Abstract：
BACKGROUND: The situation for patients with ostomy can be challenging, probably more in a resource-constrained environment. Our objective was to evaluate quality of life (QoL) (using EQ5D-5L) and stoma-specific QoL (using Stoma QoL) in a high- and low-income setting.
METHODS: In this cross-sectional study from the Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, and South General Hospital (SGH), Stockholm, patients with a permanent or temporary ostomy at TASH (EthioPerm), (EthioTemp), and patients with ostomy at SGH (SweSto) were included in October 2022-January 2023.
RESULTS: Patients N = 66 were included in groups: EthioPerm N = 28, EthioTemp N = 17, and SweSto N = 21. In EthioTemp, 88% used homemade stoma bags. Although morbidity related to the nipple itself was similar in the groups, the overall score from Stoma QoL was significantly lower in EthioPerm, 48/100 than in SweSto, 74/100. Scores were significantly lower for pouch-related problems and social interactions in Ethiopian patients. In EthioPerm, 71% of the patients worried that they were a burden to the people close to them compared to 14% in SweSto (p < 0.001). Leakage was over four times more common in EthioPerm than in SweSto. Mean overall EQ5D-5L score was 18 percentage points lower than the national mean score in EthioPerm and 2 percentage points lower in SweSto.
CONCLUSIONS: QoL was more affected in the Ethiopian study participants than in the Swedish, even when commercial stoma bags were available. The largest problems were leakage, embarrassment with social interactions, and pouch-related problems.
BACKGROUND: NCT05970458 Clinicaltrials.gov, https://clinicaltrials.gov/study/NCT05970458?locStr=Ethiopia&country=Ethiopia&distance=50&cond=Stoma%20Ileostomy&rank=1.
METHODS: In this cross-sectional study from the Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, and South General Hospital (SGH), Stockholm, patients with a permanent or temporary ostomy at TASH (EthioPerm), (EthioTemp), and patients with ostomy at SGH (SweSto) were included in October 2022-January 2023.
RESULTS: Patients N = 66 were included in groups: EthioPerm N = 28, EthioTemp N = 17, and SweSto N = 21. In EthioTemp, 88% used homemade stoma bags. Although morbidity related to the nipple itself was similar in the groups, the overall score from Stoma QoL was significantly lower in EthioPerm, 48/100 than in SweSto, 74/100. Scores were significantly lower for pouch-related problems and social interactions in Ethiopian patients. In EthioPerm, 71% of the patients worried that they were a burden to the people close to them compared to 14% in SweSto (p < 0.001). Leakage was over four times more common in EthioPerm than in SweSto. Mean overall EQ5D-5L score was 18 percentage points lower than the national mean score in EthioPerm and 2 percentage points lower in SweSto.
CONCLUSIONS: QoL was more affected in the Ethiopian study participants than in the Swedish, even when commercial stoma bags were available. The largest problems were leakage, embarrassment with social interactions, and pouch-related problems.
BACKGROUND: NCT05970458 Clinicaltrials.gov, https://clinicaltrials.gov/study/NCT05970458?locStr=Ethiopia&country=Ethiopia&distance=50&cond=Stoma%20Ileostomy&rank=1.
摘要：
背景：造口术患者的情况可能具有挑战性，可能更多的是在资源受限的环境中。我们的目标是在高收入和低收入环境中评估生活质量（QoL）（使用EQ5D-5L）和气孔特异性QoL（使用StomaQoL）。
方法：在TikurAnbessa专科医院（TASH）的这项横断面研究中，亚的斯亚贝巴,和南方总医院（SGH），斯德哥尔摩,在TASH（EthioPerm）进行永久性或暂时性造口术的患者，（EthioTemp），2022年10月至2023年1月纳入SGH造口术(SweSto)患者.
结果：患者N=66被纳入组：EthioPermN=28，EthioTempN=17和SweStoN=21。在埃塞俄比亚坦普，88%使用自制造口袋。尽管与乳头本身相关的发病率在两组中相似，EthioPerm的StomaQoL总分明显较低，比SweSto中的48/100，74/100。埃塞俄比亚患者与囊袋相关的问题和社交互动的得分显着降低。在埃塞俄比亚彼尔姆,71％的患者担心他们是接近他们的人的负担，而SweSto的患者为14％（p<0.001）。EthioPerm的泄漏发生率是SweSto的四倍以上。EQ5D-5L的平均总体得分比EthioPerm的全国平均得分低18个百分点，而SweSto的平均得分低2个百分点。
结论：埃塞俄比亚研究参与者的QoL比瑞典语受影响更大，即使有商业造口袋。最大的问题是泄漏，与社交互动的尴尬，和小袋相关的问题。
背景：NCT05970458Clinicaltrials.gov，https://clinicaltrials.gov/study/NCT05970458?locStr=埃塞俄比亚&country=埃塞俄比亚&distance=50&cond=Stoma%20leostomy&rank=1.
方法：在TikurAnbessa专科医院（TASH）的这项横断面研究中，亚的斯亚贝巴,和南方总医院（SGH），斯德哥尔摩,在TASH（EthioPerm）进行永久性或暂时性造口术的患者，（EthioTemp），2022年10月至2023年1月纳入SGH造口术(SweSto)患者.
结果：患者N=66被纳入组：EthioPermN=28，EthioTempN=17和SweStoN=21。在埃塞俄比亚坦普，88%使用自制造口袋。尽管与乳头本身相关的发病率在两组中相似，EthioPerm的StomaQoL总分明显较低，比SweSto中的48/100，74/100。埃塞俄比亚患者与囊袋相关的问题和社交互动的得分显着降低。在埃塞俄比亚彼尔姆,71％的患者担心他们是接近他们的人的负担，而SweSto的患者为14％（p<0.001）。EthioPerm的泄漏发生率是SweSto的四倍以上。EQ5D-5L的平均总体得分比EthioPerm的全国平均得分低18个百分点，而SweSto的平均得分低2个百分点。
结论：埃塞俄比亚研究参与者的QoL比瑞典语受影响更大，即使有商业造口袋。最大的问题是泄漏，与社交互动的尴尬，和小袋相关的问题。
背景：NCT05970458Clinicaltrials.gov，https://clinicaltrials.gov/study/NCT05970458?locStr=埃塞俄比亚&country=埃塞俄比亚&distance=50&cond=Stoma%20leostomy&rank=1.
