Factors that can Influence the Deterioration of the Ostomate's Subjective Quality of Life

Abstract

　The purpose of this research is to clarify the perception of many patients that quality of life deteriorates after stoma surgery and also to clarify the factors that infuluence that perception. Accumulating knowledge of both the quality of life perception and the infuluencing factors will assist nurses in providing care to patients undergoing ostomy surgery.
　This perception of a deterioration in quality of life and the factors influencing the perception are clarified throughthe use of the Quantification Method of the Furst Type and Analysis of Variance. In this study stoma surgery was found to increase the patient's “difficulties with living, ” “problems with bowel evacuation,” “discouragement with surgery,” and decrease of “self-esteen.” In addition, the study also showed an increase in the ostomate's “positive attitude toward life” and an increase in the “social support”
　The factors that influence the ostomate's perception of a deterioration in quality of life are sex differentiation, marital status, and academic background.
　Therefore, the results of this reseach seem to suggest that, preoperatively, nurses must carefully plan the care to be provided to a married man whose academic background is a junior high school education.