Meta-analysis of Influencing Factors of Psychological Distress in Patients with Enterostomy
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Keywords

Enterostomy
Psychological pain
Influencing factors
Meta-analysis

DOI

10.26689/jcnr.v9i1.9514

Submitted : 2025-01-18
Accepted : 2025-02-02
Published : 2025-02-17

Abstract

Objective: To explore the factors affecting the psychological pain of patients with enterostomy through meta-analysis, with the aim of reducing psychological pain and improving patients’ quality of life. Methods: Published literature on psychological pain in enterostomy patients was retrieved from Chinese and English databases, including CNKI, Wanfang, VIP, China Biomedical Network, PubMed, Embase, Ovid, and Web of Science. The search period covered the establishment of the databases until October 2024. Literature was screened based on inclusion and exclusion criteria, and its quality was evaluated. Data analysis was performed using R Studio software. Results: A total of 2,237 articles involving 1,221 patients with enterostomy and 11 influencing factors were identified. The results of the meta-analysis indicated that age, marital status, ostomy complications, self-care ability, pain severity, and sleep quality were the primary contributors to psychological distress. Conclusion: Multiple factors influence psychological pain in enterostomy patients. Medical staff should prioritize addressing these factors to alleviate psychological pain and enhance patients’ quality of life.

References

Smith JA, Spiers J, Simpson P, et al., 2017, The Psychological Challenges of Living with an Ileostomy: An Interpretative Phenomenological Analysis. Health Psychol, 36(2): 143–151. https://doi.org/10.1037/hea0000427

James-Reid S, Bain K, Hansen AS, et al., 2019, Creating Consensus-based Practice Guidelines with 2000 Nurses. Br J Nurs, 28(22): S18–S25. https://doi.org/10.12968/bjon.2019.28.22.S18

Su X, 2016, Effect of Cluster Continuous Care on Health Outcomes of Patients with Preventive Enterostomy, dissertation, Southern Medical University.

Stavropoulou A, Vlamakis D, Kaba E, et al., 2021, “Living with a Stoma”: Exploring the Lived Experience of Patients with Permanent Colostomy. Int J Environ Res Public Health, 18(16): 8512. https://doi.org/10.3390/ijerph18168512

Yan H, Zhang X, 2018, Mental Resilience and Its Correlation with Stigma and Psychological Distress in Patients with Permanent Colostomy for Rectal Cancer. Chinese Journal of Clinicopathology, 38(5): 1027–1031.

Zhong X, Xie S, 2023, The Implications of NCCN Cancer Clinical Practice Guideline: Psychological Pain Management for cancer patients in China. World Latest Medical Information Digest, 23(8): 1–5.

Xu H, 2022, Key Points of WCET International Ostomy Guide 2020. Shanghai Nursing, 22(7): 1–5.

Zhou Y, Gu Y, Hu Y, et al., 2018, JBI Evidence-based Health Care Center Quality Evaluation Tools for Different Types of Studies: Prevalence Rate and Quality Evaluation of Analytical Cross-sectional Studies. Journal of Advanced Nursing, 33(3): 219–221.

Mu Q, Li L, Ye X, et al., 2018, Psychological Distress and Its Influencing Factors in Patients with Permanent Colostomy of Colorectal Cancer. Sichuan Med J, 39(11): 1219–1224.

Liu X, Jiang J, Qin Y, et al., 2019, Current Status and Influential Factors of Psychological Distress in Colostomy Inpatients with Colorectal Cancer. Chin Nursing Res, 33(24): 4299–4303.

Shi Y, Chen X, Zhang W, et al., 2019, Analysis of Psychological Distress and Its Influencing Factors in Patients with Permanent Colostomy. Chin J Modern Nursing, 25(15): 1901–1904.

Jing M, Jin F, 2019, Analysis of Influencing Factors and Intervention Measures of Psychological Distress in Patients with Permanent Enterostomy. Journal of Clinical Nursing, 19(5): 36–39.

Wang A, 2019, Analysis of Psychological Distress and Its Influencing Factors in Young and Middle-Aged Patients with Rectal Cancer Ostomy. Nursing of Integrated Chinese and Western Medicine (English and Chinese), 6(2): 93–97.

Wu W, Ma B, Zhang Y, et al., 2019, Psychological Distress and Its Influencing Factors in Middle-Aged and Elderly Patients with Permanent Colostomy with Colorectal Cancer. Journal of Hebei Medical University, 41(12): 1460–1464.

Xuan L, Chen M, Zhang L, et al., 2019, Research Progress of Nurse-led Follow-up of Patients with Enterostomy. Chin J Modern Nursing, 25(17): 2242–2244.

Shi X, Wang J, Yang X, 2022, Construction and Verification of Psychological Distress Prediction Model for Cancer Patients. Chinese Journal of Nursing, 57(11): 1330–1336.

Cui L, Li H, Zheng M, et al., 2019, Investigation on Psychological Distress of Insomnia Patients and Its Influencing Factors. Chinese Journal of Neuropsychiatric Disorders, 46(4): 229–233.

Liu H, Wang M, Li X, et al., 2021, Sense of Coherence, Psychological Distress, and Disability Acceptance in Colostomy Cancer Survivors. West J Nurs Res, 43(12): 1118–1124. https://doi.org/10.1177/0193945921994523

Chen Y, Tang L, Yan Z, et al., 2019, Meta-analysis of the Detection Rate of Psychological Distress in Chinese Patients with Enterostomy. Chin J Convalescence Medicine, 33(6): 54–58.