Life Satisfaction and Body Image Perception

INTRODUCTION:

Factors associated with improved life satisfaction following ostomy surgery are of interest to WOC nurses. This study identifies associations between changes in body-image perception and life satisfaction in ostomates.

METHODOLOGY:

The study uses a subset (n=1459) of data from the Ostomy Comprehensive Health and Life Assessment survey (N=4097), which contains 93 questions pertaining to health and life domains including two body-image perception questions. A cumulative life satisfaction index was calculated from six questions regarding satisfaction with social life, life with spouse/partner, family life, leisure time, financial situation, and overall life contentment. Scores range between 0 and 24.

RESULTS: 

While 38.2% of ostomates report having a negative body-image perception as a result of their stoma, most of this group still remains positive with 65.2% exhibiting positive life satisfaction scores. Overall, 82.2% of ostomates exhibit positive life satisfaction scores.

After adjusting for various socio-demographic characteristics, several factors were found to be associated with body-image perception. Those not changing the type or style of clothing worn because of the pouch were 3.2 (95% CI: 2.5-4.2) times more likely to report a positive body-image. Those who reported no weight change after surgery were 1.6 (95% CI: 1.3-2.2) times more likely to report a positive body-image. 

These associations with body-image perception have an impact on life satisfaction. Ostomates who report a positive body-image were 3.0 (95% CI: 2.0-4.4) times more likely to have higher life satisfaction scores.