2006 Volume 10 Issue 2 Pages 30-39
Aim：To clarify self-adjustment and related factors in people with ostomy at different life stages.
Subjects：Five hundred twenty-six（526）ostomates were recruited in this survey. subjects included 345 men （65.6%）and 181 women（34.4%）who receive stoma care at outpatient clinics and joined the Ostomy Club.
Method：A multi-centred postal survey was conducted under informed consent in Japan. The questionnaire was composed of demographic data, type of stoma, stoma care education, self-care management, daily life activity and ostomate’s self adjustment scale ver. 2（OSAS 23）.
Results：Satisfaction with the stoma site was the most significant factor in the OSAS 23 care score. Furthermore, the survival period, general health condition, ostomy club member, preoperative informed consent, commitment of stoma site-marking, self-care management, satisfaction with appliance and peri-stomal skin problems were significant factors of OSAS 23.
Conclusion：The stoma care related to OSAS 23 was the satisfaction with the stoma site. Systemic patient education relates to ostomate’s self adjustment. Patient’s satisfaction with stoma care leads to faster adjustment of their daily life in stoma care. ET/WOC nurses needed to continue patient’s education by confirming a patient’s satisfaction at pre and post operation period.
