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Health-Related Quality of Life and Sleep Disorders in Patients With a Urostomy: Is There a Relationship?
Chie Furukawa1, Ikuharu Morioka
1Chie Furukawa, RN, MSN, WOCN, Faculty of Nursing, Yokkaichi Nursing and Medical Care University, Mie Prefecture, and Graduate School of Health and Nursing Science, Wakayama Medical University, Wakayama, Japan. Ikuharu Morioka, MD, PhD, Graduate School of Health and Nursing Science, Wakayama Medical University, Wakayama, Japan.
Purpose:
The purpose of this study was to evaluate the relationship between health-related quality of life (HRQOL) and sleep disorders in persons living with a urostomy.
Design:
A cross-sectional descriptive study.
Subjects And Settings:
Eighty-six adults with a urostomy who were cared for in a stoma outpatient clinic of a hospital in Osaka, Japan, for at least 1 month before data collection, and who were attending support group meetings comprised the sample. The majority of participants (n= 68; 79.1%) were diagnosed with bladder cancer; the median time since ostomy surgery was 3.7 years.
Methods:
Participants were queried about demographic and pertinent clinical data; they also completed 2 instruments that measured HRQOL and sleep quality. All data were collected via interview. HRQOL was assessed using a Japanese language version of the World Health Organization Quality of Life (WHOQOL). Sleep quality was evaluated using a Japanese language version of the Pittsburgh Sleep Quality Index (PSQI-J). Demographic and clinical data were collected via a questionnaire designed for this study.
Results:
WHOQOL scores among persons living with a urostomy were significantly (P < .001) lower than scores among the general population in Japan. Forty-six participants (53.5%) had scores that were higher than 5.5, the cut-off point on the PSQI-J indicating reduced sleep quality. Scores on the PSQI-J were significantly negatively associated with the cumulative scores for WHOQOL scores (standardized partial regression coefficient -0.504, P < .001) even after adjustment based on all other variables.
Conclusions:
Study findings suggest that persons with a urostomy have lower HRQOL and sleep quality than adults in the general population.
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