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Elderly ileostomists and their social problems.

W Foulis1, J F Mayberry

  • 1Leicester General Hospital, U.K.

Journal of Clinical Gastroenterology
|June 1, 1990
PubMed
Summary
This summary is machine-generated.

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Older ileostomists (over 60) reported varied experiences, with many receiving inadequate pre-surgery explanations. Family and peer support were more effective than stoma therapists for these patients.

Area of Science:

  • Geriatric Medicine
  • Surgical Patient Outcomes

Background:

  • Defining

Purpose of the Study:

  • To investigate the challenges and support systems experienced by individuals over 60 who have undergone ileostomy surgery.
  • To assess the impact of ileostomy on quality of life and social activities in the elderly population.

Main Methods:

  • A questionnaire was distributed to 55 members of the Ileostomy Association aged 60 and above.
  • Fifty members completed the questionnaire, providing data on their experiences with ileostomy surgery and support.

Main Results:

  • Only 68% felt adequately informed before surgery. Family and the Ileostomy Association were primary support sources, more so than stoma therapists.
  • Immediate post-operative distress (shock, repulsion) was reported by 32%, with 54% experiencing difficulties in stoma care initially, though these issues lessened over time.

Related Experiment Videos

  • Most patients' social activities were unaffected; 18% reported increased confidence, while 12% experienced a decrease. Age at operation did not influence these outcomes.

    • Conclusions:

    • Elderly ileostomists often lack sufficient pre-operative information and benefit more from informal support networks.
    • Psychological and practical challenges related to ileostomy exist but tend to decrease with time, with minimal impact on overall social engagement for most.