Leite Junior Vitaliano de Oliveira, Vieira Giovanna Garcia, Lima Keyliane Santos, Costa Silvana Mendes, Carvalho Ana Raquel Batista de, Soeiro Vanessa Moreira da Silva, Silva Caldas Ana Caroline, Abreu Lima Rafael, Ribeiro Azevedo Patricia, Silva Dias Rosilda, Alves de Sousa Santana de Maria
Nursing Department, Federal University of Maranhão, São Luis 65080-805, Brazil.
Int J Environ Res Public Health. 2025 Mar 4;22(3):375. doi: 10.3390/ijerph22030375.
Assessing the quality of life (QoL) of older adults with intestinal stomas is crucial to understanding the impact of body image and lifestyle changes in this often-underrepresented population. This study aims to evaluate the QoL of older adults with intestinal stomas and analyze the influence of sociodemographic and clinical factors on different QoL domains. This cross-sectional study analyzed the QoL of 47 older adults with intestinal stomas, using the City of Hope Quality of Life-Ostomy Questionnaire (COHQOL-OQ). Data were collected from the outpatient Orthotics and Prosthetics Program and analyzed using R software (version 4.3.1). The majority of participants were male (59.6%), with a mean age of 68.8 ± 5.6 years. Cancer was the leading cause of stoma creation (70.2%), with 83.0% having colostomies and 57.4% permanent stomas. The overall QoL score was 6.71 ± 1.64, with the lowest scores in the physical well-being domain (6.21 ± 2.31) and the highest in the spiritual well-being domain (7.91 ± 1.73). Significant associations were found between QoL and type of ostomy ( = 0.008), self-managed pouch changes ( = 0.050), and physical activity ( = 0.034). The study highlights the importance of autonomy and targeted interventions, including physical activity programs and psychoeducational support, to enhance QoL in this population. The findings provide valuable insights for healthcare professionals and policymakers, contributing to the development of evidence-based interventions for older adults with stomas.
评估患有肠道造口的老年人的生活质量（QoL）对于理解这一常常被忽视人群中身体形象和生活方式变化的影响至关重要。本研究旨在评估患有肠道造口的老年人的生活质量，并分析社会人口统计学和临床因素对不同生活质量领域的影响。这项横断面研究使用希望之城造口生活质量问卷（COHQOL - OQ）分析了47名患有肠道造口的老年人的生活质量。数据从门诊矫形与假肢项目收集，并使用R软件（版本4.3.1）进行分析。大多数参与者为男性（59.6%），平均年龄为68.8±5.6岁。癌症是造口形成的主要原因（70.2%），83.0%的人有结肠造口，57.4%的人有永久性造口。总体生活质量得分为6.71±1.64，其中身体健康领域得分最低（6.21±2.31），精神健康领域得分最高（7.91±1.73）。发现生活质量与造口类型（ = 0.008）、自我管理的造口袋更换（ = 0.050）和身体活动（ = 0.034）之间存在显著关联。该研究强调了自主性和针对性干预措施的重要性，包括身体活动计划和心理教育支持，以提高这一人群的生活质量。研究结果为医疗保健专业人员和政策制定者提供了有价值的见解，有助于为患有造口的老年人制定基于证据的干预措施。
