Anal incontinence and quality of life following operative treatment of simple cryptoglandular fistula-in-ano: a prospective study.
Anal incontinence and quality of life following operative treatment of simple cryptoglandular fistula-in-ano: a prospective study.
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DOI：
10.1186/s13104-017-2406-2
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发表时间：
2017-11-07
影响因子：
1.8
通讯作者：
Samarasekera, Dharmabandhu Nandadeva
中科院分区：
文献类型：
--
作者：
Jayarajah, Umesh;Wickramasinghe, Dakshitha Praneeth;Samarasekera, Dharmabandhu Nandadeva
背景：肠造口的建立显著影响造口患者的生活质量。研究生活质量及其决定因素是重要的，因为它可能有助于早期识别那些生活质量差，导致适当的干预。本研究的目的是评估可能的促成因素的生活质量的造口patients.METHODS：一个横断面研究进行了43造口术患者谁提出的随访在一个外科诊所的三级保健医院在斯里兰卡超过一个为期1 year。相关的人口统计学和造口相关的数据收集使用访谈管理问卷。采用经验证的造口生活质量量表（Stoma-QOL）和造口护理自我效能量表（SCSE）分别评估患者的生活质量和造口管理自我效能。相关性采用独立样本t检验和斯皮尔曼相关性建立。结果：研究参与者的中位年龄为47.5岁（范围18-83）。中位随访时间为38个月（范围6-183）。平均总体QOL评分为53.07±SD 12.68。大约70%的研究参与者得分低于60分。较高的生活质量与女性、结肠造口术、舒适的收入和满意的性活动有关。在那些报告穿衣风格发生显著变化的患者中，总体生活质量显著降低（p
BACKGROUND: Enteral ostomy creation affects the quality of life (QOL) of stoma patients significantly. Studying the QOL and its determinants is important as it may help in the early identification of those with poor QOL leading to appropriate intervention. This study was aimed to assess the possible contributory factors of QOL of stoma patients.METHODS: A cross sectional study was conducted among 43 ostomy patients who presented for follow up at a surgical clinic of a tertiary care hospital in Sri Lanka over a period of 1year. Relevant demographic and ostomy related data were collected using an interviewer administered questionnaire. Stoma quality of life scale (Stoma-QOL) and stoma care self-efficacy scale (SCSE) which are validated questionnaires were used to assess QOL and self-efficacy in managing stoma respectively. Associations were established using independent samples t test and Spearman's correlation.RESULTS: The median age of the study participants was 47.5years (range 18-83). The median follow up duration was 38months (range 6-183). The mean overall QOL score was 53.07±SD 12.68. Approximately 70% of the study participants scored less than 60. Higher QOL was associated with female sex, colostomies, comfortable income and satisfactory sexual activity. Significantly lower overall QOL was found in those who reported a significant change in the style of dressing (p