ArticlePsycho-oncology2013
Spiritual well-being in long-term colorectal cancer survivors with ostomies.
Article in Psycho-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Psychosocial effects and quality of life after stoma surgery: systematic review and qualitative meta-synthesis.BMC psychology · 2026Pooled it
- Conversations for providers caring for patients with rectal cancer: Comparison of long-term patient-centered outcomes for patients with low rectal cancer facing ostomy or sphincter-sparing surgery.CA: a cancer journal for clinicians · 2016Pooled it
- Implementing a Self-Efficacy-Based Nursing Bundle to Enhance Social Support in Patients with Enterostomies: A Single-Centre Quality Improvement Study.Patient preference and adherence · 2026Article
- ADOPT model combined with structured health education alleviates the preoperative anxiety of patients undergoing preventive ileostomy.Frontiers in psychiatry · 2026Article
- The Differences in Postoperative Nursing Between Temporary Ileostomy and Temporary Colostomy: A Retrospective Cohort Study.Nursing open · 2025Observational
- Future directions of spiritual care where spiritual care providers do not exist: a qualitative study.BMC palliative care · 2025Article
- The experiences of Chinese colorectal cancer survivors in marital intimacy after ostomy creation: A qualitative study.Belitung nursing journal · 2024Article
- Patients' experiences of living with a stoma in rural areas in Northern Sweden.International journal of circumpolar health · 2023Article
- Application and evaluation of transitory protective stoma in ovarian cancer surgery.Frontiers in oncology · 2023Review
- Stigma and related influencing factors in postoperative oral cancer patients in China: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study.International journal of environmental research and public health · 2021Article
- Spiritual Well-Being and Associated Factors in End-Stage Renal Disease.TheScientificWorldJournal · 2021Article
- Coping Processes of Patients with Ostomies in South Korea: A Focus Group Study.Healthcare (Basel, Switzerland) · 2020Article
- Rectal Cancer Survivors' Participation in Productive Activities.The Permanente journal · 2018Article
- Ostomy telehealth for cancer survivors: Design of the Ostomy Self-management Training (OSMT) randomized trial.Contemporary clinical trials · 2018Article
- Perceived and Actual Change in Religion/Spirituality in Cancer Survivors: Longitudinal Relationships With Distress and Perceived Growth.Psychology of religion and spirituality · 2016Article
- Reliability and validity of a survey to measure bowel function and quality of life in long-term rectal cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2014Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveSpiritual 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.
methodsTwo-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.
resultsOpen-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.
conclusionsAlthough 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.
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