2002 Volume 22 Issue 4 Pages 11-20
The purpose of this study was to develop a scale to rate the feeling of stability in daily life with a stoma. One hundred and thirty three patients with permanent gastrointestinal stoma responded. The questionnaire was consisted of a scale for feeling of stability in daily life and the ostomate's QOL questionnaire. The items of this scale were collected by preliminary interviews, and they were confirmed content and face validity.
Five factors, consisting of 24 items, by exploratory factor analysis and confirmatory factor analysis, were selected from 40 items, as follows:(1) recovery and expansion of activities,(2) acceptance of the stoma,(3) relief at having a place to go for consultation about stoma care,(4) absence of worry about peristomal skin trouble, and (5) perception of defecation and physical condition. Weighted kappa for each item and the intraclass correlation coefficient for each factor, based on the test-retest method, indicated the moderate level of reliability. Cronbach's a for each factor indicated a certain level of internal consistency. Correlation assessments between the scores for this scale and those for the ostomate's QOL questionnaire or some items confirmed the convergent and discriminant validity. We supposed an ordinal relationship among 3 factors, from the clinical viewpoint, that is, absence of worry about peristomal skin trouble, acceptance of the stoma, and recovery and expansion of activities. This relationship was supported statistically.
The results of this study suggested that this scale was reliable and valid, indicating that the scale might be used clinically.
