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Journal of Holistic Nursing
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Influence of Intestinal Stoma on Spiritual Quality of Life of U.S. Veterans

Carol M. Baldwin, PhD, RN, CHTP, CT, AHN-BC

Arizona State University College of Nursing and Healthcare Innovation, carol.baldwin{at}asu.edu

Marcia Grant, RN, DNSc, FAAN

City of Hope National Medical Center

Christopher Wendel, MS

Southern Arizona VA Health Care System

Susan Rawl, PhD, RN

Indiana University School of Nursing

C. Max Schmidt, MD, PhD, MBA

Richard L. Roudebush VA Medical Center and Indiana University

Clifford Ko, MD

VA Greater Los Angeles Healthcare System

Robert S. Krouse, MD

Southern Arizona VA Health Care System and the University of Arizona College of Medicine

Purpose: To examine spiritual quality of life (QOL) of veterans with intestinal ostomies. Design: Mixed-method cross-sectional. Methods: Male veterans with total scores in the upper (n = 59) and lower (n = 61) quartiles of the City of Hope Quality-of-Life–Ostomy survey provided spiritual QOL data. Analyses included chi-square and analysis of variance with significance set at p < .05. Content analysis was used to explicate narratives and focus groups. Results: The high spiritual QOL group was more likely to be married, older, and report more years since surgery (each p < .0001). Upper quartile participants had more favorable scores for several spiritual QOL domains (all p < .0001). Qualitative comments reflected high or low total QOL scores. Conclusions: Spiritual QOL is influenced by an intestinal stoma. Qualitative comments lend insight into the meaning of spirituality items. Findings can assist in the provision of holistic care in this population.

Key Words: spirituality • quality of life • veterans • holistic care

This version was published on September 1, 2008

Journal of Holistic Nursing, Vol. 26, No. 3, 185-194 (2008)
DOI: 10.1177/0898010108315185
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R. S. Krouse, L. J. Herrinton, M. Grant, C. S. Wendel, S. B. Green, M. J. Mohler, C. M. Baldwin, C. K. McMullen, S. M. Rawl, E. Matayoshi, et al.
Health-Related Quality of Life Among Long-Term Rectal Cancer Survivors With an Ostomy: Manifestations by Sex
J. Clin. Oncol., October 1, 2009; 27(28): 4664 - 4670.
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