Smoking, alcohol consumption, diet and physical activity following stoma formation surgery, stoma-related concerns, and desire for lifestyle advice: a United Kingdom survey

BMC Public Health

Gozde Ozakinci¹  Joanne S. Haviland²  Gill Hubbard³  Iseult Wilson⁴  Sarah Slater⁵  Rebecca J. Beeken⁶  Chloe Grimmett⁷  Abigail Fisher⁸  Anna Campbell⁹  Claire Taylor^1,10 

[1] 0000 0001 0721 1626, grid.11914.3c, School of Medicine, University of St Andrews, St Andrews, Scotland, UK;0000 0001 1271 4623, grid.18886.3f, Institute of Cancer Research Clinical Trials and Statistics Unit, Division of Clinical Studies, The Institute of Cancer Research, London, UK;0000 0001 2189 1357, grid.23378.3d, Department of Nursing, University of the Highlands and Islands, Inverness, UK;0000 0004 0374 7521, grid.4777.3, School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK;0000 0004 0606 0717, grid.422301.6, Beatson West of Scotland Cancer Centre, Glasgow, Scotland, UK;0000 0004 1936 8403, grid.9909.9, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK;0000 0004 1936 9297, grid.5491.9, University of Southampton, Southampton, UK;0000000121901201, grid.83440.3b, Research Department of Behavioural Science and Health, University College London, London, UK;000000012348339X, grid.20409.3f, Edinburgh Napier University, Edinburgh, UK;grid.416510.7, St Mark’s Hospital, London North West NHS Healthcare, Harrow, UK;

关键词: Stoma;    Lifestyle;    Physical activity;    Diet;   

DOI  :  10.1186/s12889-019-6913-z

来源: publisher

【 摘 要 】

BackgroundAdherence to smoking, alcohol consumption, diet and physical activity (PA) guidelines may improve outcomes for people with a stoma. A better understanding of these behaviours following stoma formation surgery and their experiences and attitudes towards receiving lifestyle advice, could help identify specific gaps and inform interventions going forward. The aim of this study was to describe changes in current lifestyle following stoma formation and to explore concerns, desire for lifestyle information, advice and support among people who have or have had a stoma.MethodsA sample of adults who currently had or in the past had a stoma for treatment for any medical condition was recruited online through relevant charities and companies, and invited to complete a cross-sectional, online survey. Consenting participants (n = 425) provided demographic information and completed brief, validated questionnaires about their lifestyle, alongside questions around their concerns regarding permanent stoma and experiences of lifestyle information and advice. Responses were summarised using descriptive statistics, and associations between reported concerns about stoma and changes in health behaviours were explored.ResultsMost respondents (93%) still had a stoma at the time of completing the survey. The majority (80%) had not consumed at least 5 portions of fruit and vegetables on the previous day and 20% reported they had not participated in at least 30 min of physical activity on any day in the previous week. Most respondents were non-smokers (84%) and did not exceed recommendations for alcohol intake (60%). Most (56%) felt their PA had decreased following stoma formation. Frequencies of concerns about a permanent stoma were high, and appeared to be associated with reported decreases in PA. Of those reporting nausea, 40% felt their diet had worsened since having their stoma. A large proportion of respondents had not received PA (42%) or dietary (30%) advice, and of these > 90% would have liked guidance.ConclusionsFew respondents to this survey were eating the recommended amount of fruit and vegetables, and most reported a decrease in their PA following stoma surgery. Lifestyle advice would be welcomed by this population, which professionals should take into account when addressing stoma- related concerns.

【 授权许可】

CC BY