Factors impacting the quality of life of people with an ostomy in North America: results from the Dialogue Study.
OBJECTIVE
The purpose of this study was to evaluate skin condition and quality of life following the use of a double-layer adhesive pouching system. This article reports results from North American participants.


METHODS
The study was an open-label, noncomparative, multicenter study.


METHODS
Seven hundred forty-three persons with ostomies who reside in North America participated in the study.


METHODS
A stoma-quality of life (QOL) questionnaire consisting of 20 questions was used to measure health-related quality of life. The Ostomy Skin Tool was used to assess peristomal skin condition.


METHODS
Peristomal skin and health-related quality of life were assessed by WOC nurses at baseline and again after 6 to 8 weeks following the use of a double-layer adhesive ostomy pouching system. The participants recorded self-reported leakage level, presence of peristomal skin disorder, use of appliance type (e.g., convex, 1- or 2-piece), and frequency of consultation with the WOC nurse.


RESULTS
Participants experienced a significant decrease in frequency of pouch leakage (P < .0001) and accessory use, improvement of skin condition, and overall significant improvement in mean quality of life score (56.8 vs. 58.9, P < .0001). The greatest change on the Stoma-QOL scores was observed in the quartile of participants with the lowest QOL at baseline. Their QOL scores rose from a mean 43.8 at visit 1 to 50.1 at visit 2 (P < .0001).


CONCLUSIONS
The combination of a regular contact with a WOC nurse and the use of a double-layer adhesive appliance led to a significant reduction in leakage and accessory use, improved skin condition, and significant improvement in health-related quality of life.
Nursing Education Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Paula
P
Erwin-Toth
Sally J
SJ
Thompson
Janet Stoia
JS
Davis
D003125:Colostomy; D004867:Equipment Design; D006801:Humans; D007081:Ileostomy; D009656:North America; D010030:Ostomy / Q000295:instrumentation; D017060:Patient Satisfaction; D011788:Quality of Life; D017592:Skin Care / Q000451:nursing