Investigation and influencing factors of life quality of patients with colostomy at early different stages

Abstract

Objective To explore the change and influencing factors of life quality of patients with colostomy at early different stages.Methods Sixty rectum cancer patients with Miles colostomy from December 2009 to October 2010 were chosen.The life quality of patients were surveyed by European organization for research and treatment of cancer (EORTC QLQ-C30) at the time of discharge,the first and third month after the discharge,and the data were analyzed by multivariate analysis.Results The total scores of life quality were respectively (6.68 ± 1.490),(9.12 ± 1.474),(10.80 ± 1.695) at the time of discharge,the first and third month after the discharge,and the difference was statistically significant (F =106.100,P ＜ 0.01).The differences were found in the scores of the function scale,symptom scale and symptom subscale at three stages,and the differences were statistically significant (F =90.941,7.612,3.619,respectively; P ＜ 0.05).The symptom and mild symptom were aggravated at the time of discharge and the first month after the discharge,and were recovery on the third month after the discharge.Multiple regression analysis of quality of life showed that the main influencing factors on the life quality of patients were age and education at the time of discharge,and were education,stoma nurses,defecation,treatment and complication on the first month after the discharge,and were age,income,medical insurance,stoma nurses,treatment and complication on the third month after the discharge.Conclusions This study provides scientific evidence for nurses to seek the targeted and timely intervention programs and improve the life quality of patients with colostomy to the utmost extent. Key words: Colostomy; Quality of life; Influencing factors; Early