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  4. Bowel function and quality of life after colostomy in individuals with spinal cord injury

Bowel function and quality of life after colostomy in individuals with spinal cord injury

The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1179/2045772315Y.0000000006 · Published: May 1, 2016

Spinal Cord InjuryParticipationGastroenterology

Simple Explanation

This study investigates how a colostomy affects bowel function and quality of life for people with spinal cord injuries (SCI). Individuals with SCI often face challenges in bowel management, including constipation and incontinence, which can significantly impact their daily lives and social activities. The researchers collected data from 18 individuals with SCI who had undergone colostomy surgery. They gathered information on bowel management practices before and after the surgery, assessed quality of life using a standard questionnaire (SF-36), and measured gastrointestinal transit time (GITT). The study found that a colostomy generally reduces the time needed for bowel management and that most participants were satisfied with the procedure. While some participants experienced issues related to their colostomy, the overall impact on quality of life, particularly regarding mental health, was not significantly lower than that of the general population.

Study Duration
Not specified
Participants
18 individuals with SCI and a colostomy
Evidence Level
Cross-sectional descriptive study

Key Findings

  • 1
    Seventy-two percent of participants significantly reduced their time spent on bowel emptying after colostomy.
  • 2
    The majority of participants (89%) did not perceive bowel management with a colostomy as a problem.
  • 3
    Seventy-five percent of participants had a gastrointestinal transit time (GITT) within the normal range for able-bodied individuals after the colostomy.

Research Summary

This study evaluated the effect of colostomy on bowel function and quality of life (QoL) in individuals with spinal cord injury (SCI). The results indicate that colostomy is a favourable option for individuals with SCI, who spend long hours on bowel management and for whom non-invasive procedures did not improve the situation enough. The study highlights the potential benefits of colostomy in reducing bowel management time and improving the overall well-being of individuals with SCI.

Practical Implications

Improved Bowel Management

Colostomy can significantly reduce the time and effort required for bowel management in individuals with SCI.

Enhanced Quality of Life

For many individuals with SCI, colostomy can improve their overall quality of life by alleviating bowel-related issues and increasing independence.

Consideration of Colostomy

Colostomy should be considered as a viable option for individuals with SCI who experience persistent bowel management problems despite non-invasive interventions.

Study Limitations

  • 1
    The number of participants in the study is limited.
  • 2
    Retrospective data collection has limitations.
  • 3
    GITT was not measured before the colostomy procedure.

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