title: Psychological Adaptation to Alteration of Body Image among Stoma Patients: A Descriptive Study.
abstract: BACKGROUND
  Creation of an ostomy leads to significant change in the body image of the patient. However, adaptation to this alteration of body image is necessary for rehabilitation following surgery. The objective of this study was to identify the factors that influence adaptation to altered body image.
  
  
  METHODS
  An analytical cross-sectional study was conducted among 41 ostomy patients who were treated at a single tertiary care unit. Body image disturbance questionnaire (BIDQ) was used to assess the perception of body image. Data were analyzed using independent samplest-test (unpaired), Chi-square test, and Spearman's correlation.
  
  
  RESULTS
  In our study, the mean BIDQ score was 2.22 (standard deviation ± 0.88). The body image disturbance was significantly associated with younger age (P< 0.05). The prevalence of body image disturbance was significantly higher among overweight patients (P< 0.05). Males had a higher BIDQ score than females. Those who had temporary stoma had significantly higher BIDQ score (P< 0.05). Those who felt depressed or had thoughts of self-harm soon after surgery had significantly high body image disturbance score (P< 0.05). There was a significant negative correlation with the perception of self-efficacy and body image disturbance (P< 0.01). There was no significant association between body image disturbance and the diagnosis, type of surgery, or time duration after surgery.
  
  
  CONCLUSIONS
  Poor adaptation to alteration of body image was associated with younger age, overweight, and temporary stoma. Individuals at risk of poor adaptation should be identified before surgery and counseled before surgery, after surgery, and during follow-up visits.
authors.affiliation: Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
authors.forename: Umesh
authors.initials: U
authors.lastname: Jayarajah
authors.affiliation: Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
authors.forename: Dharmabandhu Nandadeva
authors.initials: DN
authors.lastname: Samarasekera
keywords: Body image; contributory factors; stoma