Sexual Experiences of Chinese Patients Living With an Ostomy

Zhu, Xiaomei; Chen, Yongyi; Tang, Xin; Chen, Yupan; Liu, Yangyu; Guo, Wenzhong; Liu, Aizhong

doi:10.1097/won.0000000000000357

Cited by 17 publications

(16 citation statements)

References 17 publications

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“…It may thus be prudent to refer these patients to professional counselling and training services about sexual health before and after stoma surgery. 10,11 Though incidence of suicidal tendencies amongst these patients is low; incidence of depression is considerably high up to 58.75% in our study. It is similar to findings in study by Anaraki et al 8 Depression causes direct negative impact on psychological domain of QOL in these patients.…”

Section: Discussionmentioning

confidence: 43%

A cross sectional study of quality of life in patients with enterostomy

et al. 2019

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Background: Enterostomy is one of the commonest surgeries performed in general surgical practise. It leads to considerable alteration in life style of patients after surgery in the form of physical, mental, social, spiritual, economic, educational, vocational, marital, sexual problems. We designed study to assess the extent of these affections on quality of life (QOL) and suggest measure to improve it.Methods: We conducted a cross sectional survey using validated City of Hope-quality of life-Ostomy questionnaire questionnaire which was administered to patients following up for routine stoma care in stoma clinic of our hospital. We included patients who have undergone stoma creation between 2 months to 1 year prior to taking the QOL questionnaire. Demographic data and data collected about four main domains of QOL namely, physical, psychological, social and spiritual was statistically analysed for significance, dependence and correlation.Results: Commonest stoma type in our study was temporary ileostomy done for perforative peritonitis. Presence of ostomy makes significant impact on patients clothing style, occupation and sexual activity and suffered depression. Majority of patients (82.5%) fell in fair to average when their scores of QOL were compared. All four domains of life correlated positively to each other.Conclusions: As all domains of life are related to each other intervention to improve any one of them will cause resultant improvement of all domains of QOL. We suggest holistic approach by pre and postoperative counselling, training by trained enterostomal therapists, psychiatrist, treating surgeons and economic and sexual rehabilitation.

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Section: Discussionmentioning

confidence: 43%

A cross sectional study of quality of life in patients with enterostomy

et al. 2019

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“…Traditionally, in order to ensure radical treatment, for ultra-low rectal cancer within 5 cm from the lower edge of the tumor to the anus, it is considered that combined abdominal and perineal resection (APR), that is, Miles surgery, is the standard treatment [1]. However, permanent stoma also brings more stoma-related complications [2] and urogenital dysfunction [3,4] to patients. In addition, long-term nursing care of stoma [5], persistent mental pressure of stoma on patient's image change, and other factors seriously affect the quality of life [6] and the realization of social function [7] of patients after Miles, making patients' attitude toward the postoperative treatment more negative.…”

Section: Introductionmentioning

confidence: 99%

Anal function and quality of life analysis after laparoscopic modified Parks for ultra-low rectal cancer patients

Ding

Chen

et al. 2020

World J Surg Onc

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Background: To assess postoperative anal function and quality of life of ultra-low rectal cancer patients treated by laparoscopic modified Parks surgery. Methods: From February 2017 to March 2019, 114 patients with ultra-low rectal cancer above T2 were treated respectively with ultra-low anterior resection (Dixon), modified coloanal anastomosis (modified Parks), and Miles according to the preoperative stage and anastomotic position. The postoperative anal function and Fecal Incontinence Quality of Life Scale (FIQL) of each patient were collected and synthetically analyzed. Results: Compared with the Dixon group, the postoperative anal function and FIQL in the Parks group were poor at the early stage. However, from 6 to 12 months after surgery, the scores of anal function and FIQL in the Parks group were similar to those in the Dixon group (P > 0.05). Compared with the Miles group, the FIQL of the two groups were similar in the early postoperative stage. However, with the passage of time, from 3 to 9 months after surgery, the four domains of FIQL in the Parks group were higher than those in the Miles group successively (P < 0.05). Conclusions: Laparoscopic modified Parks is a safe, effective, and economical anus-preserving surgery. Although its early anal function and FIQL were poor, it could gradually recover to the similar level as Dixon. Moreover, it can save the anus and obtain a better postoperative quality of life for some patients who previously could only undergo Miles.

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“…This scale achieved good internal consistency, excellent test-retest reliability (two weeks, r = 0.80 and 0.89), and good construct validity. The Chinese version of the ASEX has been subsequently validated with different clinical samples, and was concluded that this version has high validity and reliability 28,29 .…”

Section: Methodsmentioning

confidence: 99%

Sexual dysfunction and health condition in Chinese doctor: prevalence and risk factors

et al. 2020

Sci Rep

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To our knowledge, little attention has been paid to the sexual function of health workers. The aim of the present study was to assess the frequency of sexual dysfunction among Chinese doctors. In addition, the risk factors for sexual dysfunction were analyzed. This was a questionnaire-based multicenter cross-sectional survey performed in five large academic medical centers in China. A total of 539 male doctors, 547 female doctors were evaluated. We analyzed doctors' demographic characteristics, quality of life, sexual function and attitudes towards sexual problems. Chinese doctors are at high risk of sexual dysfunction and poor health. The prevalence of sexual dysfunction appears to increase with age, and is associated with various social and demographic factors including monthly income, physical exercise, working hours, night shift and health-related quality. The quality of life and sexual health of doctors deserves special attention as a significant public health concern. Alleviating work pressure, increasing income, improving quality of life and therapeutic sexual problems should be considered comprehensively.

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Sexual Experiences of Chinese Patients Living With an Ostomy

Cited by 17 publications

References 17 publications

A cross sectional study of quality of life in patients with enterostomy

A cross sectional study of quality of life in patients with enterostomy

Anal function and quality of life analysis after laparoscopic modified Parks for ultra-low rectal cancer patients

Sexual dysfunction and health condition in Chinese doctor: prevalence and risk factors

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