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Diseases of the Colon & Rectum
Published in: Diseases of the Colon & Rectum 12/2007

01-12-2007 | Original Contributions

A Mixed-Methods Evaluation of Health-Related Quality of Life for Male Veterans with and without Intestinal Stomas

Authors: Robert S. Krouse, M.D., Marcia Grant, R.N., D.N.Sc., Christopher S. Wendel, M.S., M. Jane Mohler, Ph.D., M.P.H., Susan M. Rawl, Ph.D., Carol M. Baldwin, Ph.D., Stephen Joel Coons, Ph.D., Ruth McCorkle, Ph.D., Clifford Y. Ko, M.D., C. Max Schmidt, M.D., Ph.D.

Published in: Diseases of the Colon & Rectum | Issue 12/2007

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Abstract

Purpose

Intestinal stomas have a major impact on Cases’ lives. It is essential to better understand the areas in which interventions may help to minimize the negative consequences.

Methods

This was a case-control survey study using validated instruments (City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans). Cases were accrued from Veterans Affairs Medical Centers in Tucson, Indianapolis, and Los Angeles. Eligibility included a major intra-abdominal surgical procedure that led to an ostomy (cases), or a similar procedure that did not mandate a stoma (controls). Analysis included quantitative and qualitative responses.

Results

The response rate was 48 percent (511/1063). Cases and controls had relatively similar demographic characteristics. Because of low numbers of female respondents (13 cases and 11 controls), only results for males are reported. Based on both the City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans, cases reported significantly poorer scores on scales/domains reflecting psychologic and social functioning and well being. Additionally, cases reported poorer scores on Short Form 36 for Veterans scales reflecting physical functioning and significantly lower scores on multiple items in the social domain of the City of Hope Quality of Life-Ostomy compared with controls. Two-thirds of cases replied to an open-ended question on their “greatest challenge” related to their ostomy, which led to further clarification of major issues.

Conclusions

Multiple health-related quality of life problems were reported by male veterans with intestinal stomas. The greatest differences between cases and controls were observed in the social and psychologic domains/scales. Findings from this study provide a greater understanding of the challenges faced by ostomates and will inform the development and evaluation of urgently needed intervention strategies.
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Metadata
Title
A Mixed-Methods Evaluation of Health-Related Quality of Life for Male Veterans with and without Intestinal Stomas
Authors
Robert S. Krouse, M.D.
Marcia Grant, R.N., D.N.Sc.
Christopher S. Wendel, M.S.
M. Jane Mohler, Ph.D., M.P.H.
Susan M. Rawl, Ph.D.
Carol M. Baldwin, Ph.D.
Stephen Joel Coons, Ph.D.
Ruth McCorkle, Ph.D.
Clifford Y. Ko, M.D.
C. Max Schmidt, M.D., Ph.D.
Publication date
01-12-2007
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 12/2007
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-007-9004-7

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