The influence of husbands' or male partners' support on women's psychosocial adjustment to having an ostomy resulting from colorectal cancer

Andrea Altschuler, Michelle Ramirez, Marcia Grant, Christopher S Wendel, Mark C. Hornbrook, Lisa Herrinton, Robert S Krouse

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

OBJECTIVE: Some patients with colorectal cancer (CRC) require a permanent ostomy, which changes bodily function and can create psychosocial distress. However, little is known about the influence of men's support on women's psychosocial adjustment to having an ostomy as a result of CRC. METHODS: Participants initially completed the City of Hope-CRC Quality of Life questionnaire. We then conducted in-depth interviews with 30 female participants. Interview questions focused on body image, gender, and sexuality. Interviews were recorded and transcribed. We used qualitative methods to analyze the interview data and compared global health-related quality of life (HRQOL) quartile scores to the overall ways that women discussed husbands' or partners' support regarding psychosocial adjustments to having ostomies. RESULTS: Of 30 participants, 22 were married or partnered at the time of surgery and 8 were single. The nonpartnered respondents are not included in this analysis. Of the 22 married/partnered women, 17 described positive support from husbands being central to their psychosocial adjustment, 3 described a lack or withdrawal of support negatively affecting adjustment, and 2 described support as neither positive nor negative. In 17 cases, women's high or low quantitative HRQOL scores matched the positive or negative qualitative findings. There were 3 cases in which there were positive qualitative data and low HRQOL scores, but in each of these cases, women reported serious current comorbidities. CONCLUSIONS: These findings suggest that the provision or withdrawal of husbands' or partners' support can have a considerable impact on the sychosocial adjustment of female CRC patients with ostomies. These findings appear to be both short term and long term. Survivorship assessments should include appraisals of women's relationships to their spouses/partners.

Original languageEnglish (US)
Pages (from-to)299-305
Number of pages7
JournalJournal of Wound, Ostomy and Continence Nursing
Volume36
Issue number3
DOIs
StatePublished - May 2009

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Ostomy
Social Adjustment
Spouses
Colorectal Neoplasms
Quality of Life
Interviews
Hope
Body Image
Sexuality
Comorbidity
Survival Rate

ASJC Scopus subject areas

  • Advanced and Specialized Nursing
  • Medical–Surgical
  • Medicine(all)

Cite this

The influence of husbands' or male partners' support on women's psychosocial adjustment to having an ostomy resulting from colorectal cancer. / Altschuler, Andrea; Ramirez, Michelle; Grant, Marcia; Wendel, Christopher S; Hornbrook, Mark C.; Herrinton, Lisa; Krouse, Robert S.

In: Journal of Wound, Ostomy and Continence Nursing, Vol. 36, No. 3, 05.2009, p. 299-305.

Research output: Contribution to journalArticle

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