Quality of life of patients with an intestinal stoma constructed in the course of treatment of rectal and sigmoid colon cancer

Abstract

Introduction: The increased human life span is accompanied by a growing number of carcinomas, including colorectal cancer. This is due not only to genetic conditioning but also exposure to hazardous factors present in the environment. A stoma is the consequence of surgical treatment of colorectal cancer. Aim of the research : The objective of the study is to determine the level of quality of life of patients with an intestinal stoma, which would allow an evaluation of the effect of a stoma on the bio-psychosocial functioning of patients, as well as precise specification of discomfort of living with a stoma. Material and methods: The study was conducted during the period from January to April 2015, in the Surgical Clinic of the Regional Cancer Centre in Kielce, and included 102 patients with a stoma, aged 35–75. The study group included 65 males and 37 females, with a stoma constructed mainly from the sigmoid colon or rectum within various periods after surgical treatment. The method of a diagnostic survey was applied, and a questionnaire was selected as the research instrument. The patients were both rural and urban inhabitants. Statistical calculations were performed using the 2 test. Results: Based on the analysis of the results of the study, the quality of life of patients with an intestinal stoma formed in the course of surgical treatment of sigmoid colon and rectal cancer was investigated. The quality of life of patients is at a medium level (neither good nor poor). Conclusions: The quality of life of patients with an intestinal stoma depends on the degree of acceptance of the stoma and the present body image. The quality of life of patients with an intestinal stoma depends on the duration of the disease and of the stoma. There is no relationship between the degree of acceptance of the stoma by the patient and support received from family and friends. The stoma affects the quality of the sex life of patients