In the Ostomy and Wound Care Clinic, Department of Nursing, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University, Changsha, Hunan, China, Huayun Liu, MD, and Xiaomei Zhu, MD, are Enterostomal Therapists. Juping Yu, PhD, is Research Fellow, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom. Pingping He, PhD, is Professor, School of Nursing, University of South China, Hengyang, Hunan. Also in the Department of Nursing, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University, Changsha, Boyong Shen, MD, is Manager, Surgical Ward; Xinhui Tang, BA, is Manager, Ostomy and Wound Care; Xianghua Xu, PhD, is Manager, Nursing Research; Di Wei, MD, is Enterostomal Therapist; Yongyi Chen, PhD, is Manager, Ostomy and Wound Care and Education; and Xuying Li, PhD, is Nurse Manager. Acknowledgments: The authors thank all of the patients who participated in this study and people who helped with data collection. This work was supported by Hunan Provincial Science and Technology Department in China (grant no. 2018SK7005) and Health and Family Planning Commission of Hunan Province in China (grant no. B2019080) and Natural Science of Hunan Provence (Grant No. 2020JJ8090). The authors have disclosed no other financial relationships related to this article. Submitted December 29, 2020; accepted in revised form March 15, 2021.
Adv Skin Wound Care. 2021 Jun 1;34(6):302-307. doi: 10.1097/01.ASW.0000744348.32773.b9.
To explore quality of life (QOL) in patients with colorectal cancer and a stoma and factors associated with their QOL.
A quantitative cross-sectional study was carried out in the stoma and wound care clinic of a cancer hospital in China. Participants were recruited from clinic patients. Investigators collected demographic data and clinical information; QOL was measured using a Chinese version of the stoma-QOL scale.
In total, 359 participants took part; 161 (44.8%) had an ileostomy, whereas the others had a colostomy, and about half of the participants (46.5%) had a permanent stoma. The mean age was 57.86 ± 11.92 years. The QOL scores of most participants were poor, with a median value of 49.44. Participants whose stoma was cared for by others had a significantly lower QOL score than those who cared for their own stomas (odds ratio [OR], 1.58; 95% confidence interval [CI], 1.05-2.38; P = .029). Participants with a temporary stoma had a lower QOL score than those with a permanent stoma (OR, 2.08; 95% CI, 1.275-3.40; P = .004). Further, participants with a complication had a lower QOL score than those without (OR, 1.62; 95% CI, 1.07-2.43; P = .022).
These findings suggest a need for well-developed interventions to improve the QOL of these patients. This study provides valuable insights to inform the development of future clinical practice and research in this area in China and beyond.
探讨结直肠癌造口患者的生活质量（QOL）及其影响因素。
本研究为在中国某癌症医院的造口与伤口护理门诊进行的横断面研究。通过门诊招募参与者。调查人员收集人口统计学和临床信息；采用中文版造口生活质量量表（stoma-QOL）评估 QOL。
共纳入 359 名参与者，其中 161 名（44.8%）接受了回肠造口术，其余接受了结肠造口术，约一半的参与者（46.5%）接受了永久性造口术。参与者的平均年龄为 57.86 ± 11.92 岁。大多数参与者的 QOL 评分较差，中位数为 49.44。由他人护理造口的参与者的 QOL 评分明显低于自行护理造口的参与者（比值比 [OR]，1.58；95%置信区间 [CI]，1.05-2.38；P =.029）。临时造口患者的 QOL 评分低于永久性造口患者（OR，2.08；95% CI，1.275-3.40；P =.004）。此外，有并发症的参与者的 QOL 评分低于无并发症的参与者（OR，1.62；95% CI，1.07-2.43；P =.022）。
这些发现表明需要制定完善的干预措施来提高这些患者的生活质量。本研究为中国乃至其他国家该领域未来的临床实践和研究提供了有价值的信息。
