The prevalence of psychological problems among ostomy patients: a cross-sectional study from Iran

Abstract

Background and aims: Patients with chronic conditions often develop psychiatric disorders, most commonly depression, stress and anxiety, which may worsen the disease. This study examines the prevalence of depression, stress and anxiety among ostomy patients. Methods: A descriptive cross-sectional study was carried out, with participants selected using convenience sampling from all those who presented for follow up for routine stoma care in a wound clinic in Isfahan, Iran. Data were collected using a demographic variables checklist and the Depression, Anxiety, Stress Scale 21 (DASS-21). Results: Of the 70 participants, 51% were women and the rest were men. The mean age was 62.6 ± 14.1 years (range: 32–91 years). The mean scores for depression, anxiety and stress were 10.9 ± 5.4, 13.1±4.8 and 10.6 ± 5.8 respectively. In total, some level of depression, anxiety and stress was reported by 87%, 92.1% and 71% of patients respectively. Factors such as patients' sex, age, type of stoma and duration of living with stoma appeared to affect patients' levels of depression, anxiety and stress. Conclusion: The rate of psychological problems among ostomy patients is high. Health-care providers should be aware of this and plan for prevention. Further study in this regard is strongly recommended.