Influence of intestinal ostomy surgery on HRQoL: Four different cross-sectional studies (n unclear) and three longitudinal studies (n=5,037) were included in this part of the review.
These studies suggested that intestinal stoma surgery impaired HRQoL. Impairment was most severe during the immediate postoperative period; it improved most dramatically during the third postoperative month and continued to improve gradually during the first postoperative year. Magnitude of HRQoL impairment was influenced by several factors, including reason for ostomy, ostomy complications, comorbid conditions, sexual function, age and ability to pay for ostomy supplies.
Influence of nursing interventions on HRQoL among people living with an intestinal ostomy: Two RCTs (n=109) were included in this part of the review.
Relative to standard care, both nursing interventions led to increases in HRQoL. For early post-discharge visit followed by monthly visits, higher HRQoL scores at three months were reported for all SF-36 domains except social functioning and general health perception. At six months, HRQoL scores were significantly higher than controls on all SF-36 domains. Relative to standard care, patients who received progressive muscle relaxation training achieved statistically significant improvements in scores that related to physical health, psychological health, social concerns and environment.
Validity and reliability of condition-specific instruments for measuring HRQoL in people living with an intestinal ostomy: Three of the four included studies provided evidence of validity and reliability for different instruments in measurement of HRQoL in people who lived with an intestinal ostomy. The fourth study appeared to measure the construct of ostomy function rather than HRQoL.