Method: Two ET nurses and two nurses who work at out patient clinic for patients with stomas collected data of patients' basic information, problems and types of supports they receive. Then, they organized and tabulated the data. The data was gathered from their own notes. The subjects were those patients who came to the clinic between April 1996 and August 2005 and were followed at least 10 years.

Results: We had 21 patients with stomas. Average age was 70 years old (SD 12.1). Their visits to the clinic in the ten-year period were 22 to 70 times, average 41. Diagnoses lead to their surgeries included bladder tumor (6 pts), colon tumor (4 pts), and others. Local skin problems they had were mucosal transplantation (6 pts), excoriation (3 pts), parastomal hernia (3 pts), pseudoverrucous hyperplasia (2 pts), and others. We found 20 of them are independent with ostomy care and one patient needed some assistance while changing pouches. Assistance we provided for them included assisting to be independent, assuring them there is no problems, dealing with skin problems, managing current diseases, health related discussion other than stomas, and providing current knowledge. Patients also discussed issues related to works, hobbies, and families with nursing staff.

Discussion: We found mucosal transplantation, excoriation, parastomal hernia and pseudoverrucous hyperplasia as skin problems of those patients who were followed for 10 years or more. And these problems need long-term management plans. One of the physical changes that need to be addressed is exacerbation of current disease besides changes due to aging. And it was thought that knowledge and skills to deal with aging and diseases were needed to assist them. It was suggested that those patients need information on works, daily life.