Background:Despite efforts to maintain the intestinal tissue and treat gastrointestinal disease, a large number of patients undergo ostomy surgery each year. Using stoma reduces the patient's quality of life (QOL) greatly. Although there are approximately 3000 patients in Iran; there is little information about the impact of stoma on their QOL.Aims:The study aims to evaluate QOL of stoma patients using a special measurement tool.Settings and Design:This survey was a cross-sectional study that was conducted on 102 random samples of stoma patients.Materials and Methods:The City of Hope Quality of Life-Ostomy Questionnaire was used for collecting demographic and clinical information and evaluating QOL.Statistical Analysis Used:Univariate and multiple regression analyses were performed to identify predictors of QOL.Results:The mean score for the overall QOL for stoma patients was 7.48 ± 0.9. 70% of patients were dissatisfied with sexual activities. More than half of them reported feelings of depression following stoma surgery. Univariate analysis indicated that factors such as the type of ostomy (temporary/permanent), the underlying disease that had led to the stoma, depression, problem with location of ostomy, and change in clothing style had significant effects on overall QOL and its subscales (P < 0.05). The results of the regression analyses showed that only depression and problem with the location of ostomy were statistically significant in predicting patients’ QOL and its subscales (P < 0.05).Conclusions:The findings demonstrated that living with stoma influences the overall aspect of QOL. Education for the patients and their families is important for improving the stoma patients’ QOL. Sexual and psychological consultation may also improve patients’ QOL.
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机译：背景：尽管努力维持肠道组织和治疗胃肠道疾病，每年仍有大量患者进行造口术。使用造口会大大降低患者的生活质量（QOL）。尽管伊朗大约有3000名患者;目的：该研究旨在使用特殊的测量工具评估造口患者的QOL。设置与设计：这项调查是一项横断面研究，对102个随机样本进行了评估。材料与方法：材料和方法：使用《希望之城生活质量造口术问卷》收集人口统计学和临床信息并评估QOL。使用统计分析：进行单因素和多元回归分析，以确定QOL的预测因子。结果：平均值造口患者的总体生活质量得分为7.48±0.9。 70％的患者对性活动不满意。超过一半的人报告造口手术后感到沮丧。单因素分析表明，诸如造口术的类型（临时/永久性），导致造口的基础疾病，抑郁症，造口术的位置问题以及衣着风格的改变等因素对总体QOL及其分量表有重大影响（ P <0.05）。回归分析的结果表明，只有抑郁和造口术位置问题在预测患者的QOL及其分量表时具有统计学意义（P <0.05）。结论：研究结果表明，造口生活会影响QOL的整体情况。对患者及其家属的教育对于提高造口患者的生活质量至关重要。性和心理咨询也可以改善患者的生活质量。
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