Role of Ileostomy in Eating Behavior and Its Impact on Patients' Lifestyle: A Cross- Sectional Study
DOI:
https://doi.org/10.52787/agl.v52i1.175Keywords:
Ostomy, ileostomy, colectomy, nutritionAbstract
Introduction. Nutritional guidelines for patients with ostomies are restrictive, and there is no evidence to support these recommendations. Few studies have examined the effects of diet on the ostomy.
Aim. To describe the eating behavior and the impact on the lifestyle of patients with ileostomies treated at a tertiary public hospital.
Materials and methods. Descriptive, cross-sectional study. A semistructured questionnaire was conducted in patients with ileostomies for a period greater than three months, hospitalized or outpatients, between October 2020 and May 2021. Sampling was consecutive, for convenience. Data were analyzed using the PASW Statistics 18 software and vccSTAT_3.
Results. Forty-two patients were interviewed, 61,9% female, and a median age of 47 years (IQR 33-65). 92,8% received nutritional counseling prior to hospital discharge, and 76,2% had nutritional follow-up limited to the immediate postoperative period. 45.2% fasted for social activities. The foods associated with diarrhea were mate, sugary or carbonated drinks, and candies. Those that provided greater consistency: rice, polenta, noodles, and pasta. 33.3% considered night rest time insufficient. 80.9% described their diet as appetizing. The main reasons for dietary restrictions were a professional indication, diarrhea, and habit.
Conclusions. There is a clear change in eating behavior and lifestyle in these patients, with fasting, food restriction, and altered night rest being prevalent.
References
- 1. Wound, Ostomy and Continence Nurses Society. WOCN Society Clinical Guideline Management of the Adult Patient With a Fecal or Urinary Ostomy—An Executive Summary. J Wound Ostomy Continence Nurs. 2018;45(1):50-58.
- 2. Ileostomy Diet Guidelines [Internet] Northwestern Memorial Hospital [Chicago, 2020) Disponible en: https://www.nm.org ›media › patients-and-visitors northwestern-medicne-ileostomydiet-guidelines.pdf
- 3. Ileostomy Dietary Guidelines- Hollister Incorporated [Internet] WOCN Society Core Curriculum Ostomy Management [Philadelphia, 2017] Disponible en: https://www.hollister.com/-/media/files/pdfs-for-download/ostomy-care/hol_os_caretipilestomydietaryguidelines_us_923117-1117.ashx
- 4. Healthy eating with an ileostomy [Internet] Consensus document from dietitian/nutritionists from the Nutrition Education Materials Online, "NEMO", team. with input from stomal therapy nurses at the Royal Brisbane and Women’s Hospital [Queensland, Australia, 2021] Disponible en: https://www.health.qld.gov.au/_data/assets/pdf_file/0026/152558/gastro_ileostomy.pdf
- 5. Mitchell A, Perry R, England C, Searle A, Atkinson C. Dietary management in people with an ileostomy: a scoping review. JBI Evidence Synthesis 2021;19(9):2188-2306.
- 6. Burch J. Providing information and advice on diet to stoma patients. Br J Community Nurs 2011;16(10):479-84.
- 7. Cronin E. Dietary advice for patients with a stoma. Gastrointestinal Nursing 2013;11(3):14-24.
- 8. Smith J, Spiers J, Simpson P, Nicholls A. The psychological challenges of living with an ileostomy: An interpretative phenomenological analysis. Health Psychology 2017;36(2),143-151.
- 9. Baker M. Food for thought: re-evaluating dietary advice. Gastrointest Nurs 2015;13(6):14-5.
- 10. Ramirez M, Altschuler A, McMullen C, Grant M, Hornbrook M, Krouse R.“I Didn’t Feel Like I Was a Person Anymore”: Realigning Full Adult Personhood after Ostomy Surgery. Medical Anthropology Quarterly 2014;28(2),242-259.
- 11. Information and support- Ileostomies and Eating Habits [Internet] Ileostomy and Internal Pouch Association [England, 2020]. Disponible en: https://3dmbfpogt6ic5img34or2s17-wpengine.netdna-ssl.com/wp-content/uploads/2020/11/EatingHabits.pdf
- 12. Vonk-Klaassen S, de Vocht H, den Ouden M, Hans Eddes E, Schuurmans M. Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Qual Life Res 2016;25:125-133.
- 13. Morris A, Leach B. Exploring individuals’ experiences of having an ileostomy and Crohn’s disease and following dietary advice. Gastrointestinal Nursing, 2015;13(7),36-41.
- 14. Persson E, Gustavsson B, Hellstrom A, Lappas G, Hulte´n L. Ostomy patients’ perceptions of quality of care. J Adv Nurs 2005;49(1):51-8.
- 15. Mitchell A, England C, Atkinson C. Provision of dietary advice for people with an ileostomy: a survey in the UK and Ireland. Colorectal Dis 2020;22(12):2222-31.
- 16. Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD. Quality of life in stoma patients. Dis Colon Rectum. 1999 Dec;42(12):1569-74.
- 17. Floruta CV. Dietary choices of people with ostomies. J Wound Ostomy Continence. Nurs. 2001 Jan;28(1):28-31.
- 18. Sun V, Grant M, Wendel CS, McMullen CK, Bulkley JE, Altschuler A, Ramirez M, Baldwin CM, Herrinton LJ, Hornbrook MC, Krouse RS. Dietary and Behavioral Adjustments to Manage Bowel Dysfunction After Surgery in Long-Term Colorectal Cancer Survivors. Ann Surg Oncol. 2015 Dec;22(13):4317-24.
- 19. Higham SE, Read NW. Effect of ingestion of fat on ileostomy effluent. Gut 1990;31(4):435-8.
- 20. Mogos TV, Chelan CV, Dondoi CI, Iacobini AE, Buzea M. The benefits of good nutrition in preventing post-surgical ileostomy complications. Rom J Diabetes Nutr Metab Dis 2015;22(4):433-7.
- 21. de Oliveira AL, Boroni Moreira AP, Pereira Netto M, Gonçalves Leite IC. A Cross-sectional Study of Nutritional Status, Diet, and Dietary Restrictions Among Persons With an Ileostomy or Colostomy. Ostomy Wound Manage. 2018 May;64(5):18-29.
- 22. Berghouse L, Hori S, Hill M, Hudson M, Lennard-Jones JE, Rogers E. Comparison between the bacterial and oligosaccharide content of ileostomy effluent in subjects taking diets rich in refined or unrefined carbohydrate. Gut. 1984 Oct;25(10):1071-7.
- 23. Kwiatt M, Kawata M. Avoidance and management of stomal complications. Clin Colon Rectal Surg. 2013 Jun;26(2):112-21.
- 24. Stankiewicz M, Gordon J, Rivera J, Khoo A, Nessen A, Goodwin M. Clinical management of ileostomy high output stomas to prevent electrolyte disturbance, dehydration and acute kidney injury: a quality improvement activity. J Stom Ther Austral 2019;39(1):8-10.
- 25. Kirkland-Kyhn H, Martin S, Zaratkiewicz S, Whitmore M, Young HM. Ostomy Care at Home. Am J Nurs. 2018 Apr;118(4):63-68.
- 26. Rudoni C, Russell S. Physical activity and the ileostomy patient: exploring the challenges of hydration. Gastrointest Nurs 2016;14(7):20-7.
- 27. Arenas Villafranca JJ, López-Rodríguez C, Abilés J, Rivera R, Gándara Adán N, Utrilla Navarro P. Protocol for the detection and nutritional management of high-output stomas. Nutr J. 2015 May 9;14:45.
- 28. Gaffney PT, Buttenshaw RL, Stillman L, Ward M. Fermentation in ileostomy bags - control of excessive gas with diet, ph and antibiotics. J Gastroenterol Hepatol 1987;2(3):245-53
- 29. Bingham S, Cummings JH, McNeil NI. Diet and health of people with an ileostomy. 1. Dietary assessment. Br J Nutr. 1982 May;47(3):399-406.
- 30. Gazzard BG, Saunders B, Dawson AM. Diets and stoma function. Br J Surg. 1978 Sep;65(9):642-4.
- 31. McDonald PJ, Fazio VW. What can crohn’s patients eat? Eur J Clin Nutr 1988;42(8):703-8.
- 32. Berti-Hearn L, Elliott B. Ileostomy care: a guide for home care clinicians. Home Healthc Now 2019;37(3):136-44.
- 33. Black P. Care of the older ostomate in the residential care setting. Nurs Residen Care 2009;11(3):123-7.
- 34. Bradshaw E, Collins B. Managing a colostomy or ileostomy in community nursing practice. Br J Community Nurs 2008;13(11):514-8.
- 35. Burch J. Care of patients with a stoma. Nurs Stand 2013;27(32):49-56.
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