Bowel function and quality of life after colostomy in individuals with spinal cord injury.
J Spinal Cord Med
; 39(3): 281-9, 2016 05.
Article
em En
| MEDLINE
| ID: mdl-25738657
ABSTRACT
OBJECTIVE:
To evaluate the effect of colostomy on bowel function and quality of life (QoL) in individuals with spinal cord injury (SCI).DESIGN:
Cross-sectional descriptive study.SETTING:
Department for Spinal Cord Injuries and Departments of Gastroenterology and Radiology, Rigshospitalet.PARTICIPANTS:
Eighteen individuals with SCI and a colostomy performed post injury, 12 males, 6 females, 8 with tetraplegia and 10 with paraplegia. Median age at time of study was 49.9 years, years since lesion was 3-56 years, and time since colostomy was performed 0.5 to 20 years.INTERVENTIONS:
Questionnaires and measurement of gastrointestinal transit time (GITT). OUTCOMEMEASURES:
Retrospective data collection from patient records, a questionnaire on bowel management pre and post colostomy, quality of life (QoL) by SF-36, and GITT.RESULTS:
Seventy-two percent significantly reduced their use of time on bowel emptying after the colostomy. All but one reported being content with the colostomy. Thirty-nine percent reported one or more problems related to the colostomy. Seventy-five percent had a GITT within normal range for able-bodied populations. When disregarding the physical component, QoL was not significantly lower in the total study group compared to a Danish norm group, but significantly lower when compared the subgroup of persons with tetraplegia.CONCLUSION:
A colostomy reduces the time necessary for bowel management. The majority of individuals with SCI and a colostomy did not perceive bowel management as being a problem. The results indicate that colostomy is a favourable option for individuals with SCI, who spend long hours on bowel management and for whom non-invasive procedures did not improve the situation enough.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
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Traumatismos da Medula Espinal
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Colostomia
/
Intestinos
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Spinal Cord Med
Assunto da revista:
NEUROLOGIA
/
REABILITACAO
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Dinamarca