Abstract | AIM: 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. METHOD: 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. RESULTS: 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 (P < 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. CONCLUSION: 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.
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Authors | C Canova, E Giorato, G Roveron, P Turrini, R Zanotti |
Journal | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
(Colorectal Dis)
Vol. 15
Issue 11
Pg. e692-8
(Nov 2013)
ISSN: 1463-1318 [Electronic] England |
PMID | 23800245
(Publication Type: Journal Article, Multicenter Study, Validation Study)
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Copyright | Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland. |
Topics |
- Adult
- Aged
- Aged, 80 and over
- Body Image
(psychology)
- Colostomy
(psychology)
- Cross-Sectional Studies
- Female
- Humans
- Ileostomy
(psychology)
- Interpersonal Relations
- Italy
- Male
- Middle Aged
- Quality of Life
(psychology)
- Reproducibility of Results
- Surveys and Questionnaires
- Young Adult
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