Relationship between Quality of Life and Ability to Cope with Problems in Ostomates

Abstract

Purpose: The aim of this study was to elucidate the relationship between quality of life (QOL) and willingness to cope with difficulties in stoma management and problems in daily life (“willingness”), as well as health literacy, in ostomates living at home.

Methods: A questionnaire was distributed to all 555 members of the Osaka and Hyogo Ostomy Associations by mail. QOL was evaluated using a short version of the ostomate QOL questionnaire. “Willingness” was measured on a scale ranging from 0 to 10. The 14-item health literacy scale (HLS-14) was used to evaluate health literacy. The relationship between QOL and “willingness”, as well as health literacy, was examined by multiple linear regression analysis with the forced entry method.

Results: Of the 205 respondents, 103 (average age 73.1 years, 50 males) without missing answers to the question item for “willingness” were analyzed (valid response rate 18.6%). On multiple linear regression analysis, higher “willingness” and functional health literacy were significantly associated with better QOL, but communication and critical health literacies were not significantly associated.

Conclusion: The QOL of ostomates might be improved by supporting the enhancement of their “willingness” and the improvement of their functional health literacy.