title: The Impact of Preoperative Stoma Marking on Health-Related Quality of Life: A Comparison Cohort Study.
abstract: OBJECTIVE
  The purpose of this study was to compare health-related quality of life (HRQOL) in patients receiving preoperative stoma marking by a certified wound, ostomy and continence nurse (CWOCN) to patients who did not receive preoperative marking.
  
  
  METHODS
  Quasi-experimental, nonrandomized comparison cohort study.
  
  
  METHODS
  The sample comprised 59 patients immediately following creation of a fecal stoma during an 18-month period between 2008 and 2010. The experimental group consisted of 35 patients with a mean age of 49.7 years who received preoperative stoma site marking by a CWOCN. Six of those 35 patients (17%) received preoperative ostomy education and stoma site marking. The control group consisted of 24 patients with a mean age of 60.1 years who did not receive preoperative stoma site marking or preoperative ostomy education. The study setting was a 500-bed Midwest Magnet-designated teaching hospital.
  
  
  METHODS
  Data collection occurred at 2 points: within 72 hours before hospital discharge and 8 weeks after discharge. The Stoma Quality of Life (Stoma-QOL) instrument was used to measure HRQOL. Two CWOCNs and 3 RNs, all members of Memorial's Ostomy & Wound Services, administered the Stoma QOL within 72 hours before hospital discharge. The 2 CWOCNs followed a scripted message to collect functional lifestyle factors and administer the Stoma-QOL, for the second time at 8 weeks after discharge.
  
  
  RESULTS
  Groups were compared using analysis of covariance to control for age; analysis demonstrated significantly higher HOQOL in the marked group compared to the unmarked group (F = 4.9, P = .031).
  
  
  CONCLUSIONS
  Findings demonstrated that patients who underwent stoma site marking reported higher HRQOL than those who did not.
authors.affiliation: Linda S. McKenna, MSN, RN, CWOCN, Ostomy, Wound and Skin Services, University of Wisconsin Hospital and Clinics, Madison, Wisconsin. Elizabeth Taggart, BSN, RN, CWOCN, Memorials Ostomy & Wound Service, Memorial Medical Center, Springfi eld, Illinois. Joyce Stoelting, MSN, RN, CWS, Memorials Ostomy & Wound Service, Memorial Medical Center, Springfi eld, Illinois. Geri Kirkbride, PhD, RN, Patient Safety Nurse Coordinator, Memorial Medical Center, Springfi eld, Illinois. Gordon B. Forbes, PhD, Professor Emeritus, Milikin University, Decatur, IL.
authors.forename: Linda S
authors.initials: LS
authors.lastname: McKenna
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Taggart
authors.forename: Joyce
authors.initials: J
authors.lastname: Stoelting
authors.forename: Geri
authors.initials: G
authors.lastname: Kirkbride
authors.forename: Gordon B
authors.initials: GB
authors.lastname: Forbes
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003125:Colostomy / Q000451:nursing*; D005260:Female; D006304:Health Status; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011300:Preoperative Care / Q000451:nursing*; D011788:Quality of Life; D012648:Self Care; D054047:Surgical Stomas