Mumtaz Ahmad Khan, Sahaban Jamal, Rakhshanda Rashid, Nedeem Ahmad.
Quality of Life Assessment in Patients with Stoma in Muslim Population.
Ann Pak Inst Med Sci Jan ;7(4):222-7.

Objective: To assess the effects of stoma on the quality of life of Muslim patients. Study Design: Questionnaire Survey. Place and Duration: Dept. of Generel Surgery, Pakistan Institute of Medical Sciences, Islamabad Materials and Methods: We developed questionnaire to address QoL issues to be studied in Muslim patients. This instrument was tested and retested and then 100 patients were studied to assess the influence of stoma on QoL of Muslim Patients with stoma. Results: A total of 100 patients were studied with mean age 38.56(range 16-78 years) and male to female ratio of 3.54:1 Majority of patients (n=82) had ileostomy while 18 patients had colostomy. Majority (80 %) of stomas were due to infective causes, while 12 were for trauma and 8 due to malignant disease. Permanent stoma was fashioned in only 3 for malignant disease. Mean Prescore of 79.63 fell to a postscore of 55.79 (P value 0.000). Mean score of work and social function was 33.75, sexuality and body image was 39.45, stoma function was 7.56, financial concern was 34.50, skin irritation was 25.10, religious well being was 49.60. Conclusion: Stoma adversely affects QoL in our population. QoL in religious matters is however relatively preserved, indicating a better counseling and control of religious leaders in Muslim community. This is probably because of poor management and counseling services provided to stoma patients in our community. standards of QoL in our population may be improved by proper education and management by stoma care nurses.

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