Abstract
Problems faced by patients in adapting to life after stoma surgery can be affected by a multitude of factors including socioeconomic and clinical parameters. In India, a huge number of stoma surgeries are performed everyday with limited facility of specialised stoma care. Hence, this study seeks to explore and proportionally weigh the challenges faced by these patients in various aspects in order to channelise the information gained towards improved outcome. The study was conducted on 69 patients at the Department of Surgery in a tertiary care setting in eastern India. The instrument used was a three-section Questionnaire which included City of Hope National Medical Centre Questionnaire on Quality of Life, Acceptance of Illness Scale and Ostomy Adjustment Inventory 23. Mean total quality of life score 148.24 with lowest scores in the social domain. Average acceptance of illness score is 1.97 ± 0.11. Average adjustment score is 2.99. Factors like gender and the t ype of stoma (permanent or temporary) affected the quality of life and acceptance of illness outcomes. Age influenced psychosocial adjustment. Gender and type of stoma, i.e. temporary or permanent, have an impact on the perceived quality of life and acceptance level. Age influences level of adjustment to ostomy. This study revealed the specific issues which posed the biggest difficulties in adapting to a stoma in physical psychological as well as social domains among Indian patients.
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