Abstract
Problems faced by patients in adapting to life after stoma surgery can be affected by a multitude of factors including socioeconomic and clinical parameters. In India, a huge number of stoma surgeries are performed everyday with limited facility of specialised stoma care. Hence, this study seeks to explore and proportionally weigh the challenges faced by these patients in various aspects in order to channelise the information gained towards improved outcome. The study was conducted on 69 patients at the Department of Surgery in a tertiary care setting in eastern India. The instrument used was a three-section Questionnaire which included City of Hope National Medical Centre Questionnaire on Quality of Life, Acceptance of Illness Scale and Ostomy Adjustment Inventory 23. Mean total quality of life score 148.24 with lowest scores in the social domain. Average acceptance of illness score is 1.97 ± 0.11. Average adjustment score is 2.99. Factors like gender and the type of stoma (permanent or temporary) affected the quality of life and acceptance of illness outcomes. Age influenced psychosocial adjustment. Gender and type of stoma, i.e. temporary or permanent, have an impact on the perceived quality of life and acceptance level. Age influences level of adjustment to ostomy. This study revealed the specific issues which posed the biggest difficulties in adapting to a stoma in physical psychological as well as social domains among Indian patients.
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References
Taylor P (2005) An introduction to stomas: reasons for their formation. Nurs Times 101(29):63–64
de Paula MA (1996) Performance of stoma therapy in the process of rehabilitation of ostomy patients. Rev Bras Enfermagem. 49(1):17–22
Harris DA, Egbeare D, Jones S, Benjamin H, Woodward A, Foster ME (2005 Nov) Complications and mortality following stoma formation. Annals of the Royal College of Surgeons of England. 87(6):427–431. https://doi.org/10.1308/003588405x60713
Chandramouli B, Srinivasan K, Jagdish S, Ananthakrishnan N (2004 Apr) Morbidity and mortality of colostomy and its closure in children. J Pediatr Surg. 39(4):596–599. https://doi.org/10.1016/j.jpedsurg.2003.12.016
Kaiser AM, Israelit S, Klaristenfeld D, Selvindoss P, Vukasin P, Ault G, Beart RW (2008 Mar) Morbidity of ostomy takedown. Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract. 12(3):437–441. https://doi.org/10.1007/s11605-007-0457-8
Marquis P, Marrel A, Jambon B (2003) Quality of life in patients with stomas: the Montreux Study. Ostomy Wound Manage. 49(2):48–55
Seo HW (2019 Mar) Effects of the frequency of ostomy management reinforcement education on self-care knowledge, self-efficacy, and ability of stoma appliance change among Korean hospitalised ostomates. Int Wound J. 16(Suppl 1):21–28. https://doi.org/10.1111/iwj.13047
Anaraki F, Vafaie M, Behboo R, Maghsoodi N, Esmaeilpour S, Safaee A (2012) Quality of life outcomes in patients living with stoma. Indian J Palliat Care 18(3):176–180. https://doi.org/10.4103/0973-1075.105687
Gemmill R, Sun V, Ferrell B, Krouse RS, Grant M (2010) Going with the flow: quality-of-life outcomes of cancer survivors with urinary diversion. J Wound Ostomy Continence Nurs. 37(1):65–72. https://doi.org/10.1097/WON.0b013e3181c68e8f
Szpilewska K, Juzwiszyn J, Bolanowska Z, Bolanowska Z, Milan M, Chabowski M, Janczak D (2018) Acceptance of disease and the quality of life in patients with enteric stoma. Pol Przegl Chir. 90(1):13–17. https://doi.org/10.5604/01.3001.0011.5954
Herrle F, Sandra-Petrescu F, Weiss C, Post S, Runkel N, Kienle P (2016) Quality of life and timing of stoma closure in patients with rectal cancer undergoing low anterior resection with diverting stoma: a multicenter longitudinal observational study. Dis Colon Rectum. 59(4):281–290. https://doi.org/10.1097/DCR.0000000000000545
Gautam S, Poudel A (2016) Effect of gender on psychosocial adjustment of colorectal cancer survivors with ostomy. J Gastrointest Oncol 7(6):938–945. https://doi.org/10.21037/jgo.2016.09.02
Davidson F (2016) Quality of life, wellbeing and care needs of Irish ostomates. Br J Nurs 25(17):S4–S12. https://doi.org/10.12968/bjon.2016.25.17.S4
Gautam S, Koirala S, Poudel A, Paudel D (2016) Psychosocial adjustment among patients with ostomy: a survey in stoma clinics, Nepal. Nurs Res Rev 6:13–21. https://doi.org/10.2147/NRR.S112614
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Mukherjee, R., Dastidar, A.G., Halder, S.K. et al. Adjusting to ostomy: The Good, the Bad and the Ugly side of post ostomy Life issues in a cohort of Indian patients. Indian J Surg 83, 1418–1425 (2021). https://doi.org/10.1007/s12262-020-02680-3
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DOI: https://doi.org/10.1007/s12262-020-02680-3