Wirsching M, Drüner H U, Herrmann G
Psychother Psychosom. 1975;26(5):245-56. doi: 10.1159/000286938.
114 patients with permanent colostomy for carcinoma of the rectum were compared by questionnaire and interview with 110 cancer patients, having undergone colonic resection but not bearing a colostomy. The patients' own assessment of their health was for the colostomy group even better than for the controls. The emotional state before and after surgery showed significant degrees of hopelessness, depressions and fear especially for young women awaiting colostomy. Social contacts were considered as far as visits of friends or cinema, theatre are concerned. Sexual activity decreased significantly for 75% of colostomized men. In 40% organic lesions led to impotence. The Giessen test revealed significant rates of social impotence, negative social resonance and depression for men with colostoma.
通过问卷调查和访谈，对114例因直肠癌行永久性结肠造口术的患者与110例接受结肠切除术但未行结肠造口术的癌症患者进行了比较。结肠造口术组患者对自身健康的评估甚至优于对照组。手术前后的情绪状态显示出明显程度的绝望、抑郁和恐惧，尤其是对于等待结肠造口术的年轻女性。就朋友来访或看电影、看戏而言，社交接触情况也在考虑范围内。75%的结肠造口术男性的性活动显著减少。40%的患者因器质性病变导致阳痿。吉森测试显示，结肠造口术男性存在显著比例的社交性无能、负面社会共鸣和抑郁。
