Sleep Problems in Individuals With Intestinal Stomas and Determining the Quality of Sleep: A Multicenter Study

• Published in: Journal of wound, ostomy, and continence nursing Vol. 50; no. 1; p. 39
• Main Authors: Avci Işik, Sevcan, Balanuye, Berrak, Budak Ertürk, Elif, Karahan, Azize, Üstündağ, Çiğdem, Uğurlu, Ziyafet, Ören Hin, Aysel, Aydin, Durucan, Göçmen Baykara, Zehra, Acarlar, Hülya, Akar, Emine, Köşker, Yasemin, Koç, Mehmet Ali
• Format: Journal Article
• Language: English
• Published: United States 01.01.2023
• Subjects: Disorders of Excessive Somnolence; Humans; Sleep; Sleep Quality; Sleepiness; Surveys and Questionnaires
• ISSN: 1528-3976
• DOI: 10.1097/WON.0000000000000939

The aim of this study was to determine sleep problems and the sleep quality of individuals with intestinal stomas. Descriptive quantitative design was used. The research was carried out from September 2018 to September 2019 at 3 university hospitals with stoma units located in Ankara, Turkey. The study sample comprised 222 individuals with intestinal ostomies who were being monitored in these 3 centers. Approximately half (N = 113, 50.9%) had an ileostomy and 68.5% (N = 152) had a temporary stoma. More than half of the participants (N = 116, 52.3%) reported current sleep problems, 59.5% (N = 132) reported that their stoma affected their sleep, and 64% (N = 142) had problems at night due to their stomas, reporting that they woke up frequently during their main sleep period due to ostomy-related problems. Three instruments were used to measure study outcomes: the researcher-designed instrument determining the descriptive characteristics of individuals with intestinal stomas, the Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale. The mean Pittsburgh Sleep Quality Index score was found to be above 5 (13.42, SD: 3.01) indicating poor sleep quality. The mean Epworth Sleepiness Scale score was 7.54 (SD: 6.37) indicating that participants had daytime sleepiness. The mean Pittsburgh Sleep Quality Index scores of participants with ileostomies ( P = .002) and those with temporary stomas ( P = .009) were found to be significantly higher. Study findings indicate that individuals with intestinal stomas have poor sleep quality and problems with daytime sleepiness; those with ileostomies and temporary stomas had the worst quality of sleep.