Quality of life in colostomy patients practicing colonic irrigation: An observational study - 29/01/21
French Federation of Ostomyc
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Highlights |
• | Little data is available about the practice of colonic irrigation among ostomy patient. |
• | This care is both safe and easy to perform but requires initial eduation and supervision by an enterostomal therapy nurse. |
• | When performed on a regular basis this care can provide significant enhancement in the quality of life of the patients, giving them more confidence and control over their stoma. |
Summary |
Aims of the study |
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.
Patients and methods |
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.
Results |
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, P<0.001). 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.
Conclusions |
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.
El texto completo de este artículo está disponible en PDF.Keywords : Quality of life, Stoma, Colonic irrigation, Stoma-QOL
Esquema
Vol 158 - N° 1
P. 4-10 - février 2021 Regresar al número
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