Quality of life in colostomy patients practicing colonic irrigation: An observational study
| Autor: | M M Bertrand, S. Bastide, J. Ripoche, S. Alonso, Michel Prudhomme, E. Boutry |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty business.industry Colonic irrigation medicine.medical_treatment Colostomy Surgical Stomas General Medicine Therapeutic education Stoma 03 medical and health sciences 0302 clinical medicine Quality of life 030220 oncology & carcinogenesis Internal medicine Surveys and Questionnaires medicine Quality of Life Humans 030211 gastroenterology & hepatology Observational study business Child Aged |
| Zdroj: | Journal of visceral surgery. 158(1) |
| ISSN: | 1878-7886 |
| Popis: | The presence of colostomy has a major impact on quality of life that could potentially be improved by performing colonic irrigation (CI), yet few studies have assessed the impact of this technique on quality of life. The aim of this study was to assess the quality of life between two groups of patients having a colostomy; those practicing CI vs those not practicing CI.The French Federation of Ostomy (FFO) members were evaluated by a self-questionnaire assessing their experience of CI. Quality of life as assessed by the Stoma-QOL questionnaire was compared between patients practicing CI or not.In total 752 patients were eligible for the study. The median age was 75 years, and 47.26% were men. The median duration between stoma surgery and questionnaire completion was 12.3 years. Forty-one percent of the patients practiced CI. The median quality of life score was significantly higher for the patients practicing the CI: (69.26 vs 58.33, P0.001). In multivariable analysis, the risk factors for not performing CI were age, obesity, the presence of colostomy for less than six years, and a non-oncologic indication for operation.CI appeared to improve the quality of life of patients with colostomy. This care is a therapeutic education issue and should be proposed to all patients. Supervision by the enterostomal therapy nurse is recommended especially for patients with a high risk of failure. |
| Databáze: | OpenAIRE |
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