A cross-sectional survey of quality of life in colostomates: a report from Iran

Health and Quality of Life Outcomes

Leila Zahedi-Shoolami¹  Mehdi Jafarinia¹  Rasoul Azizi¹  Rezvan Mirzaei¹  Bahar Mahjoubi¹ 

[1] Colorectal Unit, Surgery Department, Hazrat e Rasoul Hospital, Tehran University of Medical Sciences, Sattarkhan Street, Niayesh Avenue, Tehran, Iran

关键词: Iran;    Colostomates;    Quality of life;    Survey;   

Others  :  824906
DOI  :  10.1186/1477-7525-10-136

 received in 2011-11-25, accepted in 2012-10-11,  发布年份 2012

【 摘 要 】

Background

Considering the complications that colostomies may cause, patient self-assessments of their social, emotional, physical, sexual and functional conditions may help their surgeons to evaluate the impact of their interventions or use supplementary methods to maintain patient functional status or decrease its loss to the minimum level. The aim of this study was to evaluate the Quality of Life in Iranian patients with colostomies and to compare the age and gender differences among them.

Method

This cross-sectional study was conducted from 2009 to 2010 to evaluate the quality of life of 96 patients who had undergone surgery for rectal cancer and had permanent colostomies. The European Organization for Research and Treatment of Cancers Quality of Life Questionnaire (EORTC QLQ)-C30 and the EORTC QLQ-CR38 were used to assess patient Quality of Life.

Results

The mean scores for the functional subscales were as follows: Physical Function, 70.9 (±2.2); Role Function, 68.4 (±2.6); Emotional Function, 56.9 (±2.7); Cognitive Function, 68.7 (± 2.6); and Social Function, 64.2 (±3.3). The EORTC questionnaires showed significant differences between males and females. Males had better body image scores. Sexual Function and Sexual Enjoyment were impaired in both males and females, but males had significantly higher scores and better roles in Physical and Sexual Functions. More sexual enjoyment problems in older ages were observed in both males and females.

Conclusion

Having a colostomy was associated with a high level of emotional and sexual function impairment. The differing challenges between males and females should encourage us to design sex-specific interventions that improve the quality of life in this group of patients.

【 授权许可】

   
2012 Mahjoubi et al.; licensee BioMed Central Ltd.

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