Asian Oncol Nurs.  2018 Mar;18(1):1-10. 10.5388/aon.2018.18.1.1.

Factors Affecting Body Image and Sexual Life for the Colorectal Cancer Patients with Stoma

• Nam SY
• Lee H
• Kim S
• Lee RA

• KMID: 2409139
• DOI: http://doi.org/10.5388/aon.2018.18.1.1

Abstract

PURPOSE
The purpose of this study was to describe factors affecting body image and sexual life for colorectal cancer patients with stoma.
METHODS
A cross-sectional descriptive correlational study was applied to 102 ostomates from June to November in 2015 using self-report questionnaires: the Body image scale (BIS), and the Derogatis interview for sexual functioning self report (DISF-SR).
RESULTS
The influencing factors for body image were "˜need for preoperative sexual education and sexual counseling' (β=−.29, p=.003), and clinical stage II of colorectal cancer (β=−.26, p=.006). The influencing factor for sexual life was educational level (college education or higher) (β=.21, p=.02).
CONCLUSION
The results of this study showed that colorectal cancer patients with stoma had a negative body image. The sexual counseling and education for ostomates should be approached by considering gender characteristics.

Keyword

Surgical Stomas; Colorectal Neoplasms; Body Image; Sexual Life

MeSH Terms

Body Image*
Colorectal Neoplasms*
Counseling
Education
Humans
Self Report
Surgical Stomas

Reference

1. Richbourg L, Thorpe JM, Rapp CG. Difficulties experienced by the os-tomate after hospital discharge. J Wound Ostomy Continence Nurs. 2007; 34:70–9.

2. Li CC, Rew L. A feminist perspective on sexuality and body image in females with colorectal cancer: an integrative review. J Wound Ostomy Continence Nurs. 2010; 37:519–25.

3. Ross L, Abild-Nielsen AG, Thomsen BL, Karlsen RV, Boesen EH, Jo-hansen C. Quality of life of Danish colorectal cancer patients with and without a stoma. Support Care Cancer. 2007; 15:505–13.

4. Milbury K, Cohen L, Jenkins R, Skibber JM, Schover LR. The association between psychosocial and medical factors with long-term sexual dysfunction after treatment for colorectal cancer. Support Care Cancer. 2013; 21:793–802.

5. Reese JB, Finan PH, Haythornthwaite JA, Kadan M, Regan KR, Her-man JM, et al. Gastrointestinal ostomies and sexual outcomes: a comparison of colorectal cancer patients by ostomy status. Support Care Cancer. 2014; 22:461–8.

6. Li CC. Sexuality among patients with a colostomy: an exploration of the influences of gender, sexual orientation, and Asian heritage. J Wound Ostomy Continence Nurs. 2009; 36:288–96.

7. Leon-Carlyle M, Schmocker S, Victor JC, Maier BA, O'Connor BI, Baxter NN, et al. Prevalence of physiologic sexual dysfunction is high following treatment for rectal cancer: but is it the only thing that mat-ters? Dis Colon Rectum. 2015; 58:736–42.

8. Ayaz S, Kubilay G. Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma. J Clin Nurs. 2009; 18:89–98.

9. Kim S. Quality of life and sexuality in cancer patients. Korean J Nurs Query. 2007; 16:79–91.

10. Schover LR. Sexuality and fertility after cancer. Hematology Am Soc Hematol Educ Program. 2005; 523–7.

11. Krychman ML, Pereira L, Carter J, Amsterdam A. Sexual oncology: sexual health issues in women with cancer. Oncology. 2006; 71:18–25.

12. Katz AJ. Breaking the silence on cancer and sexuality: a handbook for healthcare providers. Pittsburgh, PA: Oncology Nursing Society. 2007.

13. Lee SY. A study on sexual life of cancer patients [dissertation]. Seoul: Ewha Womans Univ.;2006.

14. Park S, Kim KS. Model construction of sexual satisfaction in patients with a colostomy. J Korean Acad Nurs. 2009; 39:539–48.

15. Hopwood P, Fletcher I, Lee A, Al Ghazal S. A body image scale for use with cancer patients. Eur J Cancer. 2001; 37:189–97.

16. Kim CY, Choe BM, Park JH, Kim SH. The validation of Korean version of body image scale in patients with breast cancer: a preliminary study. J Korean Soc Biol Ther Psychiatry. 2013; 19:57–70.

17. Derogatis LR. The Derogatis interview for sexual functioning (DISF/DISF-SR): an introductory report. J Sex Marital Ther. 1997; 23:291–304.

18. Hong KS. Psychological attitude to self-appraisal: permanent versus temporary stoma patients [dissertation]. Seoul: Ewha Wonams Univ.;2012.

19. Benedict C, Philip EJ, Baser RE, Carter J, Schuler TA, Jandorf L, et al. Body image and sexual function in women after treatment for anal and rectal cancer. Psychooncology. 2016; 25:316–23.

20. Sharpe L, Patel D, Clarke S. The relationship between body image dis-turbance and distress in colorectal cancer patients with and without stomas. J Psychosom Res. 2011; 70:395–402.

21. Lee YJ. Coping and quality of life in ostomates with rectal cancer [dissertation]. Seoul: Yonsei Univ.;2006.

22. Oh EH, Hong SJ, Mo MH, Woo MY, Kim SJ, Chung BY. Distress of the patients with ostomy. J Korean Oncol Nurs. 2011; 11:9–19.

23. Kim JH, Kim HK. Sexual behavior and sexual satisfaction according to gender in Korean patients with cancer. Korean J Women Health Nurs. 2014; 20:137–47.

24. Jun EY. Factors influencing sexual satisfaction in patients with breast cancer participating in a support group and non support group. Korean J Women Health Nurs. 2005; 11:67–76.

25. Lee JW. Body image, sexual life and sexual satisfaction of women after mastectomy [dissertation]. Seoul: Hanyang Univ.;2012.

26. Krok J, Baker T, McMillan S. Sexual activity and body image: examin-ing gender variability and the influence of psychological distress in cancer patients. J Gend Stud. 2013; 22:409–22.

27. Kim SH. Experience of postoperative sexual life in patients their wives following rectal cancer resection [dissertation]. Seoul: Yonsei Univ..

28. Kotronoulas G, Papadopoulou C, Patiraki E. Nurses’ knowledge, attitudes, and practices regarding provision of sexual health care in patients with cancer: critical review of the evidence. Support Care Cancer. 2009; 17:479–501.