The purpose of this study is to evaluate the health-related generic & disease-specific QOL in Japanese colostomates. The generic QOL and disease-specific QOL were evaluated by MOS 36-Item Short Form Health Survey (SF-36) and Olbrisch ostomy adjustment scale (OAS), respectively. Those questionnaires were sent by mail with stoma appliances when ostomates ordered them. We were also elucidated the factors that influence the QOL of Japanese colostomates. Data analysis was performed by Student t-test and step-wise multiple regressions.
　One hundred and thirty-one colostomates (Age: 67±11yrs, 5.0±4.8yrs after surgery) who underwent ostomy surgery replied. The SF-36 scores of colostomates were below the average scores of Japanese general population except bodily pain (BP). The mean total score of OAS were lower than that reported by Olblisch (1983), Burckhardt (1990) and Brydolf (1994), 130.6 compared to 155.7, 168.0 and 178.6. The factor of ‘skin irritation’ may deteriorate the QOL of Japanese colostomates, however the other factors which ‘sex’, ‘age’, ’marital status’, ‘interval after the surgery’, ‘independence in changing of a stoma appliance’, ‘experiences of stoma clinic’ and ‘the enrollment to an ostomy association’ do not affect the QOL. As skin irritation may deteriorate QOL, care to the management of skin irritation postoperatively should be carefully planned.
　Longitudinal prospective studies need to be done to elucidate whether the improvement in physical and psychological status can rise QOL in colostomates.

Aim: To clear the parents view of medical, social welfare and life who have a child with Inflammatory Bowel Disease (IBD).
Method: Postal survey was conducted under ethical agreement. We analyzed self-described data which written by parents.
Results: There were 8 categories founded, 1) anxious by uncertain disease process and life course, 2) thinking of my child, 3) needs for development of new drag therapy and holistic research, 4) suffer from IBD symptom management, 5) needs for IBD support system, 6) needs for medical financial support, 7) anxiety of family-economy, 8) needs for better relationship with my doctor. Parents also suffered from IBD and uncertain feeling as well as children, but they were living with objective view for taking care them.
Conclusion: Medical and social caregiver have to have a good corporation not only IBD patients to but also their parents promote patients autonomy.