대한대장항문학회

Purpose : This survey was designed to acknowledge that it is necessary to rehabilitate<br>ostomates. Methods : This medical survey attempted to make an analysis of the types and<br>causes of stoma, the problems stemming from the stoma, the degree to which ostomates are<br>satisfied with their life quality, and the extent to which they are affected in doing their jobs,<br>on the basis of the examinations conducted for eighty eight ostomates, who responded to the<br>questionnaire at the 3rd Workshop for Stoma Rehabilitation for Ostomates on August 29, 1998<br>by the Department of Surgery, Kyung-Hee University Hospital, or who replied back to the<br>questionnaire that was sent by mail. Results : On examination, it was found that the ratio of<br>male to female was nearly 1.5：1 (53：35); by age distribution, the ostomates in their 50 and<br>60's constituted 65.9%; by stoma pattern, colostomy was made up of 81 cases (92%),<br>ileostomy 4 cases (4.5%), urostomy 2 cases (2.3%); by duration, permanent stoma was 81<br>cases (92%), temporary stoma 6 cases (6.8%); by the cause of stoma operation, malignancy<br>consisted of 78 cases (88.6%), IBD 4 cases (4.5%), congenital anomaly 1 case, car accident 1<br>case, benign bladder disease 1 case, intestinal obstruction after radiation therapy 1 case, but<br>2 cases were not identified. Besides, it was also examined that, regarding the degree of<br>post-operation satisfaction for stoma, dissatisfaction amounted to 58 cases (65.9%); as for the<br>problems stemming from the stoma, skin irritation or injury reached 30 cases (34.1%),<br>discomfort for stoma location 17 cases (19.35%), parastomal hernia 8 cases (9.1%), stoma<br>retraction 4 cases (4.5%), and disease recurrence 3 cases (3.4%); as for the degree of the<br>satisfaction of ostomates for their life quality, dissatisfaction revealed 70 cases (79.5%);<br>regarding the extent to which the ostomates are affected in doing their jobs, fifty four out of<br>eighty eight ostomates (62.0%) had a disturbance. Conclusions : This medical survey clearly<br>shows that most of ostomates suffered from stoma in their daily lives and doing their<br>occupations, thus they need helps from the experts such as colorectal surgeons and<br>enterostomal therapists, or the ostomy association. In addition, it is also necessary to pay a<br>more deliberate attention to determining the location of stoma.<br>