Spiritual well-being in long-term colorectal cancer survivors with ostomies
Version of Record online: 7 JUN 2013
Copyright © 2013 John Wiley & Sons, Ltd.
Volume 22, Issue 11, pages 2513–2521, November 2013
How to Cite
Bulkley, J., McMullen, C. K., Hornbrook, M. C., Grant, M., Altschuler, A., Wendel, C. S. and Krouse, R. S. (2013), Spiritual well-being in long-term colorectal cancer survivors with ostomies. Psycho-Oncology, 22: 2513–2521. doi: 10.1002/pon.3318
- Issue online: 24 OCT 2013
- Version of Record online: 7 JUN 2013
- Manuscript Accepted: 3 MAY 2013
- Manuscript Revised: 24 APR 2013
- Manuscript Received: 6 DEC 2012
- National Cancer Institute. Grant Number: R01 CA106912
- Arizona Cancer Center Support. Grant Number: CA023074
- spiritual well-being;
Spiritual well-being (SpWB) is integral to health-related quality of life. The challenges of colorectal cancer (CRC) and subsequent bodily changes can affect SpWB. We analyzed the SpWB of CRC survivors with ostomies.
Two-hundred-eighty-three long-term (≥5 years) CRC survivors with permanent ostomies completed the modified City of Hope Quality of Life-Ostomy (mCOH-QOL-O) questionnaire. An open-ended question elicited respondents' greatest challenge in living with an ostomy. We used content analysis to identify SpWB responses and develop themes. We analyzed responses on the three-item SpWB sub-scale.
Open-ended responses from 52% of participants contained SpWB content. Fifteen unique SpWB themes were identified. Sixty percent of individuals expressed positive themes such as “positive attitude”, “I am fortunate”, “appreciate life more”, and “strength through religious faith”. Negative themes, expressed by only 29% of respondents, included “struggling to cope”, “not feeling ‘normal’ ”, and “loss”. Fifty-five percent of respondents expressed ambivalent themes including “learning acceptance”, “an ostomy is the price for survival”, “reason to be around despite suffering”, and “continuing to cope despite challenges”. The majority (64%) had a high SpWB sub-scale score.
Although CRC survivors with ostomies infrequently mentioned negative SpWB themes as a major challenge, ambivalent themes were common. SpWB themes were often mentioned as a source of resilience or part of the struggle to adapt to an altered body after cancer surgery. Interventions to improve the quality of life of cancer survivors should contain program elements designed to address SpWB that support personal meaning, inner peace, inter connectedness, and belonging. Copyright © 2013 John Wiley & Sons, Ltd.