichello E-mail: lizabarichello@hotmail.com