Enhance Ostomy Care: Insights from Recent Research

Importance of Ostomy Care in Patient Quality of Life

The quality of life for ostomy patients is influenced by various factors, including physical, emotional, and social adjustments. Research indicates that nearly 70% of ostomy patients experience significant changes in their daily lives post-surgery, impacting their ability to engage in social activities and affecting their mental health (Alenezi et al., 2021).

Table 1: Quality of Life Indicators in Ostomy Patients

Patients often report feelings of embarrassment and anxiety related to their stoma, leading to decreased participation in social and recreational activities (Alwi et al., 2018). Effective ostomy care practices can significantly improve these patients’ quality of life by providing support, education, and appropriate medical interventions.

Common Complications and Challenges Faced by Ostomy Patients

Patients with ostomies may encounter various complications, including:

1. Skin Irritation and Infection: The skin surrounding the stoma can become irritated from the adhesive used in the pouching system, leading to infections and discomfort (Medley, 2014).
2. Leakage: Improper fitting of the pouch can result in leakage, which can be distressing and socially isolating for patients (Alenezi et al., 2021).
3. Psychosocial Challenges: Many ostomy patients face emotional and psychological challenges, including anxiety and depression, due to changes in body image and lifestyle (Ayaz-Alkaya, 2019).

According to a study by Farahani et al. (2022), the impact of these complications can lead to not only physical discomfort but also substantial psychological distress, highlighting the need for comprehensive care strategies.

Effective Communication Strategies in Ostomy Care

Effective communication between healthcare providers and ostomy patients is crucial for successful adaptation and management. The use of patient-reported outcome measures (PROMs) can facilitate better communication by allowing patients to express their concerns and experiences.

Benefits of Clinical Feedback Systems (CFS)

CFSs enable healthcare providers to gather valuable information from patients regarding their experiences and outcomes. These systems can lead to improved clinical decision-making and personalized care plans. Research indicates that patients who engage with CFSs report higher satisfaction levels and better overall health outcomes (Juvik et al., 2025).

A qualitative study highlighted that patients found CFSs useful for preparing for consultations, facilitating deeper discussions about sensitive issues such as body image and sexual health (Juvik et al., 2025). This preparatory engagement allows for more focused consultations and enhances the overall care experience for ostomy patients.

The Role of Clinical Feedback Systems in Patient Management

Clinical feedback systems play a pivotal role in the management of ostomy patients by allowing for the continuous collection and analysis of patient-reported outcomes. These systems can:

1. Tailor Care: By understanding the specific needs and concerns of patients, healthcare providers can tailor their approach, leading to improved outcomes (Campbell et al., 2022).
2. Monitor Progress: Regular feedback allows for the monitoring of patients’ recovery and adaptation processes, enabling timely interventions when necessary (Graupner et al., 2021).
3. Enhance Communication: CFSs encourage open dialogue between patients and providers, fostering a collaborative approach to care (Rognstad et al., 2023).

Table 2: Benefits of Clinical Feedback Systems

Training and Education for Nurses on Ostomy Care Practices

The knowledge and skills of healthcare providers, especially nurses, are crucial for delivering effective ostomy care. A recent study conducted in Bahir Dar, Ethiopia, found that only 55.2% of nurses demonstrated good knowledge about ostomy care, with practice levels also reflecting a need for improvement (Destaw et al., 2024).

Importance of Ongoing Education

Training programs focused on ostomy care should be implemented to enhance the competencies of nurses. Evidence suggests that nurses who receive specialized training are significantly more likely to possess good knowledge and practice levels regarding ostomy care (Destaw et al., 2024).

Table 3: Factors Influencing Knowledge and Practice Among Nurses

Conclusion

Enhancing ostomy care is vital for improving the quality of life of patients living with ostomies. Addressing the common challenges they face through effective communication, utilizing clinical feedback systems, and investing in ongoing education for healthcare providers can lead to better patient outcomes. It is essential to create a supportive healthcare environment that acknowledges the complex needs of ostomy patients and actively works to improve their overall care and quality of life.

FAQ

What is an ostomy?

An ostomy is a surgical procedure that creates an opening (stoma) in the abdomen to divert waste (feces or urine) into an external pouch.

What are common complications associated with ostomy?

Common complications include skin irritation, pouch leakage, psychological distress, and social isolation.

How can communication improve ostomy care?

Effective communication through clinical feedback systems allows patients to express their needs and concerns, leading to more tailored and responsive care.

Why is training important for nurses in ostomy care?

Training enhances nurses’ knowledge and skills, which is crucial for providing high-quality care and support to ostomy patients.

How can patients benefit from clinical feedback systems?

Patients can engage in their care process, receive tailored support, and improve communication with their healthcare providers by using clinical feedback systems.

References

1. Alenezi, A., McGrath, I., Kimpton, A., & Livesay, K. (2021). Quality of life among ostomy patients: A narrative literature review

2. Alwi, F., & Setiawan, A. (2018). Quality of Life of Persons With Permanent Colostomy: A Phenomenological Study. Journal of Coloproctology, 38(4), 295–301 (https://doi.org/10.1016/j.jcol.2018.06.001)

3. Ayaz-Alkaya, S. (2019). Overview of psychosocial problems in individuals with stoma: A review of literature

4. Campbell, R., Ju, A., King, M. T., & Rutherford, C. (2022). Perceived benefits and limitations of using patient-reported outcome measures in clinical practice with individual patients: A systematic review of qualitative studies. Quality of Life Research, 31(6), 1597–1620. https://doi.org/10.1007/s11136-021-03003-z

5. Destaw, E., Tadesse Dagget, T., Sahileslassie, A., & Asnake Gashaw, B. (2024). Knowledge and Practice of Intestinal Ostomy Care Among Nurses in Bahir Dar City, Ethiopia: A Cross-Sectional Study

6. Farahani, M. A., Sargolzaei, M. S., Shariatpanahi, S., Dehkordi, A. H., Dalvand, P., & Heidari-Beni, F. (2022). The prevalence of anxiety and depression in patients with ostomy: A systematic review and meta-analysis

7. Graupner, C., Kimman, M. L., Mul, S., Slok, A. H. M., Claessens, D., Kleijnen, J., Dirksen, C. D., & Breukink, S. O. (2021). Patient outcomes, patient experiences and process indicators associated with the routine use of patient-reported outcome measures (PROMs) in cancer care: A systematic review. Supportive Care in Cancer, 29(2), 573–593. https://doi.org/10.1007/s00520-020-05695-4

8. Juvik, L. A., Andersen, J. R., Indrebø, K. L., & Sandvoll, A. M. (2025). Patients’ experiences with the routine use of a clinical feedback system prior to consultations in ostomy care: a qualitative study. Quality of Life Research, 36(5), 1234-1245. https://doi.org/10.1007/s11136-025-03916-z

9. Medley, J. A. (2014). Cost-effectiveness of a WOC advanced practice nurse in the acute care and outpatient setting

10. Rognstad, K., Wentzel-Larsen, T., Neumer, S.-P., & Kjøbli, J. (2023). A systematic review and meta-analysis of measurement feedback systems in treatment for common mental health disorders. Administration and Policy in Mental Health and Mental Health Services Research, 50(2), 269–282. https://doi.org/10.1007/s10488-022-01236-9