A Prospective, Longitudinal, Multicenter, Cohort Quality-of-Life Evaluation of an Intensive Follow-up Program for Patients with

• Published in: Ostomy/wound management Vol. 56; no. 5; p. 44
• Main Authors: Jiménez, Paloma de la Quintana, Juan, Catalina Pastor, Herrero, Isabel Prados, López, Concepción Pérez, Fuentes, Margarita González, Casaseca, Carmen de Mena, Romaguera, Arcadio Real, Valentí, Montserrat Tejido, Garcia-Alamino, Josep M, Espirac, Brigitte
• Format: Journal Article
• Language: English
• Published: King of Prussia HMP Communications 01.05.2010
• Subjects: Clinical medicine; Medical research; Ostomy; Quality of life; Wound healing
• ISSN: 2640-5237; 2640-5245

The creation of a stoma can profoundly affect a patient's quality of life. A prospective, 3-month multicenter study was conducted to evaluate stoma patient quality of life among volunteers receiving standard clinical follow-up (S) and those receiving intensive follow-up via telephone (I). A total of 336 patients volunteered to participate; 187 in the S group and 149 in the I group; mean age 63±14 years, 65.85% male; the majority (64.3%) had a colostomy. The Stoma Quality of Life Index (SQLI) score was determined at the initial and final visits. No statistically significant difference between the I and S groups was found at baseline except for the subcategory social concerns (P = 0.0123). At 3 months, statistically significant changes were observed between the overall SQLI score of both groups - scores were 58.8 (17.7) and 72.8 (14.6) at baseline and 3 months, respectively (P <0.0001); in particular, for the subcategories patient satisfaction (P = 0.0173) and medical experience (P = 0.0330). Patients in the I group showed a positive but not statistically significant change in three subscales of the SQLI questionnaire; the I group presented slightly lower differences in the percentage of complications related to the stoma, need for emergency assistance, and for hospitalization. Differences in quality-of-life perceptions also were reflected among geographic areas. Preoperative ostomy nurse care was found to be associated with a greater probability for improvement in select SQLI subscales. The results of this study confirm that personal support and help received pre- and post surgery from ostomy care nurses may enhance ostomate overall quality of life and when additional intensive follow-up was introduced, certain aspects of quality of life improved. The study underscores the need for clinician awareness of their role in patient quality of life. [PUBLICATION ABSTRACT]