Naveed Ali Khan, Ata-ur Rehman, Nabil Rashid, Saba Mughal, Amjad Siraj Memon, Daleep Kumar.
Patterns of anxiety among patients with Stoma and its determinants: A single center experience.
Pak J Surg Jan ;31(2):101-6.

Background: Stoma surgeries have become a common procedure for patients suff ering from various abdominal pathologies, which lead to increase in life expectancy of patients with severe abdominal diseases. Th ere are several psychological conditions which stoma patients have to deal with including anxiety, depression, fear and social isolation. Th is study aimed to examine the burden of anxiety among stoma patients and the determinants leading towards anxiety among stoma patients in Pakistan. Materials and Methods: A cross-sectional study was conducted on 97 in-patients at surgical unit of Civil Hospital Karachi. Patients included those who had undergone abdominal surgery for various abdominal pathologies and had been given a stoma from January 2013 to March 2014 were included in this study. Data was collected through a modifi ed anxiety questionnaire which included questions on stoma management, care, anxiety and fears related to stoma. Results: Th e overall prevalence of anxiety regarding stoma among patients was 56.7% (n=55). Patients younger than 30 years of age were found to be more anxious 58.2% (n=32). Females were more likely to be anxious as compared to males; (OR=1.62, 95% CI=0.68 – 3.85, p-value=0.274). Patients were twice more likely to be anxious if they had a double barrel stoma as compared to loop stoma; (OR=2.47, 95% CI=0.61 – 9.93, p-value=0.203). Conclusion: Th is study suggests that a considerable proportion of patients with stoma suff er from anxiety but this study did not fi nd any signifi cant determinant of anxiety among stoma patients, perhaps due to smaller sample size. We need further evidence on anxiety among disease specifi c stoma patients with longitudinal studies having larger samples.

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