Effects of the Quality of Life on the Adaptation of People With An Intestinal Stoma

Abstract

The study aimed to examine the effects of the quality of life on the adaptation of people with an intestinal stoma. Cross-sectional study with 152 people with an ostomy. Three instruments were used: the sociodemographic and clinical characterization, Scale for the Level of Adaptation of Ostomy Patients, and City of Hope Quality of Life - Ostomy Questionnaire. The multiple linear regression model, multivariate technique, and cluster were used. The determination coefficient showed that 94.1% of the variability of the Adaptation scores is explained by the dimensions of quality of life. It can be seen that the highest standardized coefficients are the psychological dimension (β = .386) and the social dimension (β = .365), in which they produce the greatest changes in the average adaptation scores. The psychological and social well-being dimensions are the ones that most contribute to raising the levels of adaptation.

The Effect of Stoma Site Marking on Stomal Complications: A Long-term Retrospective Study

“…26,27 Stomas can have negative effects on individuals' lives and cause physical and psychological problems. 9,28,29 The rate of preoperative stoma site marking in the current study (67.1%) was high compared with values reported in the literature. In the study by Baykara et al, 3 38.4% of 748 patients had stoma site marking; similarly, in the study by Arolfo et al, 30 38% of 1,076 patients had stoma site marking.…”

“…8,9 Moreover, the addition of risk factors such as obesity, cardiac and pulmonary morbidities, diabetes mellitus, colorectal cancer, open surgery, ileostomy, and low stoma height may increase the risk of stoma-related complications. 9 Accurately identifying and marking the stoma site is vital for reducing stomarelated complications. 6,8 Stoma and wound care nurses (SWCNs) provide care, education, counseling, and rehabilitation services to help individuals with stomas adapt to their new physical circumstances and improve their quality of life.…”

“…When the patient stands up in the postoperative period, the stoma location may be between abdominal folds, or at the belt area, incision line, or bone protrusions, which may lead to stoma-related complications 3 . Thus, emergency surgery is an important risk factor for stoma-related complications 8,9 . Moreover, the addition of risk factors such as obesity, cardiac and pulmonary morbidities, diabetes mellitus, colorectal cancer, open surgery, ileostomy, and low stoma height may increase the risk of stoma-related complications 9 .…”

“…Thus, emergency surgery is an important risk factor for stoma-related complications 8,9 . Moreover, the addition of risk factors such as obesity, cardiac and pulmonary morbidities, diabetes mellitus, colorectal cancer, open surgery, ileostomy, and low stoma height may increase the risk of stoma-related complications 9 . Accurately identifying and marking the stoma site is vital for reducing stoma-related complications 6,8 …”

Evaluating the longitudinal effect of colorectal surgery on health‐related quality of life in patients with colorectal cancer

“…First, because the outlet of defecation is moved from the original anus to the abdomen and cannot be controlled at will, the patient's self-image may be disordered, which may be associated with a reduction in patient's social contact, and at the same time, the ability to work and learn may also be reduced. 3 Second, the stoma will produce peculiar smell, and patients with a stoma are prone to varying degrees of fatigue, insomnia, loss of appetite and decline in the quality of sexual life. 4 These factors may directly affect the quality of marriage life, leading to weakening of emotional function and the decline of physiological and social function.…”