Quality of life is impaired in patients with peristomal bulging of a sigmoid colostomy
Quality of life is impaired in patients with peristomal bulging of a sigmoid colostomy
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DOI：
10.1080/00365520701858470
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发表时间：
2008-05-01
影响因子：
1.9
通讯作者：
Sjodahl, Rune I.
中科院分区：
文献类型：
--
作者：
Kald, Anders;Juul, Kristian N.;Sjodahl, Rune I.
objective.在乙状结肠造口病人中，由疝或脱垂引起的造口周围膨出是很常见的。目前尚不清楚造口周围膨出是否以及在多大程度上影响各种日常活动。本研究的目的是通过使用一般和疾病特异性健康量表（简短健康量表，SHS）和造口特异性生活质量（Stoma-QoL）问卷，在有和没有造口周围膨出的患者中评估膨出的影响。材料和方法。对70例乙状结肠造口患者进行了检查，以确定造口周围隆起。平均（SD）年龄为71.7（13.7）岁，患者平均接受乙状结肠造口术8.1（7.9）年。46例（66%）患者出现膨出，24例无膨出。结果结果发现，有膨出的患者处于不利地位。在SHS中，膨胀患者报告的症状负荷、担忧和总体幸福感的4个量表中有3个量表的QoL显著受损。此外，在Stoma-QoL问卷中，有和没有膨出的患者之间存在显著差异。结论.在乙状结肠造口周围膨出的患者中，用一般和疾病特异性仪器（SHS）评估的生活质量显著受损。Stoma-QoL问卷显示有和无膨出患者之间存在较小但具有统计学显著性差异，但临床意义尚不确定。需要进一步的研究来评估Stoma-QoL问卷中某些单项的作用。
Objective. Peristomal bulging caused by hernia or prolapse is common in patients with a sigmoidostomy. It is not known whether and to what extent peristomal bulging influences various daily activities. The purpose of this study was to evaluate the effects of bulging by using a general and disease-specific health scale (Short Health Scale, SHS) and a stoma-specific quality of life (Stoma-QoL) questionnaire in patients with and without peristomal bulging. Material and methods. Seventy patients with sigmoidostomies were examined to identify peristomal bulging. The mean (SD) age was 71.7 (13.7) years and the patients had had their sigmoidostomies for a mean of 8.1 (7.9) years. Bulging was noticed in 46 patients (66%) while 24 had no bulging. Results. It was found that patients with bulging were at a disadvantage. In the SHS, patients with bulging reported significantly impaired QoL in 3 out of 4 scales regarding symptom load, worry and general sense of wellbeing. Also, in the Stoma-QoL questionnaire there was a significant difference between patients with and those without bulging. Conclusions. QoL evaluated with a general and disease-specific instrument (SHS) was significantly impaired in patients with bulging around a sigmoidostomy. The Stoma-QoL questionnaire showed a small but statistically significant difference between patients with and those without bulging but the clinical significance is uncertain. Further studies are required to evaluate the role of some of the individual items in the Stoma-QoL questionnaire.