4629 Ostomates Recommend Continuous Long Term Follow up

Virginia Y.Y. Lee, RN, RM, ET, BN, MN , Department of Surgery,Princess Margaret Hospital, APN, Kowloon, Hong Kong
Background
Formation of a stoma can have a negative effect on both person’s quality of life and lifestyles. Despite having patients being taught how to manage the stoma with a comprehensive ostomy care teaching, ostomy complications may still arise.
Objective
To analyze the problems leading to develop complication and provide prompt and effective management of ostomy complication, thus enabling patients and carers to undertake more effective stoma care.
Method
A retrospective study of all patients with ostomies attending the Enterostomal and Wound Clinic between January to June 2007 was performed to assess the prevalence of ostomy complications.
Result
In this study, a total of 142 patients attended in Enterostomal and Wound Clinic between January to June 2007, 67% being male and 33% being female patients. The mean age of male patient was 68.28 and female patient was 71.32. The prevalence with ostomy complications was 73%. The complications related to parastomal problems were altered skin integrity (38%), granuloma (11%) and hernia (7%). Others were related to stoma mucocutaneous separation (2%), prolapse (8%), mucosa problems (4%), and improper pouching method (30%).
Conclusion
The prevalence of ostomy complications in this study which reflected the need for long term follow up is important. Therefore, improving patient’s quality of life and providing quality care in empowering patient for self care in adaptation of the ostomy life is challenging. Meanwhile,  we should recognize the importance of continuous care and understand the complication problems to allow for prompt and effective action. The optimal outcome related to shorten the length of hospitalization and decrease the readmission rate should be achieved.