Effect of enterostomy scale on future quality of life of colostomy patients

Abstract

Objective To explore the influence of self-designed enterostomy scale on future quality of life of colostomy patients after discharge.Methods Totals of 194 colostomy patients were randomly divided into the observation group and the control group.The observation group used enterostomy scale together with nurses during hospitalization and alone after discharge,while the control group did not use the scale.Telephone follow-ups and visits were conducted 1,3 and 6 months after discharge,and SF-36 score and complications were compared between two groups.Results The rate of complication was 15.5％ in the observation group,obviously lower than 38.1％ in the control group,and the difference was statistically significant (x2 =12.56,P＜0.01).There were no statistically significant differences on SF-36 scores between two groups before intervention(P ＞ 0.05).After 6 months of intervention,the score of physical function,physical role,body pain,general health,vitality,social function and health change was respectively (89.39 ± 5.42),(85.30 ± 5.86),(84.07 ± 5.83),(77.80 ± 6.19),(67.82 ± 6.46),(84.71 ± 6.35),(49.68 ± 4.65) in the observation group,(84.27 ± 3.18),(82.91 ± 3.34),(82.12 ± 3.19),(74.39 ± 4.99),(66.21 ± 4.68),(77.64 ± 5.55),(47.39 ± 4.39) in the control group,and the differences were statistically significant (t =8.595,3.731,3.069,5.064,2.197,9.763,5.626,respectively; P ＜ 0.05).And there was no statistically significant difference on emotion role and mental health (P ＞ 0.05).Conclusions Application of enterostomy scale can reduce the rate of complications as well as improve the quality of life for colostomy patients. Key words: Enterostomy; Quality of life; Complication; Enterostomy scale