Effect of the stoma cares service for the people with ostomy.

本研究旨在了解日本人在整个生命周期内的造口现状。1）造口老年人的问题：造口老年人的比例超过60%，问题从日常能力需求扩展到家庭护理和临终护理。2）炎症性肠病（IBD）造口患者的问题：2175例炎症性肠病患者中造口/瘘管患者占13.1%。平均年龄39.8岁（SD 12.9），性别比1.6：1。皮肤护理需求以手术部位、造口皮肤、肛会阴区最多，占81%。3）造口生命周期问题：在生命受到威胁后进行干预是非常重要的;癌症或不可治愈的疾病总是影响他们的生命周期。4）造口术后生活质量问题：造口术后生存率高于前几年，但健康相关问题和造口周围皮肤问题与生活意义相关。对于有复杂需求的客户，团队解决问题的方法非常重要。在适当的造口/瘘管护理措施后，患者的生活质量有所改善

This study was conducted to find current status of Japanese people with ostomy through out there life span.1)Issues of elderly people with ostomy : The ratio of elderly people with ostomy was over 60%, issues were expanded from daily ability needs to home nursing care and end of life care. Making network system between hospital ostomy team and home care setting members were most important key for best practice.2)Issues of inflammatory bowel disease(IBD) patients with ostomy : There were 13.1% of ostomy/fistula patients from 2175 inflammatory bowel disease patients. Average age was 39.8(SD 12.9), gender ratio was 1.6:1.There was 81% of skin care needs, surgical part, perrstomal skin and anal-perineal region. Those patients also had continuous mental support by IBD specialist.3)Issues of life cycle with ostomy : It was very important to intervention after the life threatening experience ; cancer or non-curable disease were always effect to their life cycle. We must understand manifold value, life experiences and background of people with ostomy before care management.4)QOL issues after ostomy surgery : Overall survival rate was higher than previous years, but health related problems and peristomal skin problem correlated to the meaning of life. It was very important to team problem solving approach for the clients with complex needs. Quality of Life of the clients were changed after proper stoma/fistula care m anagement