Clinical profile and post-operative lifestyle changes in cancer and non-cancer patients with ostomy.
OBJECTIVE
The aim of this was to investigate some clinical profiles and lifestyle changes in stoma patients.


BACKGROUND
Stoma patients experienced multiple complications due to their ostomy formation.


METHODS
A cross-sectional study performed on 102 random samples of stoma patients. Any patient with adequate physical and mental capability to participate and having had an ostomy in place for at least 3 months was eligible to enter the study. Participants asked to answer study questions concerning age, sex, type of stoma, having permanent or temporary ostomy, underlying cause of stoma formation, type of cancers cause of stoma. Patient also questioned about some lifestyle changes because of stoma including: changing diet, sexual satisfaction (if sexually active after stoma formation), sense of depression, changing job, change clothing style.


RESULTS
Colostomy was the most common type of stoma followed by ileostomy and urostomy. In 80.4% of patients under study the stoma was permanent. Most patients had a stoma because of cancer (77.5%), with colon cancer (41.2%) being the most common malignant diagnosis. The mean age of cancer patients (56.1±10.9) with stoma was significantly higher than non-cancer patients (44.7±12.9) (p < 0.05). A significant differences were found regarding to sexual satisfaction after stoma formation between the two groups (p < 0.05) and the cancer group was less sexually satisfied post-ostomy.


CONCLUSIONS
In conclusion, stoma formation can caused multiple problems for both cancer and non-cancer patients. Counseling of patient is an important component of care that could help stoma patients to adjust with new situations.
Division of colon and rectal surgery, Department of surgery, Mahdieh Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
Fakhryalsadat
F
Anaraki
Iranian Ostomy Society, Tehran, Iran.
Mohamad
M
Vafaie
Division of Colon and Rectal Surgery, Department of Surgery, Bahman Hospital, Tehran, Iran.
Roobic
R
Behboo
Research Institute for Gastroenterology and Liver Disease, Shahid Beheshti University of Medical Science, Tehran, Iran.
Nakisa
N
Maghsoodi
Iranian Ostomy Society, Tehran, Iran.
Sahar
S
Esmaeilpour
Research Institute for Gastroenterology and Liver Disease, Shahid Beheshti University of Medical Science, Tehran, Iran.
Azadeh
A
Safaee
Cancer; Life style; Ostomy