Quality of life is impaired in patients with peristomal bulging of a sigmoid colostomy

Kald, Anders; Juul, Kristian Vinter; Hjortsvang, Henrik; Sjödahl, Rune

doi:10.1080/00365520701858470

Cited by 84 publications

(90 citation statements)

References 10 publications

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“…Unfortunately, patients who are symptomatic from a PSH often suffer from poor quality of life [39,44]. In one study evaluating the effects of peristomal bulging and subsequent quality of life, patients reported significant impairment in quality of life regarding symptom load, worry, and general sense of well-being.…”

Section: Quality Of Life and Financial Impactmentioning

confidence: 99%

“…Pain and discomfort is generally caused by stretching of the abdominal wall and adjacent skin. Difficulty with maintaining a seal between the ostomy appliance and the stoma is secondary to periodic peristomal bulging [39]. As a result, leakage around the stoma appliance may be frequent, resulting in significant peristomal dermatitis and difficulty concealing the ostomy under clothing.…”

Section: Presentation and Diagnosismentioning

confidence: 99%

“…In one study evaluating the effects of peristomal bulging and subsequent quality of life, patients reported significant impairment in quality of life regarding symptom load, worry, and general sense of well-being. In comparison to patients without bulging, patients with parastomal bulging had significantly higher rates of needing to know where the nearest toilet was, concern that the pouch would loosen, worry that their family would feel awkward around them, and fatigue symptoms such as feeling tired or needing to rest during the day [39]. …”

Section: Quality Of Life and Financial Impactmentioning

confidence: 99%

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Parastomal Hernia: A Growing Problem with New Solutions

et al. 2014

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Parastomal hernia is one of the most common complications following stoma creation and its prevalence is only expected to increase. It often leads to a decrease in the quality of life for patients due to discomfort, pain, frequent ostomy appliance leakage, or peristomal skin irritation and can result in significantly increased healthcare costs. Surgical technique for parastomal hernia repair has evolved significantly over the past two decades with the introduction of new types of mesh and laparoscopic procedures. The use of prophylactic mesh in high-risk patients at the time of stoma creation has gained attention in lieu of several promising studies that have emerged in the recent days. This review will attempt to demonstrate the burden that parastomal hernias present to patients, surgeons, and the healthcare system and also provide an overview of the current management and surgical techniques at both preventing and treating parastomal hernias. i 2014 S. Karger AG, Basel

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Section: Quality Of Life and Financial Impactmentioning

confidence: 99%

Section: Presentation and Diagnosismentioning

confidence: 99%

Section: Quality Of Life and Financial Impactmentioning

confidence: 99%

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Parastomal Hernia: A Growing Problem with New Solutions

et al. 2014

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“…Kald et al (2008) found body image to be of great concern for PSH patients as the bulge, particularly with difficulties in staying away from home overnight and anxieties about the proximity of the toilet. Expert opinion suggests nurses play a pivotal role in alleviating these concerns by finding a suitable stoma appliance, teaching and supporting ostomists to enable them to live with a PSH by discussing the options and help available (Black, 2009).…”

Section: Physical Costmentioning

confidence: 99%

Nurse activity to prevent and support patients with a parastomal hernia

Bland

Young²

2015

Gastrointestinal Nursing

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Parastomal hernia (PSH) is a common stoma complication amongst people with a stoma and represents considerable challenge. This paper reviews research evidence to establish how nurses might help to prevent PSH and improve understanding. However, evidence was lacking in this area and found to be of low quality. Studies focused on adults with a stoma who developed a PSH identified that:  An ostomist's waist circumference > 100cm can be a major contributing factor in developing a PSH. The incidence of PSH can be reduced by a non-invasive, nurse-led prevention programme  Pre-operative stoma-siting and education may play a part in preventing PSH.  PSH presents significant physical, psychological and social morbidities for the ostomist, and as a result, many adopt coping strategies rather than seeking professional help.Further research is needed to strengthen the evidence base for care of those with parastomal hernia and elucidate professional opinion.

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“…We know that the definition used in our trial has clinical relevance and may reflect the reality faced by patients and stoma therapists [4]. We chose this definition as we also regarded it to be simple and reproducible.…”

mentioning

confidence: 99%