Validation of a stoma‐specific quality of life questionnaire in a sample of patients with colostomy or ileostomy. (November 2013)

• Record Type: Journal Article
• Authors: Canova, C.; Giorato, E.; Roveron, G.; Turrini, P.; Zanotti, R.
• Is Part Of: Colorectal disease. Volume 15:Number 11(2013)
• Page Start: e692
• Page End: e698
• Publication Date: 2013-11
• Subjects: Colon (Anatomy) -- Diseases -- Periodicals; Rectum -- Diseases -- Periodicals; 616.34
• DOI: 10.1111/codi.12324
• Languages: English
• ISSNs: 1462-8910

Abstract

<abstract abstract-type="main" id="codi12324-abs-0001"> <title>Abstract</title> <sec id="codi12324-sec-0001" sec-type="section"> <title>Aim</title> <p>The aim of this study was to determine how socio‐demographic and clinical variables affect quality of life (QoL) and to assess the validity of a 20‐item scale in a sample of Italian subjects with colostomy, ileostomy and multiple stomata.</p> </sec> <sec id="codi12324-sec-0002" sec-type="section"> <title>Method</title> <p>A cross‐sectional multicentre survey was carried out in Italy between 2009 and 2010 in 73 stoma centres coordinated by the University of Padova. Patients aged 18 years old and above with a history of nontemporary stoma were included in the study. The Stoma Care QoL scale was measured and validated using a Rasch model. Socio‐demographic and clinical characteristics were considered in the analyses.</p> </sec> <sec id="codi12324-sec-0003" sec-type="section"> <title>Results</title> <p>Two hundred and fifty‐one patients were recruited for the study; the mean age was 62 years, 58% were men, 72% had colostomy and 25% ileostomy; approximately 70% of patients had intestinal cancer requiring a stoma, 13% a complication and 10% an inflammatory disease. No significant differences were observed throughout strata in the Stoma Care QoL scale index, except for geographical area, where subjects from south Italy showed a significantly lower index than subjects living in other parts of Italy (<italic>P </italic><<italic> </italic>0.01). Colostomy and ileostomy patients reported very similar QoL. Cronbach's alpha for the Stoma Care QoL scale was 0.90 (95% CI 0.88–0.92). Rasch analysis supported the viability of the Stoma Care QoL scale questionnaire and showed acceptable goodness‐of‐fit. Three under‐fitted items were observed.</p> </sec> <sec id="codi12324-sec-0004" sec-type="section"> <title>Conclusion</title> <p>The study confirms the validity of the 20‐item Stoma Care QoL scale questionnaire as a research tool for stoma patients but the number of items could be reduced.</p> </sec> </abstract>