The Quality of Life of Patients with Colorectal Cancer and a Stoma in China: A Quantitative Cross-sectional Study

Abstract

OBJECTIVE To explore quality of life (QOL) in patients with colorectal cancer and a stoma and factors associated with their QOL. METHODS A quantitative cross-sectional study was carried out in the stoma and wound care clinic of a cancer hospital in China. Participants were recruited from clinic patients. Investigators collected demographic data and clinical information; QOL was measured using a Chinese version of the stoma-QOL scale. RESULTS In total, 359 participants took part; 161 (44.8%) had an ileostomy, whereas the others had a colostomy, and about half of the participants (46.5%) had a permanent stoma. The mean age was 57.86 ± 11.92 years. The QOL scores of most participants were poor, with a median value of 49.44. Participants whose stoma was cared for by others had a significantly lower QOL score than those who cared for their own stomas (odds ratio [OR], 1.58; 95% confidence interval [CI], 1.05–2.38; P = .029). Participants with a temporary stoma had a lower QOL score than those with a permanent stoma (OR, 2.08; 95% CI, 1.275–3.40; P = .004). Further, participants with a complication had a lower QOL score than those without (OR, 1.62; 95% CI, 1.07–2.43; P = .022). CONCLUSIONS These findings suggest a need for well-developed interventions to improve the QOL of these patients. This study provides valuable insights to inform the development of future clinical practice and research in this area in China and beyond.

Sleep Problems in Individuals With Intestinal Stomas and Determining the Quality of Sleep

“…7 In other studies evaluating the effects of sleep on the quality of life of individuals with stomas, it has been observed that their sleep scores are low and their quality of life is negatively affected as sleep problems increase. [25][26][27] In this study, the sleep quality of women was found to be worse than that of men (P = .05). In a study by Baldwin and colleagues 11 examining the differences in fatigue and sleep quality of individuals with stomas by gender, women experienced more fatigue and sleep disorders than men within a quality-of-life scale (P = .001).…”

“…In research examining the physical dimensions of the quality of life of individuals with stomas, sleep problems were identified as among the most common factors that negatively affected quality of life 7. In other studies evaluating the effects of sleep on the quality of life of individuals with stomas, it has been observed that their sleep scores are low and their quality of life is negatively affected as sleep problems increase 25–27…”

Comparison of adjustment to a temporary or permanent ostomy using the OAI‐23

“…Improved adaptation and QoL are associated with higher levels of self‐efficacy with ostomy care [30, 32, 33]. Variations in QoL scores can be associated with disparities in care protocols and the availability of ostomy support services [13, 33], with better QoL experienced by those who were satisfied with access to a STN and the quality of care provided [30].…”

Robot-assisted fluorescent sentinel lymph node identification in early-stage colon cancer

“…Although the risk of lymph node metastases is relatively low, namely 10–20% in pT1-2 colon cancer (CC) [ 4 , 5 ], segmental resections are routinely performed. However, segmental resections result in substantial morbidity [ 6 ], mortality (2.4–3.1%) [ 6 – 8 ], hospitalisation [ 6 ], and reduction in quality of life (e.g., as a consequence of stomas) [ 9 , 10 ]. Another drawback is that up to 20% of patients with stage I and II CC still develop recurrent disease or distant metastases despite radical segmental resection [ 11 – 13 ], which could result from insufficient sensitivity of conventional histopathological examination for (micro)metastases [ 12 , 14 ].…”