Factors affecting quality of life in older people with a cancer-related stoma: a scoping review.

BACKGROUND

Older cancer survivors with a stoma often experience a decline in quality of life (QoL) due to multiple factors.

AIMS: This scoping review aimed to identify factors affecting QoL among older people with a cancer-related stoma.

METHODS

After conducting a systematic search, nine studies were included. Data were analysed and classified into four domains: physical, psychological, social and spiritual.

FINDINGS: Physical factors included difficulties in stoma management, bowel irregularities (diarrhoea and constipation), fatigue, and peristomal skin complications. Psychological factors, such as depression, anxiety, and altered self-concept were prominent, especially in women. Social isolation, reduced support, and loss of spirituality were also significant. Gender and regional disparities influenced QoL outcomes.

CONCLUSION

Complex and interrelated factors influence QoL among older people with a cancer-related stoma. Hence, comprehensive support strategies that simultaneously addresses physical, psychological, social and spiritual needs are essential for improving QoL.