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

本研究旨在了解日本人一生中造口的现状1)造口老人的问题：造口老人的比例超过60%，问题从日常生活能力需要扩展到家庭护理和临终关怀。2)炎症性肠病(IBD)患者造口问题：2175例炎症性肠病患者中，造口/瘘患者占13.1%。平均年龄39.8岁(SD12.9)，性别比1.6：1。81%的患者需要皮肤护理，包括手术部位、吻合口周围皮肤和肛会。3)造口生命周期问题：在经历危及生命的经历后进行干预非常重要；癌症或不可治愈的疾病总是影响其生命周期。4)造口术后生活质量问题：总体存活率高于往年，但健康相关问题和造口周围皮肤问题与生命意义相关。对于具有复杂需求的客户，团队问题解决方法是非常重要的。造口/造瘘护理管理得当后病人的生活质量发生改变

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