Examining the Relationship Between Learning Needs and Quality of Life in Patients with Stoma
Methods: This descriptive and correlational study was conducted with stoma patients receiving care in the surgical and oncology units of a training and research hospital between September 25, 2023 and April 25, 2024. The study was completed with 208 patients who volunteered to participate and met the inclusion criteria. Data were collected through face-to-face interviews using the Patient Information Form, Patient Learning Needs Scale, and Stoma Quality of Life Scale. Data were analyzed with SPSS 23 using Kruskal–Wallis, ANOVA, Student’s t-test and Mann–Whitney U test. A significance level of P<0.05 was accepted.
Results: There was no significant relationship between the learning needs and quality of life of stoma patients (P>0.05). However, patients with rectal cancer had significantly higher scores on the body image/sexuality subscale (t = -2.902, P=0.004) and total quality of life (t = -2.264, P=0.025) compared to those with colon cancer.
Conclusions: The higher body image/sexuality and quality of life scores among patients with rectal cancer suggest that their care needs may be more related to social acceptance rather than purely physiological processes.
1. Marinova P, Marinova R. Patient-centred stoma care support: colostomy patients. Br J Community Nurs. 2024;29(10):494-502. doi: 10.12968/bjcn.2024.0088.
2. Forest-Lalande L. Best Practice Guidelines for Ostomy Care in Neonates, Children, and Adolescents: An Executive Summary. J Wound Ostomy Continence Nurs. 2023;50(5):381-385. doi: 10.1097/WON.0000000000001001.
3. Roveron G, Barbierato M, Rizzo G, et al.; Multidisciplinary Italian Study Group for STOmas (MISSTO). Italian Guidelines for the Nursing Management of Enteral and Urinary Stomas in Adults: An Executive Summary. J Wound Ostomy Continence Nurs. 2021;48(2):137-147. doi: 10.1097/WON.0000000000000745.
4. Marcomini I, Iovino P, Rasero L, Manara DF, Vellone E, Villa G. Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis. Nurs Rep. 2024;14(4):3417-3426. doi: 10.3390/nursrep14040247.
5. Geng Z, Howell D, Xu H, Yuan C. Quality of Life in Chinese Persons Living With an Ostomy: A Multisite Cross-sectional Study. J Wound Ostomy Continence Nurs. 2017;44(3):249-256. doi: 10.1097/WON.0000000000000323.
6. Liu Y, Wang L, Zhu L. The impact of stoma management education on the self-care abilities of individuals with an intestinal stoma. Br J Nurs. 2023;32(6):S28-S33. doi: 10.12968/bjon.2023.32.6.S28.
7. Chrobak-Bień J, Marciniak A, Kozicka I, et al. Quality of Life in Patients over Age 65 after Intestinal Ostomy Creation as Treatment of Large Intestine Disease. Int J Environ Res Public Health. 2023;20(3):1749. doi: 10.3390/ijerph20031749.
8. Alenezi A, Livesay K, McGrath I, Kimpton A. Ostomy-related problems and their impact on quality of life of Saudi ostomate patients: A mixed-methods study. J Clin Nurs. 2023;32(13-14):3707-3719. doi: 10.1111/jocn.16466.
9. Liu H, Zhu X, Yu J, et al. The Quality of Life of Patients with Colorectal Cancer and a Stoma in China: A Quantitative Cross-sectional Study. Adv Skin Wound Care. 2021;34(6):302-307. doi: 10.1097/01.ASW.0000744348.32773.b9.
10. Ketterer SN, Leach MJ, Fraser C. Factors Associated With Quality of Life Among People Living With a Stoma in Nonmetropolitan Areas. Nurs Res. 2021;70(4):281-288. doi: 10.1097/NNR.0000000000000511.
11. Harputlu D, Öztürk FÖ, Aydın D, Akyol C, Tezel A. Effect of Laughter Yoga on Sleep and Quality of Life in Individuals With Fecal Ostomies: A Randomized Controlled Trial. J Wound Ostomy Continence Nurs. 2023;50(4):307-312. doi: 10.1097/WON.0000000000000988.
12. Harputlu D, Talaz D, Cenan D, Karadağ S, Öğce F. Stomalı Bireylerde Uyku Kalitesinin İncelenmesi [Investigation of Sleep Quality in Individuals with Stoma]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2020;13(2):59-66. [Article in Turkish]
13. Gül A, Aygin D. Stomalı Hastalarda Dini Ritüeller [Religious Rituals in Patients with Stoma]. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2021;14:389-402. DOI: 10.38079/igusabder.937111. [Article in Turkish]
14. Kaya Ö, Aygin D. Stomanın cinsel yaşam üzerindeki etkileri [Effects of stoma on sexual life]. Androloji Bülteni. 2020;22(3):194-198. doi: 10.24898/tandro.2020.68984. [Article in Turkish]
15. Ongün P, Yılmaz NB, Kırtıl Yİ. Stomalı Bireylerde Anksiyete, Cinsellik ve Yaşam Kalitesi: Sistematik Derleme [Anxiety, Sexuality and Quality of Life of Individuals with Stoma: A Systematic Review]. Türk Hemşireler Derneği Dergisi. 2021;2(2):41-52. [Article in Turkish]
16. Yaşar Z, Üstündağ H. Stomalı Hastaların Yaşam Kalitesi ve Öz Yeterlilik Düzeylerinin Belirlenmesi [The Determination of Self-Efficacy and Quality of Life in Patients with Stoma]. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2020;8(1):107-115. doi:10.34087/cbusbed.813080. [Article in Turkish]
17. Üstündağ H, Demir N, Zengin N, Gül A. Stomalı Hastalarda Beden İmajı ve Benlik Saygısı [Body Image and Self-Esteem in Patients with Stoma]. Turkiye Klinikleri J Med Sci. 2007;27(4):522-527. [Article in Turkish]
18. Althubaiti A. Sample size determination: A practical guide for health researchers. J Gen Fam Med. 2022;24(2):72-78. doi: 10.1002/jgf2.600.
19. Toprak TN, Tuna A. Ostomili Hastaların Bilgi Gereksinimlerinin Ve Ostomiye Uyumlarının Belirlenmesi [Determination of Informatıon Requirements and Complince of Ostomy Patients]. Paramedik ve Acil Sağlık Hizmetleri Dergisi. 2022;3(1):46-62. doi: 10.54862/pashid.909588. [Article in Turkish]
20. Baxter NN, Novotny PJ, Jacobson T, Maidl LJ, Sloan J, Young-Fadok TM. A stoma quality of life scale. Dis Colon Rectum. 2006;49(2):205-212. doi: 10.1007/s10350-005-0275-6.
21. Karadağ A, Öztürk D, Çelik B. Ostomili Bireylere Yönelik Yaşam Kalitesi Ölçeğinin Türkçeye Uyarlanması [Adaptation of Quality Life Scale for the Ostomy Patients into Turkish]. Kolon Rektum Hast Derg. 2011;21(4):173-181. doi: 10.5505/KRHD.2011.66588. [Article in Turkish]
22. Bubela N, Galloway S, McCay E, et al. The Patient Learning Needs Scale: reliability and validity. J Adv Nurs. 1990;15(10):1181-1187. doi: 10.1111/j.1365-2648.1990.tb01711.x.
23. Çatal E, Dicle A. Hasta Öğrenim Gereksinimleri Ölçeği’nin Türkiye’de Geçerlik ve Güvenirlik Çalışması [A Validity and Reliability Study of the Patient Learning Needs Scale in Türkiye]. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi. 2008;1(1):19-32. [Article in Turkish]
24. Pehli̇van Z, Güner SG, Nural N. Kemoterapiye Bağlı Gelişen Bulantı Kusma Yönetimine İlişkin Hemşirelik Alanında Yapılmış Deneysel Tezlerin İncelenmesi [Investigation of Experimental Theses in Nursing on the Management of Nausea and Vomiting Related to Chemotherapy]. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi. 2023;6(1):193-204. doi:10.38108/ouhcd.1070519. [Article in Turkish]
25. Kazanç Ş, Koçyiğit H, Guler N. Mastektomi Hastalarının Öğrenim Gereksinimleri ve Kaygı Düzeyleri Arasındaki İlişki [The Relationship between Learning Needs and Anxiety Levels of Patients with Mastectomy]. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2023;39(2):193-202. doi: 10.53490/egehemsire.1149013. [Article in Turkish]
26. Davis D, Ramamoorthy L, Pottakkat B. Impact of stoma on lifestyle and health-related quality of life in patients living with stoma: A cross-sectional study. J Educ Health Promot. 2020;9:328. doi: 10.4103/jehp.jehp_256_20.
27. Golpazir-Sorkheh A, Ghaderi T, Mahmoudi S, Moradi K, Jalali A. Family-Centered Interventions and Quality of Life of Clients with Ostomy. Nurs Res Pract. 2022;2022:9426560. doi: 10.1155/2022/9426560.
28. Werther C. Predictors of Health-Related Quality of Life in Younger Persons With a Fecal Ostomy and Inflammatory Bowel Disease. J Wound Ostomy Continence Nurs. 2024;51(4):297-302. doi: 10.1097/WON.0000000000001087.
29. Zhu X, Chen Y, Tang X, Chen Y, Liu Y, Guo W, Liu A. Sexual Experiences of Chinese Patients Living With an Ostomy. J Wound Ostomy Continence Nurs. 2017;44(5):469-474. doi: 10.1097/WON.0000000000000357.
30. Muzii B, Di Bello F, Collà Ruvolo C, et al. Stoma Acceptance Mediates Body Image Distress and Mental Health-Related Quality of Life: A Single-Center Study on Radical Cystectomy Patients with Ureterostomy. J Clin Med. 2024;13(24):7682. doi: 10.3390/jcm13247682.
31. Rojas M, Méndez A, Watkins-Fassler K. The hierarchy of needs empirical examination of Maslow’s theory and lessons for development. World Development. 2023;165:106185. doi: 10.1016/j.worlddev.2023.106185.
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Article Information
- Article Type Research Article
- Submitted February 21, 2026
- Published March 1, 2026
- Issue Volume 12 - Issue 3 (March 2026)
- Section Research Article
