대한대장항문학회

Purpose : The colostomy may cause considerable discomfort as well as surgical,<br>psychological and esthetic problems. The ostomates probably suffer most from fetal<br>incontinence, even though many attempts have been made to eliminate the problems<br>related to the spontaneous colonic emission. Hence the aims of this study are to survey<br>ostomates satisfaction with colostomy irrigation. Methods : This medical survey attempts<br>to assess the degree of satisfaction that ostomates are satisfied with the quality of their<br>lives and the extent to which they are affected in doing their jobs and sexuality. The<br>survey was conducted for 146 ostomates, who responded to the questionnaire at the 3rd<br>& 4th Workshop for Stoma Rehabilitation for Ostomates in 1998 and 1999 developed by<br>Department of Surgery, Kyung Hee University Hospital. The irrigation group was<br>formed with 66 cases (45.2%) and the non-irrigation group 80 cases (54.8%). In<br>assessment of the satisfaction of sexuality, the irrigation group was composed of 37<br>cases (mali:22 cases, female:15 cases) and the non-irrigation group 48 cases (male: 30<br>cases, female: 18cases). Results : It is found out that the ratio of male to female is 1.5 :<br>1 (97 : 59) and by the age distribution, the ostomates in their 50's and constitute 67.1%:<br>by the cause of stoma operation, malignancy consists of 133 cases (91.1%), Inflammatory<br>Bowel Disease (IBD) 6 cases, the other 7 cases. As for the degree of the satisfaction of<br>ostomates for their life quality, it is found that 52 cases (78.9) of the irrigation group<br>and 71 cases (88.8%) of the non-irrigation group (p<0.05) reveal dissatisfaction. As for<br>the degree of the satisfaction of the ostomates for th extent to which they are affected<br>in doing their social activities, dissatisfaction is revealed in 52 cases (78.9%) in the<br>irrigation group and in 64 cases (80.0%) in the non-irrigation group (p>0.05). As for the<br>degree of the satisfaction of the ostomates for the sexuality in male, dissatisfaction is<br>revealed in 13 cases (59.1%) of the irrigation group and in 23 cases (76.7%) of the<br>non-irrigation group and group (p<0.05). In the case of female, the dissatisfaction is<br>dissatisfaction is observed in 8 cases (53.3%) of the irrigation group and in 13 cases<br>(72.7%) of the non-irrigation group (p<0.05). Conclusions: This medical survey clearly<br>shows high dissatisfaction rates especially in the non-irrigation group, and the better<br>significant satisfaction was shown in the quality of life and sexuality between the male<br>and the female in the irrigation group. Therefore, colostomy irrigation may be an<br>effective method for the management of colostomy.<br>