Abstract:
BACKGROUND:The objective of the cross-sectional study reported here was to compare the quality of life of patients with an appropriate stoma site and with that of patients with an inappropriate stoma site. MATERIALS AND METHODS:Two groups of patients with permanent intestinal stomas were assessed, 174 patients with appropriate stoma sites and 174 patients with inappropriate stoma sites. We used the EORTC QLQ-C30 and the EORTC QLQ-CR38, which evaluate 26 quality of life (QoL) scales. Data analysis was performed with SPSS software. RESULTS:From a total of 9 functional scales, 3 scales in patients with an appropriate stoma site were significantly higher than in patients with an inappropriate stoma site: sexual enjoyment (71.2% vs. 63.2%; p = 0.02), physical functioning (74.3% vs. 68.2%; p = 0.005), and role functioning (74.3% vs. 64.4%; p < 0.0001). From the total of 16 symptom scales, patients with an inappropriate stoma site had significantly more problems than patients with an appropriate stoma site in 8 scales: micturation (27% vs. 22.5%; p = 0.04), gastrointestinal problems (32.6% vs. 27%; p = 0.01), weight loss (36.5% vs. 29.2%; p = 0.03), dyspnea (25.95% vs. 12.5%; p = 0.0001), pain (39.3% vs. 29.6%; p = 0.001), fatigue (43.5% vs. 34.5%; p < 0.0001), nausea and vomiting (18.15% vs. 12.8%; p = 0.03), and insomnia (39.8% vs. 31.1%; p = 0.01). Patients with an appropriate stoma site scored global QoL significantly higher than those with an inappropriate stoma site (56.2% vs. 49.7%; p = 0.007) CONCLUSIONS:A perfectly placed intestinal stoma is strongly related to good QoL for affected patients. From the total of 26 QoL scales assessed in the study, patients with appropriate stoma sites achieved better results in at least 50% of the scales.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Mahjoubi B,Kiani Goodarzi K,Mohammad-Sadeghi Hdoi
10.1007/s00268-009-0275-0subject
Has Abstractpub_date
2010-01-01 00:00:00pages
147-52issue
1eissn
0364-2313issn
1432-2323journal_volume
34pub_type
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journal_title:World journal of surgery
pub_type: 杂志文章
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abstract::The aim of the present study was to determine whether patients with the incident hospital diagnosis of primary hyperparathyroidism (PHPT) in Denmark during the period 1977-1993 had an increased mortality from cardiovascular disease and cancer compared to the rest of the Danish population. In a random sample of half of...
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journal_title:World journal of surgery
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