경희대학교
의과대학 외과학고실
최성일·이길연·고영관·고석환·오수명·윤
충·이기형
Survey
on Satisfaction of Ostomate according to Colostomy Irrigation
Sung-Il
Choi, M,D., Kil-Yeon Lee, M.D., Young-Gwan Ko, M.D., Suck-Hwan Koh, M.D.
Soo-Myung
Oh, M.D., Choong Yoon, M.D. and Kee-Hyung Lee, M.D.
Department
of Surgery, Kyung Hee University Hospital
Purpose:
The colostomy may cause considerable discomfort as well as surgical, psychological
and esthetic problems. The ostomates probably suffer most from fecal incontinencc,
even though many attempts have been made to eliminate the problems related to the
spontaneous colonic emission. Hence the aims of this study are to survey ostomatcs'
satisfaction with colostomy irrigation.
Methods:
This medical survey attempts to assess the degree of satisfaction that ostomates
are satisfied with the quality of their lives and the extent to which they are affected
in doing their jobs and sexuality. The survey was conducted for 146 ostomates, who
responded to the questionnaire at the 3rd & 4th Workshop for Stoma Rehabilitation
for Ostomates in 1998 and 1999 developed by the Department of Surgery, Kyung Hee
University Hospital. The irrigation group was formed with 66 cases (45.2%) and the
non-irrigation group 80 cases (54.8%). In assessment of the satisfaction of sexuality,
the irrigation group was composed of 37 cases (male: 22 cases, female: 15 cases)
and the non-irrigation group 48 cases (male: 30 cases, female: 18 cases).
Results:
It is found out that the ratio of male to female is 1.5 : 1 (97 : 59) and by the
age distribution, the ostomates in their 50's and 60's constitute 67.1%: by the
cause of stoma operation, malignancy consists of 133 cases (9l.1 %), Inflammatory
Bowel Disease (IBD) 6 cases, the others 7 cases. As for the degree of the satisfaction
of ostomates for their life quality, it is found that 52 cases (78.9%) of the irrigation
group and 71 cases (88.8%) of the non-irrigation group (p<0,05) reveal dissatisfaction.
As for the degree of the satisfaction of the ostomates for the extent to which they
are affected in doing their social activities, dissatisfaction is revealed in 52
cases (78.9%) in the irrigation group and in 64 cases (80.0%) in the non-irrigation
group (p>0.05). As for the degree of the satisfaction of the ostomates for the
sexuality in male, dissatisfaction is revealed in 13 cases (59.1%) of the irrigation
group and in 23 cases (76.7%) of the non-irrigation group (p<0.05). In the case
of female, the dissatisfaction is observed in 8 cases (53.3%) of the irrigation
group and in 13 cases (72.2%) of the Non-irrigation group (p<0.05).
Conclusions:.
This medical survey clearly shows high dissatisfaction rates especially in the non-irrigation
group, and the better significant satisfaction was shown in the quality of life
and sexuality between thc male and the female in the irrigation group. Therefore,
colostomy irrigation may be an effective method for the management of colostomy.
Key
Words: Stoma rehabilitation, Ostomate, Colostomy irrigation |
