Journal of Education and Health Promotion

Impact of stoma on lifestyle and health‑related quality of life in patients living with stoma: A cross‑sectional study

Document Type : Original Article

Authors

. Deena Davis
. Lakshmi Ramamoorthy 1
. Biju Pottakkat 2

1 Department of Medical Surgical Nursing, College of Nursing, JIPMER, Puducherry

2 Department of Surgical Gastro Enterology, JIPMER, Puducherry, India

Abstract
INTRODUCTION: A person with colostomy or ileostomy undergoes a comprehensive treatment
with a wide range of adjustments which affect the individual’s social and psychological functioning.
Quality of life (QOL) is a subjective feeling which includes physical, social, psychological, and spiritual
domains of an individual that can be affected by a stoma.
AIM: This study is aimed at identifying the QOL and impact of stoma on their lifestyle pattern among
ostomates attending stoma outpatient department of gastroenterology department of a government
tertiary care center in South India during 2018.
METHODS: A descriptive study using a cross‑sectional survey design was conducted among 55
ostomates, following consecutive sampling technique. The data were collected using a City of Hope
QOL Questionnaire for Ostomy patients which had QOL Assessment Questions from four subdomains
including physical, psychological, social, and spiritual aspects. This tool also had open‑ended
questions on lifestyle assessment components.
RESULTS: 63.6% of the participants had colostomy; 72.7% of the stomas were due to cancer. The
mean QOL score of the participants was 4.13 ± 1.07. The ostomates scored relatively well in both
physical (5.68 ± 1.76) and spiritual (4.32 ± 1.36) domains, but the sociological (2.85 ± 1.3) domain score
was very low. Permanent ostomates scored significantly higher than the temporary ostomates (P = 0.04).
CONCLUSION: The QOL score of ostomates was less than the scores reported in the Western
population and living with stoma significantly alters their lifestyle. Therefore, follow‑up services and
counseling services to the ostomates by the health‑care professionals are needed.

Keywords

Cancer
lifestyle
ostomates
ostomy
quality of life
stoma
1. Davidson F. Quality of life, wellbeing and care needs of Irish
ostomates. Br J Nurs 2016;25:S4‑12.
2. Ahmad QA, Saeed MK, Muneera MJ, Khalid K. Indications and
complications of intestinal stomas – A tertiary care hospital
experience. Biomedica 2010;26:144‑7.
3. Silva JO, Gomes P, Goncalves D, Viana C, Nougerira F, Goulart A,
et al. Quality of life (QoL) among ostomized patients QoL.
J Coloproctol 2019;39:48‑55.
4. Mohandas KM.Colorectal cancer in India: Controversies, enigmas
and primary prevention. Indian J Gastroenterol 2011;30:3‑6.
5. Beaubrun En Famille DiantL, Sordes F, Chaubard T. Psychological
impact of ostomy on the quality of life of colorectal cancer
patients: Role of body image, self‑esteem and anxiety. Bull Cancer
2018;105:573‑80.
6. Lowther C. Prioritising quality of life for ostomates. Br J Nurs
2014;23:1172.
7. Grant M, McCorkle R, Hornbrook MC, Wendel CS, Krouse R.
Development of a chronic care ostomy self‑management program.
J Cancer Educ 2013;28:70‑8.
8. Sraw N, Saini P, Kalra S, Virk SS, Kaur J. Health related quality
of life among patients with an ostomy in Punjab. Int J Curr Med
Pharm Res 2017;3:1773‑79.
9. Grant M, Ferrel B, Dean G, Uman G, Chu D, Krouse R. Revision
and psychometric testing of the city of hope quality of life‑ostomy
questionnaire. Qual Life Res 2004;13:1445‑57.
10. Kuruvilla K, Osler T, Hyman NH. A comparison of the quality
of life of ulcerative colitis patients after IPAA vs ileostomy. Dis
Colon Rectum 2012;55:1131‑7.
11. Sinha A, Goyal H, Singh S, Rana SP. Quality of life of ostomates
with the selected factors in a selected hospital of delhi with a view
to develop guidelines for the health professionals. Indian J Palliat
Care 2009;15:111‑4.
12. Ito N, Tanaka M, Kazuma K. Health‑related quality of life among
persons living in Japan with a permanent colostomy. J Wound
Ostomy Continence Nurs 2005;32:178‑83.
13. Anaraki F, Vafaie M, Behboo R, Maghsoodi N, Esmaeilpour S,
Safaee A. Quality of life outcomes in patients living with stoma.
Indian J Palliat Care 2012;18:176‑80.
14. Sylvia M, Vonk K, Hilde M, Marjolein E, Eric HE, Marieke J.
Ostomy‑related problems and their impact on quality of life of
colorectal cancer ostomates: A systematic review. Qual Life Res
2016;25:125‑33.
15. Kristensen HO, Thyo A, Christensen P. Systematic review of the
impact of demographic and socioeconomic factors on quality
of life in ostomized colorectal cancer survivors. Acta Oncol
2019;58:566‑72.
16. Wong SK, Young PY, Widder S. Acute care and emergency
surgery (acES) Group of the University of Alberta, Canada.
A descriptive survey study on the effect of age on quality of life
following stoma surgery. Ostomy Wound Manage 2013;59:16‑23.
17. Kement M, Gezen C, Aydin H, Haksal M, Can U, Aksakal N, et al.
A descriptive survey study to evaluate the relationship between
socio‑demographic factors and quality of life in patients with a
permanent colostomy. Ostomy Wound Manage 2014;60:18‑23.
18. de Gouveia Santos VL, Chaves EC, Kimura M. Quality of life
and coping of persons with temporary and permanent stomas.
J Wound Ostomy Continence Nurs 2006;33:503‑9.
19. Pereira AP, Cesarino CB, Martins MR, Pinto MH, Netinho JG.
Associations among socio‑demographic and clinical factors and
the quality of life of ostomized patients. Rev Lat Am Enfermagem
2012;20:93‑100. 
Journal of Education and Health Promotion
Volume 10, Issue 11
November 2020
Pages 1-6

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us