[The impact of preoperative stoma siting and stoma care education on patient's quality of life].
The aim of study was to assess if preoperative stoma selection and adequate patient's teaching can affect the postoperative patient's quality of life. The study was performed in two university hospitals of Lithuania: Kaunas University of Medicine Hospital and Kaunas Oncology Hospital. Patients were divided into three groups. Patients were asked to answer the questionnaire the day before the stoma creation operation and two months after the operation. Questionnaires EORTC QLQ-C30, EORTC QLQ-CR38 and 10 supplementary questions were used. The results of the study show that following the stoma operation, when compared with preoperative results, general quality of life did not change significantly in groups I and II. Patients who received adequate education and preoperative stoma siting had better emotional functioning and less gastrointestinal problems. The financial problems of the patients in group I were significantly less than in the control group. Patients who received the adequate teaching without preoperative stoma selection experience better sexual satisfaction compared with control group. Stoma related problems were less in group I and II when comparing with the control group. The quality of the patients' teaching, adequacy and comfort of stoma site and satisfaction with the medical staff were significantly better in the group I and group II when compared to control group. Moreover, these results were significantly higher in the group I than in group II. CONCLUSIONS. The teaching the patients preoperatively and postoperative proceeding helps them to gain better experience in self stoma care hence reducing the psychological, physical, emotional, social and sexual problems.
Gulbiniene
Jurgita
J
Department of Nursing and Care, Kaunas University of Medicine, A. Mickeviciaus 9, 44307 Kaunas, Lithuania. gulbiniene@yahoo.co.uk
Markelis
Rytis
R
Tamelis
Algimantas
A
Saladzinskas
Zilvinas
Z
D000368:Aged; D003125:Colostomy / Q000193:education; D003627:Data Interpretation, Statistical; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007081:Ileostomy / Q000193:education; D008097:Lithuania; D008297:Male; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011788:Quality of Life; D011795:Surveys and Questionnaires