St. Paul's Hospital Millennium Medical College, Department of Surgery, Addis Ababa, Ethiopia.
Ethiop J Health Sci. 2021 Sep;31(5):993-1000. doi: 10.4314/ejhs.v31i5.11.
Background and Objective: Quality of life of patients can be affected a treatment. A good quality of life is essential to achieve a goal in treating patients. This study aims to assess stoma related quality of life.
A cross-sectional study was done at St. Paul's Hospital millennium Medical College from February 1 to July 31, 2019. A structured questionnaire was used to interview patients and review charts of patients to retrieve information on sociodemographic variables, type, and indications of the stoma. Data was collected using structured questionnaire adopted from the City of Hope and Beckman Research Institute after modifications to make it in line with the Ethiopian context.
The mean score for the overall quality of life for stomata was 7.42 ± 0.53. Around 70% of patients have adjusted their dietary style due to stoma. More than half of them reported feelings of depression following stoma surgery. Only 34% of patients resumed sexual activity and only 11% were satisfied with it. None of them were enrolled in stoma association or support group. Factors such as type of ostomy (temporary/permanent), adjustment in dietary style due to stoma, depression, change in diet for not passing gas in public, and change in clothing style had significant effects on overall quality of life and its subscales ( < 0.05).
This study demonstrated that living with stoma has a greater impact on the overall aspect of quality of life.
背景与目的：治疗可能会影响患者的生活质量。良好的生活质量对于实现患者治疗目标至关重要。本研究旨在评估造口相关的生活质量。
本研究为 2019 年 2 月 1 日至 7 月 31 日在圣保罗医院千年医科大学进行的横断面研究。采用结构式问卷对患者进行访谈，并查阅患者病历以获取社会人口学变量、造口类型和造口指征等信息。采用经过修改以符合埃塞俄比亚国情的来自希望之城和贝克曼研究所的结构化问卷收集数据。
造口总体生活质量平均得分为 7.42 ± 0.53。约 70%的患者因造口而调整了饮食方式。超过一半的患者报告造口手术后感到抑郁。只有 34%的患者恢复了性生活，只有 11%对此感到满意。他们中没有人参加过造口协会或支持小组。造口类型（临时/永久）、因造口而调整饮食方式、抑郁、在公共场合不放气而改变饮食、以及改变穿衣风格等因素对总体生活质量及其各分量表均有显著影响（<0.05）。
本研究表明，造口生活对生活质量的整体方面有更大的影响。
